• Journal of Korean Ophthalmic Optics Society
• /
• v.5 no.2
• /
• pp.65-72
• /
• 2000

The study investigated the effects of base curve radius art the fit of thin, mid-water contact lenses. It was found that central corneal curvature(as measured with the keratometer) was not predictive of the best fitting base curve. Proper lens fit may be the single most important factor that ultimately determines the success of contact lens wear. Comfort, vision, and physiological response are all dependent on the fit of the lens. The percent of optimal fits was highest with the 8.4 mm base curve lens for all three ranges of keratometry values. When fit with the 8.4 mm lens. For most eyes, fitting a flatter lens led to greater decentration, decreased comfort, and no increase in lens movement. The 8.4 mm lens was found to provide on "optimal" fit in over 60% of eyes tested and a fit of "good" or "better" in nearly 90% of eyes tested. Comparisons of different manufactures' lens found that similiar lenses do not always fit in the same way due to subtle design and production differences. Therefore, different products may require different base curve radii to fit the same patient. This is even true when water content, center thickness, and diameter are approximately the same. A praditioner fitting a new patient in this lenses should begin with the 8.4 mm base curve radius.

• Journal of Korean Ophthalmic Optics Society
• /
• v.18 no.4
• /
• pp.449-456
• /
• 2013

Purpose: The present study aimed to investigate the effects of corneal eccentricity and shape on the rotational pattern of toric soft lens by the postural change of lens wearers. Methods: The corneal eccentricity of 41 eyes (aged 20s) having -1.0 D with-the-rule corneal astigmatism (WRCA) was measured, and then toric soft lenses were fitted with the amount of total astigmatism. In lying and straight postures, the rotation of toric soft lenses was recorded by a camera attached to slitlamp and analyzed. Results: Most toric soft lens designed with accelerated stabilization rotated to the temporal direction, which was the lying position direction, regardless of corneal eccentricity, and some lenses rotated to the nasal direction for high corneal eccentricity and corneal type of asymmetric bowtie. There was no correlation between the amount of rotation and corneal eccentricity right after of contact lens wearing in straight and lying posture, however, the amount of rotation was the greater for the cornea with the higher eccentricity after the subjects laying down for some period. The speed of lens rotation started to decrease after the subjects laying down, but the speed was not different according to corneal eccentricity difference. The amount of lens rotation for symmetric and asymmetric bowtie-typed corneas increased more than it for oval-typed cornea, and it was same even with time elapsing. The speed of lens rotation in lying posture was the slowest in asymmetric bowtie-typed cornea compared with other corneal types. Conclusions: From the present study, it was revealed that the rotational pattern of toric soft lens was affected by corneal eccentricity and corneal shape when the wearer's posture changed. Thus, it should be considered for the development of the fitting guideline and the design of toric soft lens.

• Journal of Korean Ophthalmic Optics Society
• /
• v.19 no.3
• /
• pp.285-293
• /
• 2014

Purpose: In order to find suitable size of soft contact lens for different ages group of elementary student to adults, visible iris diameter(horizontal, vertical) and palpebral aperture size were measured. Methods: Visible iris diameter (horizontal, vertical) and palpebral aperture size were measured in different age groups of total 514 subjects (1028 eyes) who have no eye disease and none history of surgery included cosmetic purpose. Results: No significant difference was found in iris diameter of both horizontal and vertical direction for different groups of age and sex but horizontal direction of palpebral aperture size in middle school students and university students groups and vertical direction of palpebral aperture size in high school student group shows significant difference (p<0.05) by sex. Horizontal visible iris diameter, vertical visible iris diameter, horizontal palpebral aperture size and vertical palpebral aperture size shows significant difference in difference age and sex. Conclusions: Visible iris diameter and palpebral aperture size are affective factor for soft contact lens diameter decision, especially it should considered more intensive for removing uncomfortable feeling of lens wearer.

• Journal of Korean Ophthalmic Optics Society
• /
• v.3 no.1
• /
• pp.33-37
• /
• 1998

Lens centration was the fitting variable that was most dependent on base curve radius. Flatter lenses tended to decenter more. A flatter contact lens will likely have to move into the periphery to reach this point of stability. In most cases, the decentration was in the superior and/or temporal direction. It was also found that comfort complains were more common with flatter lenses. The optimal fits was highest with the 8.4mm base curve lens for all three ranges fit eyes decreased as base curve radius was increased. These lenses with steeper radii lead to better centration and therefore to better fit and comfort for more patients than do thin lenses with flatter radii.

• 한국생물공학회:학술대회논문집
• /
• 2003.10a
• /
• pp.428-433
• /
• 2003

We measured the effect of wettability of six MPSs for RGP(rigid gas permeable) lens. The used MPSs(multipurpose solutions) were OPTI-SOAK(ALCON), SOLO care hard(CIBA Vision), Total care(ALLERGAN), Simplicity(BOSTON), Wetting and Soaking Sol.(Bausch & Lomb) and Aquas-multi(Saehan). These MPSs keeps hydrophilic property of lens surface and increase the effect of cleaning or increase the effect of preservative effect. To compare with the effect of wettability we followed the way of contact angle measurement which was general way to measure wettability and compared lens which was conducted by each MPS made by different companies. As a control, 0.9% NaCl solution and artificial tears were used. The degree of the effect of wettability was decided by contact angle. It is hydrophilic property nearby $0^{\circ}$ of contact angle and it is closed by hydrophobic property as it increases. The results showed that every lens was nearby hydrophilic property within $25\;^{\circ}-36\;^{\circ}$. Also, it was differed by various factors. The surface tension showed various differences between 19.8 and 31.3 mN/m. In the viscosity, MPSs represented the highest viscosity between $4^{\circ}C$ and $20^{\circ}C$. It was much higher than compared with the viscosity of soft lens MPS. This experiment could be used to grasping the interaction between solutions used to MPS and the natural endowments of lens and to considering the relations of different factors effecting the wettability.

• Journal of Korean Ophthalmic Optics Society
• /
• v.16 no.4
• /
• pp.375-381
• /
• 2011

Purpose: The purpose of this research was to see how wearing either a SCL or a C-SCL effected the dryness of a person's eye depending on how long they wear either type of lens. Methods: This study was carried out on 52 subjects (104 eyes) who were all in their twenties and had previously experienced wearing contact lenses. All of these subjects were required to wear either a SCL or a C-SCL, which were made out of the same material, for three months. Contents such as the McMonnies Questionnaire survey, the blinking rate per min. and the Noninvasive tear break-up time test (NIBUT) were later conducted on the subjects for this study. Results: According to the results of the McMonnies Questionnaire, it was concluded that the longer the subject wore the SCL and C-SCL, the value of the measurements gradually increased. On the other hand, the results from the NIBUT concluded that the longer the subject wore the SCL, the value of the measurements eventually decreased. However, according to the measurements of the blink rate test, it was concluded that neither results had a significant change. Conclusions: It was concluded that long-term wearing of SCL and C-SCL could be the cause of the induction and progression of dry eyes.

• Journal of Korean Ophthalmic Optics Society
• /
• v.21 no.2
• /
• pp.91-98
• /
• 2016

Purpose: This study investigated the masking effect of the hydrogel lens and silicone hydrogel lens on the cornea with refractive surgery and without surgery. Methods: 24 university students (means age: $23.48{\pm}2.89years$) without refractive surgery (12, control group) and with refractive surgery (LASIK: 8, LASEK: 4, experimental group) participated in the study. Mean refractive errors of right eyes were -2.73 D for control group and -0.24 D for experimental group. The differences in the refractive power and corneal topography map between pre- and post-wearing the -3.00 D lenses were compared, and 2 kinds of hydrogel contact lenses (0.89 Mpa, 0.49 Mpa) and 2 kinds of silicone hydrogel lenses (1.5 Mpa, 0.8 Mpa) were used for -3.00 D lenses. NVision-K5001 (Shin nippon, Japan) was used to measure the refractive power and Keratograph 5M (Oculus, Germany) to measure the corneal topography map change. Results: Variations in the refractive power increased to the plus direction in the experimental group after wearing soft contact lenses. The corneal topography map showed significant changes on the both groups after wearing soft contact lenses (p<0.05). However there were no significant differences in the refractive power and corneal topography map variations by lens materials. Conclusions: Wearing soft contact lenses showed corneal topography map changes. Especially wearing soft contact lenses on the flat cornea after corneal refractive surgery showed greater corneal power changes. Therefore, it should pay attention to refractive change in case of prescribing soft contact lenses to patients with corneal refractive surgery.

• Journal of Korean Ophthalmic Optics Society
• /
• v.9 no.2
• /
• pp.381-389
• /
• 2004

To investigate changes of multi-purpose solutions for soft contact lens(MPS) depending on using period or keeping temperature, we evaluate four brands of MPS. No significant difference was seen in protein deposit removing efficacy after samples had used for 24 weeks and kept at $4^{\circ}C$, $20^{\circ}C$ or $30^{\circ}C$. The pH values of the samples of 4 brands measured weekly over the 24 week testing period. The initial average pH value of samples were 7.0, 7.5, 7.6 or 8.2. One brand of MPS was in the range of the threshold for ocular awareness, which is outside the zone of 6.6 ~ 7.8. During the testing period, the pH value were decreased in using period-dependent manner. At the 24th week, the average pH values of samples turned to 6.6, 7.2, 7.2 or 7.7. However, the difference of keeping temperature was not associated with decreased levels of pH values. After 24 weeks, one of total 36 samples was contaminated by bacteria. Furthermore, the change of components was shown after 24 weeks in the analysis using thin layer chromatography and the analysis of UV absorption pattern. The results of our study provides that the keeping temperature of MPS is not the important factor of changes of MPS, but the using period of MPS can cause contact lens wearers discomfort.

• Journal of Korean Ophthalmic Optics Society
• /
• v.19 no.3
• /
• pp.323-329
• /
• 2014

Purpose: To understand the pattern of prescribing contact lenses in Korea from 2010 to 2013. Methods: Four hundred survey questionnaires were randomly posted to Korean Optometric clinics for 4 years. The questionnaire was the same form as a form used for International Contact Lens Prescribing Trend. It was also designed to collect information about the contact lenses prescribed to the first 10 patients after its receipt. Results: 1937 fits were used for the analysis among the four hundred survey questionnaires. The average patient age was $26.2{\pm}7.0$ in 2010, $26.1{\pm}7.6$ in 2011, $24.7{\pm}6.6$ in 2012 and $24.8{\pm}7.2$ in 2013. The patients were mainly women (75%). Of all the soft contact lenses, silicon hydrogel lenses were 18% of fits (17% in 2010, 10% in 2011, 20% in 2012, 24% in 2013). By degine, the percentage of toric design lenses accounted for 17% of soft lenses fits and had increased during 4 years (10% in 2010, 18% in 2011, 16% in 2012, 22% in 2013), and cosmetic contact lens made up for 29% (15% in 2010, 20% in 2011, 40% in 2012, 41% in 2013). Conclusions: The contact lenses wearers were mostly women and the average patient age becomes slightly younger. In relation to the increase in the mumber of younger female contact lens wearers,the percentage of cosmetic lenses prescription was much higher (29%) than the global average (7%), and it has gradually increased for last 4 years. This trend could be related to the growth of beauty market in Korea. By emphasizing on toric lens marketing in manufactures, the prescription rate has been gradually increased.

• Journal of Korean Ophthalmic Optics Society
• /
• v.7 no.2
• /
• pp.13-18
• /
• 2002

This study conducts the soft contact lenses user's understanding and contentment of training while at the place of purchase. It is based on a questionnaire to the residents in and outside the Masan area, aged between ten to thirty, who have worn soft contact lenses. It examines the training of using contact lenses and lens-care products, the period of wearing lenses, exchanging lenses, sterilizing lenses, side effects of using lenses or the periodic examination, and the understanding and contentment of the users during the training. The results of the research are as below : First, the understanding of training of using lenses, using lens-care products, the period of wearing lenses, exchanging lenses was high, but it was low for the training of sterilizing lenses, side effects of wearing lenses or the periodic examination. Second, the contentment of training of using lenses, lens-care products, the period of wearing lenses, exchanging lenses was high, but low for the training of sterilizing lenses, side effects of wearing lenses or the periodic examination. Therefore, the trainer of the contact lenses must easily and sincerely explain sterilizing lenses, the side effects of using lenses and the periodic examination, cheek with the users, and provide guidelines so as to improve the understanding and the contentment of training of using contact lenses.