• Journal of Korean Ophthalmic Optics Society
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• v.5 no.2
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• pp.59-64
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• 2000

We performed refraction, keratometry, slit lamp biomicroscopy. We selected 58 current spherical RGP lens wearers for this three-month study. All patients exhibits at least 0.75D of corneal astigmatism measured with the keratometer, and 37 patients had corneal astigmatism of 1.50D or greater. At least follow-up visit, we measured Snellen acuity with lenses, and performed overrefraction, overkeratometry and slit lamp biomicroscopy. We charted lens position, movement and surface quality. During the three month, biomicroscopy revealed no corneal edema and neovascularization on any patients. Fluorescein staining were 52 patients case of grade 0.5 patients case of grade 1, and 1 patient case of grade 2. In evaluating post-fit residual cylinder, on overrefraction as a percentage of refractive cylinder. By the initial visit, one-week visit, one-month visit, and two-month visit are 41%, 34%, 29%, respectively. In this data, we knew no change after one month. The average overrefraction for these eyes in absolute diopters is 0.26D(initial visit), 0.22D(one-week visit, 0.17D(one-month visit), and 0.16D(two-month visit). The use of a regimen containing a dedicated daily cleaner was more effective in maintaining patient comfort and lens cleanliness than was the use of a regimen containing only a multipurpose solution.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.3
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• pp.273-281
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• 2011

Purpose: In order to provide the fundamental information for the design development of RGP lenses and its clinical prescription, the corneal types of Korean twenties were analyzed according to corneal shapes, astigmatic degree, and the certain distance from the corneal apex. Methods: Corneal types of total 252 eyes in 20s were firstly classified, then their corneal radii from the certain distance from the corneal apex were measured by corneal topography and further analyzed based on the astigmatic degree. Results: Korean 20s' corneal types were classified as 14.3%(36 eyes) of round, 31.3%(79 eyes) of oval, 28.6%(72 eyes) of symmetric bow tie, 17.5%(44 eyes) of asymmetric bow tie, 8.3%(21 eyes) of irregular shapes. The round and oval typed corneas had mild astigmatic degree whereas the higher astigmatic degree in symmetric and asymmetric bow tie typed corneas were shown. The relative corneal radii of round and oval typed corneas at each distance from corneal apex were shown to consistently increase regardless of astigmatic degrees when they measured at certain distances from the corneal apex. However, the relative corneal radii of symmetric and asymmetric bow tie typed corneas within 1.0-1.5mm from the corneal apex were decreased, which showed steeper slope than it within 1.0 mm and somewhat different based on astigmatic degrees. Bigger change of corneal radii outer 3.5 mm from the corneal apex in symmetric bow tie typed corneas with astigmatism of 1.50-2.00 D and 2.25-2.75 D appeared. Conclusions: The consideration of radial change from the central cornea to peripheral cornea is necessary for manufacturing RGP lens and its prescription since they showed different change in corneal radii by corneal patterns and astigmatic degrees.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.3
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• pp.305-313
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• 2014

Purpose: A correlation between the rotating direction and rotation amount according to the eccentricity was analyzed in the present study when fitting the toric soft contact lens. Methods: One hundred fourteen eyes of with-the-rule astigmatism in 20s and 30s were appropriately applied toric soft contact lens by the guideline of manufacturer and fitting evaluations and analyzed the rotating direction and rotation amount when fixating at primary position and 8 different directions of gaze. The speed of reorientation and the correlation between the rotation amount and cornea eccentricity were also analyzed when rotating $45^{\circ}$ each toward the temporal and nasal direction. Results: The cornea eccentricity and rotation amount was shown positive correlation. For the gaze of direction, it was identified that the gaze of directions other than the gaze of direction towards the nasal and temporal had correlation, and among them, the gaze of directions to superior and the superior-temporal showed the tendency of decreasing rotation amount as the cornea eccentricity increased. On the contrary, the gaze of direction towards the inferior, inferior-temporal, superior-nasal, and inferior-nasal showed tendency of increasing rotation amount as the cornea eccentricity increased thus, it was identified that the cornea eccentricity showed different correlation according to the gaze of direction. For the case of re-orientational speed, the speed of lens reorientation in the group having the smallest corneal eccentricity was fastest in both direction but was not significantly different. Conclusions: Considering cornea eccentricity to current method of prescribing toric soft contact lens which is based on total astigmatism, it will be helpful to establish the optimal axis stabilization.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.4
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• pp.55-69
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• 2007

The purpose of this study was to perform a clinical test using ez NANOsence II RGP contact lenses for the effects of visual acuity and cornea on subjects with abnormal refraction status. One hundred twenty one adults (twenty nine males, ninety two females, range = 17 to 43, mean = 22.86) were recorded. The subject's history including, the symptoms from previous lens wear, were studied. The subjects were observed, both pre and post lens wear, for any symptoms and signs of change of the eye. The Visual acuity and the binocular status were tested at the far distance using the contact lens. The refraction test was performed on the naked eye using the objective method (Topcon KR-8100, Japan). The Stereopsis test was performed at the near distance after contact lens wear by the Titmus fly (Stereo Optical Co., U.S.A) and TNO (TECH, The netherlands). The contrast sensitivity diagnosis was performed at 1m distance after contact lens wear by the contrast sensitivity chart (pelli-Robertson, USA). The corneal topography was analyzed on the naked eye after lens wear by ORB scan (Bausch Lomb, U.S.A.). The ultra structure of surface on the contact lens was observed using SEM (JMS-5800, Japan). The chemical component's of the contact lens was analyzed by EDS program. The results of this study were as follows: 1. The longer of contact lens wear period, The subjects have acquired the most improved visual function. 2. Subjects had experienced few side effects wearing the contact lenses. 3. The lenses were easy to use by the subjects. 4. The longer of contact lens wear period, the power of cornea had more decrease. but the base curve of cornea had more increase and corneal astigmatism was decrease (p<0.01). Also, the thickness of corneal center was few decrease. 5. Longer periods of using the contact lens showed stereopsis and contrast sensitivity at more normal values. 6 The corneal topographical after lens wear showed most subjects with similar morphology for different wear periods. 7. The surface ultrastructure of the new and used contact lens was the similar fine shape. 8. The chemical component's of in the new and used contact appeared to have similar results. In conclusion, this study showed that the surface ultrastructure and chemical component's of the new and used contact lens are similar. In addition, the subjects had improved the quality of vision and few experienced any side effects during long periods of contact lens wear. Also they have decrease of corneal astigmatism during the long period of lens wear. Our test has showed that the chemical composition and fine structure of contact lens have related to the visual function on contact lens wearer. In this paper, we suggested that ez NANOsence II RGP contact lenses had a moderate effect for correcting vision of abnormal refraction eye.

• Journal of Korean Ophthalmic Optics Society
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• v.9 no.2
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• pp.211-221
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• 2004

The purpose of this study is to evaluate the distribution and change of curvature of the anterior corneal surface with age in emmetropia. 504 subjects who have emmetroia with good naked vision of at least 0.6-1.0 (spherical equivalent: +0.75D- -0.75D) participated in this study. The 504 subjects into 8 groups with 10 year interval from 3-year to 83-year, and their corneal curvatures were analyzed using manual keratometry. The results are as follows. In individual analysis: First, regression analysis of corneal curvature radius with age has given an equation: Y = -0.003x + 7.796 (r = -0.26). The average corneal curvature radii was measured to be $7.68{\pm}0.25mm$ at 38.3-year and range was 6.98-8.54 mm. Second, frequency of corneal curvature radius were obtained in 36% between 7.61 and 7.80 mm, 78% between 7.41 and 8.00 mm, 96% between 7.21 and 8.20 mm, 100% between 6.98 and 8.54 mm. Third, as for the comparison of corneal curvature radius with respect to sex, The mean value of male (n = 304, mean: 37.6-year $7.72{\pm}0.24mm$, Range: 7.09-8.54 mm) is larger than that of female (n = 200, mean: 39.3-year $7.62{\pm}0.24mm$, Range: 6.98-8.42 mm) by 0.1mm (p<0.01). In groups analysis: First, regression analysis of corneal curvature radius with age has given an equation: $Y=-0.0066x^2+0.0227x+7.7282$ (r = -0.90). Second, vertical and horizontal curvature radius decreased with age (p < 0.01). Especially the decrease of horizontal curvature radius were more pronounced than the decrease of vertical (horizontal:10-70 age group: 0.38 mm decrease, vertical:10-70 age group: 0.20 mm decrease). Third, difference between steep and flat meridian (astigmatism) progressively decreased with age. (low age group:0.18 mm difference, high age group: 0.08 mm difference). Fourth, the corneal curvature radius of male was larger than female's in total groups(p < 0.01). Consequently, the change of corneal curvature radius with age progressively decreased in all conditions (mean, vertical, horizontal, male, and female) and this change was more outstanding in horizontal rather than in vertical.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.2
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• pp.91-98
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• 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 Yeungnam Medical Science
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• v.17 no.1
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• pp.55-65
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• 2000

Purpose: To compare the efficacy, predictability, stability and safety of excimer laser photorefracive keratectomy(PRK) for myopia and photoastigmatic refractive keratectomy(PARK) for compound myopic astigmatism. Methods: Two-hundred and three eyes(l18 eyes < -7D spherical equivalent, 85 eyes ${\geq}$ -7D spherical equivalent) received excimer laser correction for compound myopic astigmatism and 152 eyes(116 eyes < -7D, 36 eyes ${\geq}$ -7D) for simple myopia. A VISX 20/20B $VisionKey^{TM}$ excimer laser was used to perform either PARK or PRK. Visual acuity with and without correction, refraction, IOP, corneal haze, and topography were evaluated at 1, 3, 6, and 12 months postoperatively. All patients were followed up for more than 12 months. Results: Postoperative refraction were generally stable after 3 months without significant early overcorrection. At 12 months, 110(94.8%) eyes that underwent PRK and 104(88.1%) eyes that underwent PARK achieved UCVA of 20/30 or better in the group who had lower than -7D correction. For eyes treated with -7D or more, these figures were 31(86.1%) eyes after PRK and 57(67.1%) eyes after PARK. The incidences of within 1D of plano refraction at 1 year follow-up were 97.4% after PRK and 93.2% after PARK in the group who had lower than -7D correction. For eyes treated with -7D or more, these figures were 80.6% after PRK and 70.6% after PARK. Conclusions Myopia with or without astigmatism was successfully treated in most of the eyes using PRK or PARK with VISX 20/20B $VisionKey^{TM}$ excimer laser. The predictability and stability of the postoperative refraction during the first 12 months seem to be quite reliable. Further improvement of excimer laser system and software should increase the clinical outcomes and safety of refractive procedures.

• Journal of Biomedical Engineering Research
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• v.20 no.1
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• pp.45-51
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• 1999

The purpose of this study is to investigate the effects of various factors in keratotomy for astigmatism correction on surgical outcomes by finite element method as well as animal experiments. Three kinds of surgical techniques were mechanically investigated : arcuate, straight, and inverse arcuate keratotomy. Among the three techniques the arcuate keratotomy is the most popular one while the other two techniques are being investigated in this area. The arcuate keratotomy was found to be more controllable and effective in reducing the refractive power than the others. In arcuate keratotomy it was found most effective when the incision was located in the middle position between the apex and the edge of the cornea from the results of experiment as well as finite element study. Regarding to the range of the corneal incision in arcuate keratotomy, the incision angle of 90$^{\circ}$ was found th be most effective in reducing refractive power than other angles even it was incised up to 150$^{\circ}$. Therefore, it was concluded that 90$^{\circ}$ of incision angle results in the largest decrease in refractive power in arcuate keratotomy. However, other important findings were that the effect of the surgery decreased with time so the visco-effect of the cornea and auto-healing process. Therefore, these factors should be considered in future studies.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.3
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• pp.219-225
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• 2010

Purpose: Usefulness in predicting the power of spherical rigid gas-pearmeable (RGP) lenses prescription using dioptric power matrices and arithmetic calculations was evaluated in this study. Noncycloplegic refractive errors and over-refractions were performed on 110 eyes of 55 subjects (36 males and 19 females, aged $24.60{\pm}1.55$years) in twenties objectively with an auto-refractometer (with keratometer) and subjectively. Tear lenses were calculated from keratometric readings and base curves of RGP lenses, and the power of RGP lenses were computed by a dioptric power matrix and an arithmetic calculation from the manifest refraction and the tear lens, and were compared with those by over-refractions in terms of spherical (Sph), spherical quivalent (SE) and astigmatic power. Results: The mean difference (MD) and 95% limits of agreement (LOA=$MD{\pm}1.96SD$) were better for SE (0.26D, $0.26{\pm}0.70D$) than for Sph (0.61D, $0.61{\pm}0.86D$). The mean difference and agreement of the cylindrical power between matrix and arithmetic calculation (-0.13D, $-0.13{\pm}0.53D$) were better than between the others (-0.24D, $0.24{\pm}0.84D$ between matrix and over-refraction; -0.12D, $0.12{\pm}1.00D$ between arithmetic calculation and over-refraction). The fitness of spherical RGP lenses were 54.5% for matrix, 66.4% for arithmetic calculation and 91.8% for over-refraction. Arithmetic calculation was close to the over-refraction. Conclusions: In predicting indications and powers of spherical RGP lens fitting, although there are the differences of axis between total (spectacle) astigmatism and corneal astigmatism, Spherical equivalent using an arithmetic calculation provides a more useful application than using a dioptric power matrix.