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소프트콘택트렌즈 재질에 따른 눈물막 파괴시간과 고위수차의 비교

Comparison of tear film break-up time and high order aberration according to soft contact lens material

  • 김봉환 (춘해보건대학교 안경광학과) ;
  • 한선희 (춘해보건대학교 안경광학과) ;
  • 김학준 (춘해보건대학교 안경광학과) ;
  • 배상아 (춘해보건대학교 안경광학과) ;
  • 손유진 (춘해보건대학교 안경광학과) ;
  • 김지현 (춘해보건대학교 안경광학과) ;
  • 김현지 (춘해보건대학교 안경광학과)
  • Kim, Bong-Hwan (Department of Optometry, Choonhae College of Health Sciences) ;
  • Han, Sun-Hee (Department of Optometry, Choonhae College of Health Sciences) ;
  • Kim, Hak-Jun (Department of Optometry, Choonhae College of Health Sciences) ;
  • Bae, Sang-A (Department of Optometry, Choonhae College of Health Sciences) ;
  • Son, Yu-Jin (Department of Optometry, Choonhae College of Health Sciences) ;
  • Kim, Ji-Hyun (Department of Optometry, Choonhae College of Health Sciences) ;
  • KIm, Hyun-Ji (Department of Optometry, Choonhae College of Health Sciences)
  • 투고 : 2019.03.02
  • 심사 : 2019.04.20
  • 발행 : 2019.06.30

초록

Purpose. In this study, two types of soft contact lenses with different materials were selected to compare the time of tear film destruction and high order aberrations before and after wearing. Methods. Thirty patients (60 eyes) in their 20s were included in this study. Two lenses with different materials, Group 4 (Etafilcon A) and Group 5 (Narafilcon A) were selected. Using aberration analyzer and keratometry, high-order aberration and tear film test (NIF-BUT, NIAvg-BUT) were performed before and after wearing. Results. When comparing the higher aberrations of the Etafilcon A and Narafilcon A lenses, the higher aberrations of the Narafilcon A lens were higher overall. For the initial tear film break-up time (NIF-BUT) after wearing, the Etafilcon A lens was reduced by 4.0 seconds and the Narafilcon A lens increased by 0.6 seconds. For the mean tear film break-up time (NIAvg-BUT) after wearing, the Etafilcon A lens decreased by 2.4 seconds and the Narafilcon A lens increased by 1.7 seconds. Conclusions. NIF-BUT and NIAvg-BUT of Narafilcon A lens were increased. The lens with relatively low water content and higher oxygen permeability than the lens with high water content has relatively less tear evaporation, which means that the time of destruction of the tear film is increased.

키워드

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Fig. 1. Comparison of High order aberration.

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Fig. 2. Comparing tear film break-up time before and after wearing A lens.

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Fig. 3. Comparing tear film break-up time before and after wearing B lens.

Table 1. Subject Characteristics.

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참고문헌

  1. Park SH, Kim SR, Park MJ. The effect of circle lens and soft contact lens with identical material in clinical application on the eyes. J Korean Oph Opt Soc. 2011; 6(2):147-157.
  2. Helmholtz H. Handbuch der physiologischen optic. Leipzig Leopold Voss. 1867;137-47.
  3. Liang J, Grimm B, Goelz S, Bille JF. Objective measurement of the wave abrrations of the human eye using a Shack Hartmann wavefront sensor. J. Opt. Sod. Am. A. Opt. Image. Sci. Vis.1994;11(7):1949-57. https://doi.org/10.1364/JOSAA.11.001949
  4. Thibos LN, Applegate RA, Schwiegerling JT. et al. Standards for reporting the optical aberrations of eyes, Journal of refractive surgery. 2002;18:S652-S660.
  5. Joo CK, Doh HJ. Effect of aging and soft contact lens wearing on the change of corneal endothelial cells. J Korean Ophthalmol Soc. 1999;40(2):330-337.
  6. Polse KA. Tear Flow under Hydrogel Contact Lenses./(1) Invest Ophthalmol Vis Sci. 1979;18(4):403-413.
  7. Smelser GK, Chen DK. Physiological Changes in Cornea Induced by Contact Lenses. AMA Arch Ophthalmol. (1)1955; 53(5):676-679 https://doi.org/10.1001/archopht.1955.00930010684009
  8. Korea Contact Lens Research Association. RGP Contact Lenses. Hyunmosa, 1st. 1998.
  9. Fonn D. "Discontinuation of contact lens wear and its effect on the growth of the business", Contact Lens Spectrum, 11(Suppl):4-5(1996).
  10. Oh WJ, Kim JM, Lee KJ. Clinical Evaluation of Three Different Daily Disposable Soft Contact Lens Materials. The Korean Journal of Vision Science, 2017; 19(1):69-79. https://doi.org/10.17337/JMBI.2017.19.1.69
  11. Oh HJ, Kim MY, Byun JW, et al. The Comparative Analysis of High Order Aberration with Orthokeratology Contact Lenses of Different Diameter. The Korean Journal of Vision Science, 2008;10(2):131-146.
  12. Ryu NY, Kim SR, Park MJ. Correlations between Higher-order Aberrations and Myopic Degree. J Korean Ophthalmic Opt Soc. 2014;19(2):199-206. https://doi.org/10.14479/jkoos.2014.19.2.199
  13. Chun YY, Park SJ, Lee SJ. The Changes of Cornea Refractive Power, Tear Break-Up Time and Intra-ocular Pressure after Steep Fitted Soft Contact Lenses Wearing. The Korean Journal of Vision Science, 2015;17(4): 523-531. https://doi.org/10.17337/JMBI.2015.17.4.523
  14. Lee S, Hyung SM, Koh SH, Park M, Kim SR. The effect of circle contact lens on the stability of tear film. J Korean Ophthalmic Opt Soc. 2015;20(2):125-131. https://doi.org/10.14479/jkoos.2015.20.2.125
  15. Park SH, Kim SR, Park M. The effect of circle lens and soft contact lens with identical material in clinical application on the eyes. J Korean Ophthalmic Opt Soc. 2011;16(2):147-157.