• Journal of Korean Ophthalmic Optics Society
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• v.20 no.2
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• pp.141-150
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• 2015

Purpose: In the present study, a difference in tear volume between the cornea and the rigid gas permeable (RGP) lens relative to corneal shape and corneal astigmatism was investigated by the alignment fitting status of spherical and aspherical RGP lenses. Methods: Spherical and aspherical RGP lenses were fitted with alignment in 77 subjects (135 eyes) who were in their 20~30s. Tear volume stained with fluorescein was qualitatively analyzed by dividing cornea into center, mid-peripheral and peripheral parts. Results: For the spherical RGP lens fitting, tear volume differences were found in each part in all corneal types. For the aspherical RGP lens fitting, tear volume differences were in each corneal part in symmetric bow tie- and asymmetric bow tie-type corneas. However, the tear was equally distributed from the center to the peripheral part in round- and oval-type corneas. In the group with corneal astigmatism lower than 1.25 D, tear volume between center and peripheral parts, and mid-peripheral and peripheral parts, was different when a spherical RGP lens was fitted. However, tear volume in each part was not different in the group with corneal astigmatism over 1.50 D. Moreover, the tear volumes of the central and mid-peripheral parts were proportionally increased with increasing corneal astigmatism in both spherical and aspherical RGP lenses. Furthermore, aspherical RGP lenses showed greater increments than spherical RGP lenses. Conclusions: The results revealed that the difference in tear volume between aspherical RGP lens and cornea was less than spherical RGP lens, and the difference in tear volume varied according to corneal shape and astigmatism. In addition, the method of measuring relative tear volume between RGP lens and cornea that was established in the present study can be used to evaluate tear volume between contact lens and cornea.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.3
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• pp.35-43
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• 2008

Purpose: This review article was written to investigate how the various factors, such as lacrimal thickness, CL's thickness and Dk, affects the influx of $O_2$ diffusion into the cornea. Methods: A mathematical model was proposed to analyze the oxygen diffusion reaching the cornea through the tear layers and contact lens based on Fick's law and the principle of continuity of the diffusion flux through the each layers. Results: The model predicts how the parameters such as the thickness of tear layer on the cornea, both the Dk and thickness of contact lenses etc., affect the oxygen tension at cornea and oxygen flux entering the cornea. Conclusions: It is found that either too flat or too tightly fitted contact lenses can cause the oxygen deficiency at/inside the periphery of the cornea because of the reduction of oxygen flux resulted from too thickened tear layer.

• Journal of Korean Ophthalmic Optics Society
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• v.8 no.2
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• pp.1-11
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• 2003

A mathematical model was proposed to analyze the oxygen diffusion reaching the cornea through the tear layers and contact lens based on Fick's law and the principle of continuity of the diffusion flux through the each layers. The model predicts how the parameters such as the thickness of tear layer on the cornea, both the Dk and thickness of contact lenses etc., affect the oxygen tension at cornea and oxygen flux entering the cornea. It is found that either too flat or too tightly fitted contact lenses can cause the oxygen deficiency inside the periphery of the cornea because of the reduction of oxygen flux resulted from too thickened tear layer.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.4
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• pp.381-388
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• 2012

Purpose: In this study, the changes in the shape of silicone hydrogel lenses, dryness of lens and objective/ subjective symptoms that could be induced by repeating dryness of lens and objective/subjective symptoms were investigated. Methods: After drying and rehydrating of silicone hydrogel lenses with different lens material and thickness for 4 times, their overall diameters and base curves were compared. Subjective symptoms, non-invasive tear break-up time (NIBUTs) and blinking rate were evaluated after wearing dehydrated silicone hydrogel lens. Results: Overall diameter and base curve increased in all tested silicone hydrogel lenses by repeating dryness and rehydration. The degree of change in over all diameter and base curve were variable on the material. There were irregular change of lens parameters in thicker lens. When the subjects wore silicone hydrogel lenses after drying and rehydrating, their NIBUTs were decreased and blink rates were increased regardless of lens material or thickness. In addition, repetitive drying of silicone hydrogel lenses affected the lens fitting. Therefore, subjective symptoms such as itching, pain, irritation, foreign body sensation, dryness tended to be increased. Conclusions: The results obtained from the study may suggest to develop durable silicone hydrogel contact lenses against dry environment since the changes in parameters of silicone hydrogel lens and the subjective discomfort were observed after repetitive drying and rehydration.

• Journal of Korean Ophthalmic Optics Society
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• v.7 no.2
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• pp.95-99
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• 2002

To investigate the manual procedure for custom fitting of ocular prosthesis and the cytotoxicity induced by extract solution of prosthetic eye, this study was performed. These procedures included the trial fitting of the wax model, impression molding, the an of iris color duplication, sclera mold made from the prosthetic wax model, scleral tints and vascular pattern, finishing and polishing. Inhibition of cell growth for extract solution was measured by MTT assay. Extract solution did not show the cytotoxicity. This study suggests that the manual procedure for custom fitting of ocular prosthesis is good for education of students.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.3
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• pp.213-217
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• 2010

Purpose: To emphasize the necessity of post-fitting by follow-up test, the mis-alignment was analyzed after initial wearing of toric soft contact lenses (TSCL). Methods: After trial contact lenses were worn to 87 eyes with myopic astigmatism for 1 week, we observed the alignment of axis mark on trial contact lenses using slit lamp and corrected the rotated axis by method of LARS. After final fitting, rotation ratio, rotation degree and rotation position were analyzed compared to initial prescription divided to amount of cylinderical and spherical powers. Results: Rotation ratio of TSCL's axis was increased as increment of both cylinderical powers and (-)spherical powers. An average of rotation degree was $10^{\circ}{\sim}13^{\circ}$ which was not related to amount of their powers. Rotation position of TSCL's axis was more to temporal than to nasal. Conclusions: Because mis-alignment of axis after TSCL wearing induce the poor sight, adjustment of axial alignment as a result of follow-up must be performed.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.4
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• pp.449-456
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• 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
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• v.6 no.1
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• pp.13-29
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• 2001

A mathematical model was proposed to analyze the vibration of diaphragm, such as the contact lenses fitted on the eyes, being subjected to the external sinusoidal pressure. The model incorporates the differential equations and their numerical solution program, based on the wave equations. Turbo-C and graphic software, formulated to describe the dependence of the various parameters involved in the vibration. The model predicts the radial distribution of amplitude, frequency dependence of both average displacement amplitude and the power of diaphragm whose edge is being either simply supported or rigidly clamped in vibration. The effect of variables such as thickness, radius, damping coefficients on the vibration characteristics was illustrated by the computer simulation of the derived program. As the frequency of driving pressure increases above the certain value determined by the boundary conditions and parameters the wave shape or pattern changes from simple arc to belly or loops having double antinode. It seems that the effect of outer antinode progressively increases as the frequency increases. If this kind of phenomena occurs to the contact lens on the cornea in vivo, it may cause an abnormal correction power in the lenses or pull off the eye due the increased rise of outer part of the lens.

• Journal of Korean Ophthalmic Optics Society
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• v.9 no.1
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• pp.181-188
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• 2004

Monovision is defined as correcting one eye for distance vision and the other eye for near vision. Single-vision contact lenses are used for each eye. The patient selectively suppresses one eye while using the other eye. This study was performed to measure binocular function and patient satisfaction with monovision induced by adding +3.00D to spectacle prescription for distance vision in nonpresbyopic students. This study comprised 144 nonpresbyopic students with monovision induced by adding +3.00D to spectacle prescription. Monovision was induced by undercorrecting the nondominant eye by adding 3.00 diopters for near vision and correcting the dominant eye with emmetropia for distance vision. For research of the binocular function on Monovision. This study was tested the obstacle course, water pouring test, catching and throwing, bead classification including the stereopsis test. These tests were comparative to the normal binocular state. As a results, the stereopsis have a significant reductions in Monovision. There was no significantly difference between monovision group and control group in monovision exercise (obstacle course, water pouring test, catching and throwing, and bead sorting) at near and distance. This study indicates that monovision is an effective and reasonable therapeutic modality for correcting presbyopia. By the application of above methods, this study could be used the student for the practical practice and understand on the Monovison.

• Journal of Korean Clinical Health Science
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• v.1 no.1
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• pp.1-7
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• 2013

Purpose. To analysis the prevalence of the myopia and corneal astigmatism in Korea women university students. Methods. From August 2011 to December 2012, one hundreds subjects were performed in refraction test using the Auto-Keratometry. Results. The mean age of the 100 subjects (200 eyes) was $21.23{\pm}2.34$. The mean spherical refractive power was -$1.78{\pm}1.65$(OD) and -$1.83{\pm}1.67$(OS) Diopter. The mean astigmatism power was $1.22{\pm}0.96$ (OD) and $1.27{\pm}0.91$ (OS). The mean corneal astigmatism was $1.44{\pm}0.81$(OD) and $1.55{\pm}0.93$(OS). Corneal astigmatism was between 0.25 D and 1.25 D in 67.7% of eyes, 1.25 D or higher in 27.5% eyes, and less than 0.25 D in 4.8% of eyes. Astigmatism was with the rule in 65%, against the rule in 31.5%, and oblique in 3.5%. There was a statistical significance between right eye and left eye in the spherical equivalent power(p=0.002). Also there was a statistical significance between spherical power and refractive astigmatism in OD(p=0.006) and OS(0.003) and a statistical significance between corneal astigmatism and refractive astigmatism in OS(p=0.0003). However, there was not a statistical significance between spherical power and corneal astigmatism in OD(p=0.08) and OS(0.1) and a statistical significance between corneal astigmatism and refractive astigmatism in OS(p=0.48). Conclusions. In this study, these results suggested that the analysis of the refractive myopia and corneal astigmatism can provide the visual correct and useful diagnosis information for the eyewear dispensing, contact lens fitting and corneal refraction surgery.