• Journal of Korean Ophthalmic Optics Society
• /
• v.9 no.1
• /
• pp.81-91
• /
• 2004

The use of soft contact lenses for myopia correction is increasing in many countries. It is therefore important for contact lens practitioners to be properly educated in fitting these lenses. Before fitting lenses, it is important to consider the factors and procedures related to soft contact lens fitting, indications and contraindications of fitting soft contact lenses. In this article, the functions and activities involved in preliminary, fitting and delivery consultations will be presented.

• Journal of Korean Clinical Health Science
• /
• v.4 no.4
• /
• pp.662-670
• /
• 2016

Purpose. Because of a recent increase in use of soft contact lens at younger ages, in the present study, the correlation between corneal eccentricity and radius of curvature and fitting types of contact lens was investigated. Methods. The study evaluated the fitting status of targets through lens centration, push-up test, dynamic lag test and static lag test of lenses usually worn by 49 men and women (98eyes) in their 20s to 30s who put on soft contact lenses. After evaluation, the subjects were classified into 3 categories by fitting status(steep, aligment and flat). The radius of corneal curvature in the naked eyes was measured by using keratometer. Moreover the corneal eccentricity in the nasal side, temporal side, superior side and inferior side was measured by using the device capable of measuring the corneal eccentricity. Results. The radius of corneal curvature and corneal eccentricity of soft lenses worn by subjects were higher in the order of steep fitting and flat fitting, and the higher average corneal curvature radius and corneal eccentricity is intend to be more steep fitting(p=0.051, p=0.052). The corneal eccentricity showed a tendency to nasal fitting type at the higher eccentricity and temporal fitting type at the smaller eccentricity, statistically significant difference was observed(p<0.05). The study showed there were low correlation that nasal and temporal side at steep fitting, superior side at normal fitting and 4side(nasal, temporal, superior, inferior) at flat fitting, therefore when the corneal eccentricity changed the radius of corneal curvature also changed. The corneal eccentricity and the radius of corneal curvature showed statistically significant difference at 4side and each fitting types(p<0.05). Conclusions. The results of this study, the fitting status, of wearer are based on radius of corneal curvature and corneal eccentricity, and if lens fitting would be done considering that, it seems to be useful in a soft contact lens prescription.

• Journal of Korean Clinical Health Science
• /
• v.7 no.1
• /
• pp.1205-1214
• /
• 2019

Purpose: To investigate the effect of color soft contact lenses on the corneal thickness in young Korean population. Methods: The subjects consisted of 112 eyes (7 males, 49 females) with the mean age of $20.987{\pm}1.093years$ (range 20-25 years) in young Korean population during 2018. Test was compared the corneal thickness before and after wearing color soft contact lenses. The thinnest cornea thickness(TCT), central cornea thickness(CCT), pupil centre thickness(PCT), superior corneal thickness(SCT),inferior corneal thickness(ICT), medial corneal thickness(MCT), lateral corneal thickness(LCT) of the cornea was measured using the Pentacam pachymetry. The statistically analysis was perform the Shaparo-Wilk test. Results: The right eye was a statistically significant among the CCT,LCT, MCT and TCT values(p<0.001) in the compared the corneal thickness before and after wearing soft colour contact lenses. Also the left eye was a statistically significant among the LCT and MCT values(p<0.001) in the compared the corneal thickness before and after wearing soft colour contact lenses. However, there was no statistical difference (p>0.5) in the mean PCT between before and after wearing color soft contact lenses. Conclusion: These results suggested that the color soft contact lens wear can the effect the regional thickness of cornea. Therefore, the analysis of corneal topography with Pentacam can provide correct and useful diagnostic information of the morphology of the RGP contact lens fitting and diagnosis of corneal refraction surgery.

• Journal of Korean Ophthalmic Optics Society
• /
• v.5 no.1
• /
• pp.173-180
• /
• 2000

To determine the effect of base curve and diameter of soft contact lenses on the fitting under the various corneal curvature, the model eyes which was made of either stainless steel or ordinary wood, were used as the substitutes for human eyes. The evaluations of fit of the soft contact lenses on both wood model eyes and human eyes were found to be very similar to each other. All the contact lenses except very thin ones became flat after fit on the stainless steel model eyes because the model eye could not preserve enough moisture to hold the edge of contact lenses on the steel ball's surface. The relationships between the base curves of contact lenses and radii of cornea for the optimum (normal) fit were measured as follows : corneal curvature (C.C)<7.6 mm : base curve(B.C) 8.4 mm, C.C 7.6~7.8 mm : B.C 8.4~8.5 mm. C.C 7.8~8.1 mm : B.C 8.6 mm. It is concluded that larger base curve is required for the eyes which have abnormal bulge on its cornea. It is found that very thin soft contact lenses can be easily twisted or folded regardless of moisture content when they were fit on the relatively dry eyes(corneas).

• Journal of Korean Ophthalmic Optics Society
• /
• v.16 no.1
• /
• pp.21-30
• /
• 2011

Purpose: The study was performed to compare the differences in lens rotation, lens movement by blinking and lens centration with alignment or steep fitting of soft contact lens in normal and dry eyes. Methods: Total 40 eyes (aged 20~30 years) were classified into the normal (n=20) or dry eye group (n=20) by the diagnosis methods for dry eyes and worn soft contact lens (polymacon material) with alignment fitting or steep fitting. Lens rotation, lens movement by blinking and lens centration were separately measured immediately after lens wearing and after stabilization of tear film and compared by fitting states of soft contact lenses. Results: With steep fitting of soft contact lens in dry eyes, averaged lens rotation immediately after lens wearing was not significantly different from that of the normal eye group with alignment fitting however, lens rotation after stabilization in dry eyes was significantly larger than that in normal eyes. Any significant difference in lens movement by blinking was not shown in normal eyes. However, lens movement by blinking in dry eyes was increased with steep fitting. The range of lens centration on cornea in normal eyes with alignment fitting was more vertically distributed. On the other hand, the range of lens centration on cornea in dry eyes with alignment fitting was more horizontally distributed. Lens centration was shown to be changed by stabilization of tear film. That is, lens centrations were somewhat vertically widespread immediately after lens wearing and restrictively distributed in horizontal direction, respectively, with steep fitting in dry eyes. Conclusions: These results suggested that lens movements and centration in dry eyes were different from those of normal eyes. Especially, those differences between normal and dry eyes were much bigger with steep fitting of soft contact lenses. Thus, those differences should be considered for the comfortable and safe fitting of soft contact lens in dry eyes.

• 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.

• 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.

• The Korean Journal of Vision Science
• /
• v.20 no.4
• /
• pp.431-442
• /
• 2018

Purpose : The purpose of this study was to investigate subjective symptoms according to the wearing, purchase and fitting status of soft contact lens wearers, and consumer perception of base curve. Methods : A survey was conducted for those who visited optical shops and lens shops in Seoul from June to August 2018. A total of 98 answer sheets they submitted were used for the analysis. The chi-square test and Fisher's exact test were used to compare subjective symptoms (dryness, glare, uncomfortable fitting, and decreased vision) according to whether fitting condition is screened (case history and push-up test, ect relevant to wearing sensation), and the odds ratio (OR) was obtained by the logistic regression analysis. Results : When the contact lenses were purchased, the rate of which the visual acuity test was performed was 86.6% at optical shop and 64.7% at lens shop. When purchasing contact lens and the contact lens was not tested for fitting, they more experienced dryness (OR 4.41, 95% CI 1.25-15.62) and uncomfortable fitting (OR 2.68, 95% CI 1.08-6.64) than testing for fitting. In addition, it was investigated that 87.8% of contact lens wearers did not know about the term base curve, 92.9% did not listen to an explanation related to the base curve when purchasing contact lenses, and 96.9% did not experience with base curve test. Conclusion : It would be thought that satisfaction of the contact lens fitting of existing consumers should be improved by changing a proper base curve by confirming the fitting condition when prescribing soft contact lens.

• Journal of Korean Ophthalmic Optics Society
• /
• v.18 no.3
• /
• pp.279-289
• /
• 2013

Purpose: To evaluate the changes of refractive power when worn soft contact lenses were temporarily removed. Methods: 91 soft contact lens wearers (15 males and 76 females; total 182 eyes) from 17 to 39 years of age (average: $24{\pm}4.8$ years) were participated. Objective and subjective refraction, and corneal radius were measured at 0, 30, 60 and 90 min after lens removal. The changes in refractive power were evaluated between measurements over time. The other parameters such as types of lenses, fitting and wearing conditions were also assessed. Results: Objective refraction, subjective refraction and corneal radius were significantly changed according to measured time (p<0.0001). A moderate myopic shifts was observed at the beginning (30 min after lens removal) and a slight myopic shift at the late of measurement (60 min to 90 min after lens removal). There are no significant differences between lens types, fitting states, wearing time, wearing days and sleeping time in the previous day. However, there was significant interaction in changes for corneal radius between measuring time and lens type (p=0.017), fitting state (p=0.019), and sleeping time prior to the test (p=0.010). Conclusions: Time to reach refractive and corneal radius stability after contact lens removal revealed at least more than 60 min, regardless of types of lenses, fitting and wearing conditions. Therefore, refraction for correction should be performed after waiting for more than that time as possible.

• Journal of Korean Ophthalmic Optics Society
• /
• v.16 no.3
• /
• pp.265-272
• /
• 2011

Purpose: The clinical usefulness of rotation evaluation using objective refraction in toric soft lenses fitting was investigated. Methods: Toric soft lenses were fitted for 32 subjects (64 eyes; mean age of 24.69 ${\pm}$ 1.65 years) with astigmatism and both eyes of each subject were fitted with toric soft lenses. Objective refraction-based lenses rotation was evaluated from refraction and over-refraction data by indirect calculating technique. These calculated data were compared with the measured data from slit lamp with direct measuring technique. Results: Orientation of toric soft lenses around zero position (within ${\pm}$ 5$^{\circ}$ vertical line) was investigated. The orientations to the direction of nose of measured and calculated values were 69.78% and 63.64%, respectively, which showed similar values between two techniques. Agreement frequency between measured and calculated values in the magnitude of lenses rotation 54.69% and 82.82% for 10$^{\circ}$ and 20$^{\circ}$ of vertical line, respectively. The 95% limits of agreement between calculation and measurement were from -10.08$^{\circ}$ to 12.65$^{\circ}$, and mean difference was 1.29$^{\circ}$ within ${\pm}$ 10$^{\circ}$. The result showed there was no significant difference (p = 0.1984) and high correlation (r = 0.56, p = 0.0004) between two techniques. But the 95% limits of agreement was widen in ${\pm}$ 20$^{\circ}$ of vertical line. The magnitude of lens rotation between two methods was 9.66 ${\pm}$ 6.16$^{\circ}$, 16.17 ${\pm}$ 12.38$^{\circ}$ and 10.58 ${\pm}$ 12.02$^{\circ}$ for normal, loose and tight fitted conditions. Conclusions: From the results with smaller difference between two techniques, it was found that higher availability of subjective over-refraction data can be used as a supplementary tool for subjective refraction. An application using objective refraction with direct measuring could be provide high success in prescription on toric soft lenses.