• Journal of Korean Ophthalmic Optics Society
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• v.11 no.1
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• pp.71-75
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• 2006

The aim of this study was to analyze the surface ultrastructure of RGP contact lenses post-use The RGP contact lenses, to investigate, were selected after one month, six months and one year of wear by the subjects. The anterior and posterior surfaces of these RGP contact lenses were inspected by a scanning electron microscope. The results were the following: 1. After one month of RGP contact lens use the anterior and posterior surfaces appeared clean and clear as originally. 2. After six months the anterior surface had several scars, dips, cracks and scratches. Upon the posterior surface appeared several foreign bodies and microorganisms. 3. After one year there was large scale damage and many foreign bodies were observed. Therefore, extended use of RGP contact lenses has shown increasing physical damage and extensive foreign body accumulation upon the ultrastructure of the lens surface.

• Journal of Korean Ophthalmic Optics Society
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• v.8 no.2
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• pp.85-89
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• 2003

A tear lens formed by between back surface of spherical rigid gas permeable(RGP) contact lens and front surface of cornea shows an excellent correction effect of astigmatism. To study an effects of tear lens power using spherical RGP lens and therefore to utilize them in clinical procedures, we analyze a change of the total astigmatism, the cornea astigmatism, and the residual astigmatism, we derive the following conclusion. 1. Almost all refractive astigmatism below than 2.00D present fully corrected. Thereby resulting good visual acuity. Refractive astigmatism higher than 2.50D show under-corrected and apparent decrease of visual acuity if it is higher than 3.00D. 2. Amount of corneal astigmatism below than 2.50D show acceptable under-corrected while higher than 3.000 present unacceptable visual acuity. 3. An estimated residual astigmatism is not revealed as it is : but it is reduced when it incorporate to refractive astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.2
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• pp.99-108
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• 2016

Purpose: The present study was aimed to compare the tear volume and distribution by corneal eccentricity when fitted with spherical and aspherical RGP lenses. Methods: Spherical and aspherical RGP lenses were fitted in best alignment on a total of 77 subjects (136 eyes) in their twenties and thirties without any ocular disease or ocular surgery experience. The tear volume was analyzed by estimating the concentration of tear stained with fluorescein in the center of RGP lens as well as at the mid-peripheral and peripheral areas, and the difference of tear distributions was analyzed according to corneal eccentricity. Results: Tear distribution from the center to the peripheral area was not significantly different when spherical RGP lenses were fitted on the corneal eccentricities of e < 0.38 and $0.68{\leq}e$, indicating the relatively even tear distribution compared with other corneal eccentricity. In the case of aspherical RGP lenses, the difference of tear distribution between the central and peripheral areas was smaller than spherical RGP lenses. The significant difference of tear distribution according to RGP lens design was observed in the corneal eccentricity of 0.48 < e < 0.68. In other words, more even tear distribution was shown when aspherical RGP lenses were fitted on the cornea with eccentricity of $0.48{\leq}e<0.68$ and spherical RGP lenses were fitted on the cornea with eccentricity $0.68{\leq}e$. Furthermore, tear volume in the mid-peripheral area increased with higher corneal eccentricity. Conclusions: The results suggest that the appropriate selection of RGP lens design according to corneal eccentricity is necessary since tear volume and distribution by the regions of spherical and aspherical lenses are affected by corneal eccentricity.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.3
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• pp.255-264
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• 2012

Purpose: In this study, the effect of lens fitting status on the contact area between spherical/aspherical RGP lens and the cornea having different astigmatic degree and corneal type was investigated for guiding the proper selection of RGP lens. Methods: Spherical and aspherical RGP lenses were applied on ninety eyes $(25.12{\pm}3.52years)$ having with-the-rule astigmatism by different fitting status. Then, their central, mid-peripheral and peripheral areas of fluorescein pattern were calculated and compared for the quantitative evaluation of the contact area between spherical/aspherical RGP lens. Results: The central and peripheral areas with the alignment fitting was significant different based on lens design. However, the central area didn't show any significant difference by lens design and corneal type when fitted in steep or flat. When analyzed by the corneal shape, both lenses with alignment and flat fitting had significant difference in central and peripheral areas. However, the central, mid-peripheral and peripheral areas with steep fitting didn't show the difference by corneal types. When analyzed by the astigmatic degree, the central and peripheral areas with alignment fitting changed proportionally to the increase of corneal astigmatism regardless of corneal shape. With steep and flat fitting, however, the central, mid-peripheral and/or peripheral areas in round- and symmetric bowtie-typed corneas showed the conflicting result when compared to those of alignment fitting when analyzed by the astigmatic degree. Conclusions: In this study, it was confirmed that the contact areas of cornea and RGP lens fitted steep and flat status were largely affected by the corneal type and corneal astigmatism rather than RGP lens fitted in alignment status. Also, this result commonly occurred in both spherical and aspherical RGP lenses.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.4
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• pp.329-337
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• 2010

Purpose: The surfaces and compositions of rigid gas permeable (RGP) contact lenses were analyzed with the consistent methods, and the basic informations for the composition design of lens materials were suggested. Methods: The bulk structures were analyzed by using Fourier infrared spectroscopy (FTIR), the compositions of surface components were observed by using x-ray photoelectron spectroscopy (XPS), the surface morphology and roughness were observed using atomic force microscopy (AFM), and the wettabilities were estimated by the surface wetting angles. The relations and trends of those results were analyzed. Results: The high oxygen permeability RGP lenses showed the trend that the fluorine decreases and the silicon increases. As the silicon and fluorine contents increased, the carbon and oxygen contents of RGP lens materials decreased at a constant ratio. The decreasing ratio of the carbon contents was three times larger than the decreasing ratio of oxygen contents. The composition of the surface treated lens was far from these tendency line. When the silicon contents increased, the rough surface was formed with the cohered particles. When the fluorine contents increased, the rough surface was formed with the deep flaws. The surface roughness increased and then wettabilities decreased as the silicon and fluorine contents increased. For the surface roughness changes, the increasing ratio of the silicon contents was two times larger than the increasing ratio of fluorine contents. The surface of RGP lens materials appeared the hydrophobic character of which the wettabilities decreased when the roughnesses increased. Conclusions: The surfaces and compositions of RGP contact lenses were measured by the same methods. Those results and relationships were compared and analysed. It is considered that these research results will be applied with the basic data for the composition design of lens materials.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.1
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• pp.39-45
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• 2009

Purpose: The purpose of this study is to compare the visual performance by contrast sensitivity (CS) and disability glare (DG) in low astigmatic eyes corrected with toric soft lenses and other optical corrections. Methods: Twenty university students with myopia (-1.00 to -6.50D Sph. with astigmatism up to 1.50 cyl) were enrolled and corrected by five different methods: 1) soft toric lenses; 2) spherical soft contact lenses; 3) RGP lenses; 4) best spectacle corrected visual acuity; 5) spherical equivalent spectacles. All subjects had corrected vision acuity of 20/20 or better. Contrast sensitivity and disability glare were measured using the OPTEC 6500 contrast sensitivity view-in tester included the EyeView Functional Vision Analysis software at photopic or mesopic conditions with glare. Results: At photopic condition, best corrected spectacle wearers had the highest monocular contrast sensitivity at all spatial frequency followed by soft toric lenses, RGP lenses, spherical equivalent spectacles, and spherical soft contact lenses. However, all of them were in normal contrast sensitivity value at photopic condition. At mesopic condition with glare, toric soft lenses were the highest and followed by RGP lenses, spherical equivalent spectacles, best spectacle corrected visual acuity and spherical soft contact lenses. It was observed that spherical soft contact lens wearers demonstrated lower range than normal contrast sensitivity value at mesopic condition with glare. Conclusion: Toric soft lenses gave better visual performance than spherical soft lenses in low astigmatic eyes. Subjects requiring the use of contact lenses under mesophic conditions could benefit from toric soft lenses.

• Journal of Korean Ophthalmic Optics Society
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• v.6 no.1
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• pp.55-58
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• 2001

The rigid gas permeable(RGP) contact lens has nearly side effect on the cornea. So that, this lens has used the clinical reflective correction of the eye. This study have used several methods for research the fine internal structure on the RGP contact lens by scanning electron microscopy. The results have indicated that the postfixation of 1% $OsO_4$ and tannic acid is responsible for a fine structure in the internal plane of RGP contact lens. These internal surface of contact lens appeared the several shape of the hole of the stereo shape form with arrangement of round form. But, on the contact lens with non-postfixation, the stereo shape have not present and the boundary of the vesicle have not clear. Maybe, these results suggest that the fixation methods have effect on the morphological characters of materials on the RGP contact lens.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.4
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• pp.391-401
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• 2011

Purpose: In the present study, the actual management state of trial contact lenses and lens care products in local optical shops was surveyed and analyzed to reduce the risk of lens complication possibly induced by neglecting lens care. Methods: The feeling of contact lens wearers during the wear of trial contact lenses was surveyed. Futhermore, the actual management state of trial contact lenses such as cosmetic lens and RGP lens and lens care products was also investigated by surveying opticians who trade contact lenses in local optical shops. Results: It was found that consumers trusted the sanitary conditions of the lens since trial cosmetic contact lens and RGP lens were cleaned before and after trails by over 98% of opticians in local optical shops. For trial cosmetic lens, cleaning with normal saline, multipurpose solution for soft lens and combination of saline and multipurpose solution were 38.5%, 40.5% and 21%, respectively, before trials. After trials, cosmetic lenses were cleaned with normal saline, multipurpose solution for soft lens and a combination of saline and multipurpose solution were 13%, 75%, and 12%, respectively. On the other hand, cleaning with normal saline, multipurpose solution for RGP lens and combination of saline and multipurpose solution were 28.5%, 38.5% and 33%, respectively, before trying trial RGP lens. After trials, RGP lenses were cleaned with normal saline, multipurpose solution for RGP lens and a combination of saline and multipurpose solution were 2.5%, 70%, and 27.5%, respectively, indicating that relatively many opticians followed the lens cleaning regimen. In local optical shops, the cleaning trial cosmetic lens was mainly conducted at every 10 days or a month and the washing cycle of cosmetic lens case was in a month or 2~3 months. The cleaning interval of trial RGP lens was primarily in a month or 2~3 months. For those lens cases, more than 75% of opticians washed them with a surfactant and then rinsed with cold water. The storing periods of lens care products were primarily in a week for saline and in a month and 2~3 months indicating that storing period of lens care products was relatively well-kept in local optical shops. Conclusions: It is thought that the concern about any microbial infection is not that high since trial contact lenses and lens care products were generally well-managed by opticians in local optical shops from the results above. However, better public eye health and better public confidence in opticians may be possible if further strengthen in avoidance of lens cleaning with saline, keep of cleaning cycles within 2 weeks and rinsing of lens cases with hot water happens.

• Journal of Korean Ophthalmic Optics Society
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• v.9 no.2
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• pp.455-462
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• 2004

In this paper, we measured and analysised the power change of tear lens for 85 patients - 170 myopia eyes - who are fitted using RGP lens, considering the BGR of RGP lens, the corneal astigmatism power, and corneal curvature. We got the following results from these experiments; 1. When the BCR of RGP lens changes, the diopters of tear lens of "on-k", 0.05Pt, 01.0Ft, 0.05St, and 0.10St are -0.25D, -0.46D, -0.63D, +0.07D, and +0.26D, respectively. 2. When the corneal astigmatism power changes, the diopters of tear lens of group below 0.75D, group of 1.00D~1.25D, group of 1.50D~1.75D, and group over 2.00D in "on-k" state, are -0.25D, -0.18D, -0.09D, and -0.39D, respectively. 3. When the corneal astigmatism power changes and the BCR of test lens is changed by 0.05mm step, the change values of tear lens diopter for 0.05St and 0.05Ft approximate to ${\pm}0.25D$, while these for 0.10St and 0.10Ft don't approximate to the value below ${\pm}0.25D$.[are irregular value below ${\pm}0.25D$.] 4. When the corneal curvature and the HCR of RGP lens change, the diopters of tear lens of group below 7.50mm, group of 7.55~7.80mm, group of 7.85~8.20mm, and group over 8.25mm in "on-k" state, are -0.40D, -0.11D, -0.20D, and -0.19D, respectively. 5. When the BCR of test lens is changed by 0.05mm step and the corneal curvature increases, the change values of tear lens diopter decrease, while these over 8.25mm are mean value ${\pm}0.17D$ and the value below ${\pm}0.25D$.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.2
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• pp.123-133
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• 2011

Purpose: The present study was conducted to analyze any difference in the movement of aspheric RGP lens by the amounts of keratometiric astigmatisms using keratometer and corneal topography. Methods: Corneal curvatures in thirty six eyes of males and females of with-the-rule keratometric astigmatisms in their twenties were measured by a keratometer and worn aspheric RGP lenses. Then, lens rotations, vertical and horizontal movements of lens by blinking were measured to compare with lens movements when aspheric RGP lenses were fitted by total keratometric astigmatisms using corneal topography. Results: The case having higher amount of central keratometric astigmatism was 61.1% of subjects, however, 36.1% of subjects showed higher total keratometric astigmatism indicating that central keratometric astigmatism was not always bigger than total keratometric astigmatism. Since over 0.25 diopter difference between total and central keratometric astigmatisms was shown in 19 eyes (52.8% of subjects), the prescription for lens fitting could be changed. Significant difference in horizontal movement was detected with increase of astigmatism when it compared based on the amount of keratometric astigmatism measured by a keratometer. However, there was no significant difference in lens rotation, horizontal and vertical movements by comparison with the amount of total keratometric astigmatism using a corneal topography. When central keratometric astigmatism measured by keratometer was bigger than total keratometric astigmatism estimated by corneal topography, bigger lens rotation was shown compared with opposite case. Also, the tendency of bigger lens rotation was measured with the increase of keratomatric astigmatism in the case of same prescription having same base curves with same amount of keratometric astigmatism but different curvatures. Conclusions: From the present study, we concluded that lens movements on cornea were not totally different when aspheric RGP lens fitted on with-the-rule astigmatism by keratometer and corneal topography. However, there was some difference in certain lens movements. Therefore, we concluded that further study on the relationship between the prescriptions for lens fitting should be conducted for improving the rate of successful lens fitting by keratometer or for the proper application of corneal topography for lens fitting.