한국안광학회지 (Journal of Korean Ophthalmic Optics Society)

한국안광학회 (The Korean Ophthalmic Optics Society)
권호 표지

역방향으로 착용한 (inside out or everted) 실리콘 하이드로겔 렌즈가 각막형상 변화에 미치는 영향

Effect of Everted(inside out) Silicone Hydrogel Lens on Corneal Topographical Changes

  • 김수현 (건양대학교 안경광학과) ;
  • 정주현 (건양대학교 안경광학과)
  • 투고 : 2012.11.07
  • 심사 : 2012.12.15
  • 발행 : 2012.12.31
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초록

목적: 본 연구는 역방향(inside out or everted)으로 착용한 실리콘 하이드로겔렌즈가 각막 형상변화에 미치는 영향을 알아보기 위해 실시하였다. 방법: 역방향 실리콘 하이드로겔 렌즈의 형상과 플루오레신 패턴을 알아보고 이를 수면 중 8시간 이상 착용하여 타각적 굴절이상도와 각막지형도의 변화를 관찰하였다. 검사는 렌즈 착용 전, 렌즈 착용 후 1일, 2일, 3일, 5일, 7일 후에 시행하였으며 렌즈의 착용을 중지한 후 1일, 2일, 3일, 4일 후에 동일하게 시행하였다. 결과: 역방향 실리콘 하이드로겔 렌즈 착용 후 피팅패턴을 검사한 결과 역기하렌즈와 유사한 눌림이 있었다. 타각적 굴절이상도의 근시도와 각막 굴절력이 감소하였으며 각막지형도의 변화를 보였고 이는 렌즈 착용 중지 후 4일 동안 대부분 회복되었다. 렌즈를 뒤집어 착용하는 것에 대한 불편함은 크게 없는 것으로 나타났다. 결론: 역방향으로 착용한 실리콘 하이드로겔 렌즈의 수면 중 착용(Overnight wear)을 통하여 각막지형도상의 유의한 차이를 야기하였다. 추후 각막의 형상변화(reshaping)를 위해 실리콘 하이드로겔 렌즈의 사용이 가능할 것으로 보고, 교정효과에 대해 예측이 가능(predictable)하고 효과적인(effective) 방법을 개발하기 위해 여러 변수를 확인해야 할 것으로 생각된다.

Purpose: The purpose of this study was to examine the corneal topographical changes associated with the wearing of everted silicone hydrogel soft lenses. Methods: The shape and fluorescein pattern of everted silicone hydrogel lenses were investigated. The subject wore the silicone hydrogel everted lenses overnight for 8 hours. Objective refractive error and corneal shape were evaluated at baseline, 1, 2, 3, 5, and 7 days after lens wearing and 1,2,3, and 4 days after discontinuation of lens wear. Results: The Fluorescein pattern of everted silicone hydrogel lenses was similar to the reverse geometry lenses with pressure profile. Objective refractive error(sphere power) and corneal refractive power were decreased and corneal shape had changed during the everted silicone hydrogel lenses wear and recovered during the 4 days of discontinuation. Subject experienced no discomfort associated with the everted silicone hydrogel lenses. Conclusions: It appears that everted silicone hydrogel lenses are capable of inducing significant changes in corneal topography, with overnight wear. Further study must be done to help understand these changes to develop a predictable and effective way of using soft contact lenses for corneal reshaping.

키워드

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