Purpose: In the present study, the actual management state of trial contact lenses and lens care products in local optical shops was surveyed and analyzed to reduce the risk of lens complication possibly induced by neglecting lens care. Methods: The feeling of contact lens wearers during the wear of trial contact lenses was surveyed. Futhermore, the actual management state of trial contact lenses such as cosmetic lens and RGP lens and lens care products was also investigated by surveying opticians who trade contact lenses in local optical shops. Results: It was found that consumers trusted the sanitary conditions of the lens since trial cosmetic contact lens and RGP lens were cleaned before and after trails by over 98% of opticians in local optical shops. For trial cosmetic lens, cleaning with normal saline, multipurpose solution for soft lens and combination of saline and multipurpose solution were 38.5%, 40.5% and 21%, respectively, before trials. After trials, cosmetic lenses were cleaned with normal saline, multipurpose solution for soft lens and a combination of saline and multipurpose solution were 13%, 75%, and 12%, respectively. On the other hand, cleaning with normal saline, multipurpose solution for RGP lens and combination of saline and multipurpose solution were 28.5%, 38.5% and 33%, respectively, before trying trial RGP lens. After trials, RGP lenses were cleaned with normal saline, multipurpose solution for RGP lens and a combination of saline and multipurpose solution were 2.5%, 70%, and 27.5%, respectively, indicating that relatively many opticians followed the lens cleaning regimen. In local optical shops, the cleaning trial cosmetic lens was mainly conducted at every 10 days or a month and the washing cycle of cosmetic lens case was in a month or 2~3 months. The cleaning interval of trial RGP lens was primarily in a month or 2~3 months. For those lens cases, more than 75% of opticians washed them with a surfactant and then rinsed with cold water. The storing periods of lens care products were primarily in a week for saline and in a month and 2~3 months indicating that storing period of lens care products was relatively well-kept in local optical shops. Conclusions: It is thought that the concern about any microbial infection is not that high since trial contact lenses and lens care products were generally well-managed by opticians in local optical shops from the results above. However, better public eye health and better public confidence in opticians may be possible if further strengthen in avoidance of lens cleaning with saline, keep of cleaning cycles within 2 weeks and rinsing of lens cases with hot water happens.
This study has analyzed soft contact lens care-after-sale and periodic examinations at optical shops and eye clinics. And I wish to make that use of educational data for the soft contact lens lesson of the department of ocular optics. This questionnaire studied the status of care for soft contact lens and periodic examination, of students who wears soft contact lens. The results are as follows: First, 7.5% of students questioned wore soft contact lens. More women than men wore soft contact lens. The soft contact lens wearers purchased lens mainly at optical shops. 78.5% of them wore daily wear lens. Because of cosmetic advantages of soft contact lens. 47.9% of them wore soft contact lens. 72.5% of them wore soft contact lens less than 12 hours per a day. 32.0% of them has worn soft contact lens more than 6 months less than 1 year. 51.1% of them experienced irritation. 39.7% of them have exchanged soft contact lens between 6 and 9 months. Secondly, when purchasing lenses. 60% of soft contact lens wearers were given instructions of general care, such as duration of wearing lens, how to remove protein, how to store, and how to sterilize at both of eye clinics and optical shops. But the proportion of instructions, such as side effects and periodic examination which were given to soft contact lens wearers, is lower both at eye clinics and optical shops. Especially at optical shops, the proportion of instruction for periodic examination, is lower than at eye clinics(p<0.05). Thirdly, The proportion of operations of periodic examinations after use of soft contact lens both at eye clinics and optical shops, is low. The soft contact lens wearers have had more periodic examinations at eye clinics than at optical shops. But the rate of non-periodic examination at optical shop is 87.9%. And for periodic examinations, general care was done at optical shops. On the other hand, eye examinations, general care, and treatments were done more at eye clinics. Fourthly, 60.3% of the soft contact lens wearers understood the necessity of the periodic examinations, but actually, only 6.4% of them were given the schedule for the periodic examinations, and 2.5% of them were given at an optical shop(p<0.01).
This study investigated the status of soft contact lens wear in college students. The results were as follows: 1. The most prevalent age of initial contact lens wear was 19 years or 20 years, with an age distribution in females from as early as 10 years to 20 years. 2. For almost all subjects, the test clinic for the contact lens wear assessment and purchase of the contact lenses was an optical shop. 3. The main advantage for most male subjects was use for sports, whereas most female subjects used contact lenses for cosmetic reasons. 4. The most common side-effects experienced due to contact lens wear were red eye, foreign body sensation, and eye pain. 5. The most frequently reported eye disease caused by contact lens wear was conjunctivitis, with only few subjects experiencing keratitis. 6. Following treatment for the side effects of contact lens wear, most subjects hoped to re-use the previous contact lenses, some subjects wanted to change to new contact lenses, and others subjects refused further contact lens wear.
The microbial contamination in contact lens care systems and conjunctivas of 40 asymptomatic cosmetic soft contact lens wearers was investigated. Patient ages ranged from 19 to 27(mean:22), most of them have used hydrogel contact lenses for less than 1 year, and the ages of lens cases were 1 weeks ~ 3 months (43 %) or 4~6 months (52%). Twenty-seven patients (67%) chemically disinfected their lenses and 8(20 %) used hydrogen peroxide, and 5 used heat to disinfect. Fourteen patients used commercial non-preserved saline, and 26(65%) were using commercial preserved saline. Sixty-two percent of the patients had bacterial contamination of lens case, and 17% had conjunctival contamination. The bacterial contamination rate was highest in lens cases, followed by unpreserved salines, disinfecting chemicals(non-hydrogen peroxide), and conjunctivas. The fungal contamination rate of cases and conjunctivas was 67% and 15%, respectively, and lens case, unpreserved saline, and conjunctiva seemed more susceptible to contamination. The use of hydrogen peroxide for disinfection rather than chemical disinfection was associated remarkabley with decreased contamination of solution itself, and there was no significant difference in contamination rates between hydrogen peroxide care system and other disinfecting systems. Five of lens cases(13%) and 2 conjunctivas(5%) were contaminated with Pseudomonas aeruginosa, and Candida albicans were isolated from 11cases (27%) and 5 conjunctivas (12%). Of the organisms that were contaminated lens cases and conjunctivas, Pseudomonas aeruginosa, Escherichia coli, Candida albicans, and Aspergillus fumigatus were isolated from lens cases, whereas Pseudomonas aeruginosa, Candida albicans, and Aspergillus fumigatus were recorvered from conjunctivas. Fortunately all of the these tested samples showed 0% of Acanthamoeba in this investigation.
Purpose: This article was to study the optical and surface properties of soft contact lenses (SCL) exposed to eye make-ups. Methods: Rates of the light transmission of etafilcon A (HEMA based hydrogel lens) and lotrafilcon B (silicone based hydrogel lens) exposed to four different cosmetics over time were investigated. After cleansed with multi-purpose solution (MPS), rates of the light transmission and surface change of lens that were exposed to the cosmetics for 7 consecutive days were analyzed. Results: Visible light transmissions of all lenses exposed to cosmetics decreased to 93.35% (HEMA based hydrogel lens) and 90% (silicone based hydrogel lens) compared with those of the fresh SCLs, such as 97.8% and 96.4%, respectively. It was found that cosmetic residues from powder eye shadow and mascara attached to the lenses were not removed completely when cleansed with MPS. Especially with silicone based hydrogel lens, we found a decrease in visible light transmission of the lens and noticeable particles on lens surface imaged by SEM. Conclusions: Depending on types of eye make-ups and contact lens materials, make-ups were not completely eliminated with current cleansing methods and that caused a decrease in optical property and a change in surface property of the lenses.
Purpose: The purpose of this research was to see how wearing either a SCL or a C-SCL effected the dryness of a person's eye depending on how long they wear either type of lens. Methods: This study was carried out on 52 subjects (104 eyes) who were all in their twenties and had previously experienced wearing contact lenses. All of these subjects were required to wear either a SCL or a C-SCL, which were made out of the same material, for three months. Contents such as the McMonnies Questionnaire survey, the blinking rate per min. and the Noninvasive tear break-up time test (NIBUT) were later conducted on the subjects for this study. Results: According to the results of the McMonnies Questionnaire, it was concluded that the longer the subject wore the SCL and C-SCL, the value of the measurements gradually increased. On the other hand, the results from the NIBUT concluded that the longer the subject wore the SCL, the value of the measurements eventually decreased. However, according to the measurements of the blink rate test, it was concluded that neither results had a significant change. Conclusions: It was concluded that long-term wearing of SCL and C-SCL could be the cause of the induction and progression of dry eyes.
Purpose: To understand the pattern of prescribing contact lenses in Korea from 2010 to 2013. Methods: Four hundred survey questionnaires were randomly posted to Korean Optometric clinics for 4 years. The questionnaire was the same form as a form used for International Contact Lens Prescribing Trend. It was also designed to collect information about the contact lenses prescribed to the first 10 patients after its receipt. Results: 1937 fits were used for the analysis among the four hundred survey questionnaires. The average patient age was $26.2{\pm}7.0$ in 2010, $26.1{\pm}7.6$ in 2011, $24.7{\pm}6.6$ in 2012 and $24.8{\pm}7.2$ in 2013. The patients were mainly women (75%). Of all the soft contact lenses, silicon hydrogel lenses were 18% of fits (17% in 2010, 10% in 2011, 20% in 2012, 24% in 2013). By degine, the percentage of toric design lenses accounted for 17% of soft lenses fits and had increased during 4 years (10% in 2010, 18% in 2011, 16% in 2012, 22% in 2013), and cosmetic contact lens made up for 29% (15% in 2010, 20% in 2011, 40% in 2012, 41% in 2013). Conclusions: The contact lenses wearers were mostly women and the average patient age becomes slightly younger. In relation to the increase in the mumber of younger female contact lens wearers,the percentage of cosmetic lenses prescription was much higher (29%) than the global average (7%), and it has gradually increased for last 4 years. This trend could be related to the growth of beauty market in Korea. By emphasizing on toric lens marketing in manufactures, the prescription rate has been gradually increased.
Purpose: This study aims to observe bleaching resulted from multipurpose contact lens solutions used to manage lenses with the subjects of colored contact lenses being distributed in Korea. Methods: The lenses have been worn for six months, and their refraction is 0.00D. Three types of colored contact lenses of which margin has been colored with a different manufacturing method have been adopted (type 1: pigment application method, type 2: chemical bonding process, type 3: sandwich method), and multipurpose solutions used were two types containing different components. Each of the colored contact lenses was stored in the multipurpose solutions for 20 days and went through vortexing for 15 seconds per day. Their fluorescence absorbance, surface roughness, brightness index, and color coordinate index were measured before and after the vortexing to see the degree of bleaching. Results: In the two types of multipurpose solutions, every type of the color contact lenses showed no statistically significant difference in their fluorescence absorbance value before and after the vortexing. Regarding surface image, the front surface of the lenses was smooth in every type, and about the back surface, type 3 indicated less protrusion than type 1 and 2. About the difference of color on the lens surface before and after the vortexing, type 3 showed significantly less difference than type 1 and 2; however, all fell into the permissible error. Conclusions: About the bleaching of colored contact lenses resulted from multipurpose solutions for soft contact lenses, there was no difference observed in terms of fluorescence absorbance and color. According to the methods of manufacturing dyes, however, there was difference in the protrusion of the posterior surface image.
Purpose: In order to find suitable size of soft contact lens for different ages group of elementary student to adults, visible iris diameter(horizontal, vertical) and palpebral aperture size were measured. Methods: Visible iris diameter (horizontal, vertical) and palpebral aperture size were measured in different age groups of total 514 subjects (1028 eyes) who have no eye disease and none history of surgery included cosmetic purpose. Results: No significant difference was found in iris diameter of both horizontal and vertical direction for different groups of age and sex but horizontal direction of palpebral aperture size in middle school students and university students groups and vertical direction of palpebral aperture size in high school student group shows significant difference (p<0.05) by sex. Horizontal visible iris diameter, vertical visible iris diameter, horizontal palpebral aperture size and vertical palpebral aperture size shows significant difference in difference age and sex. Conclusions: Visible iris diameter and palpebral aperture size are affective factor for soft contact lens diameter decision, especially it should considered more intensive for removing uncomfortable feeling of lens wearer.
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