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不同材料制成的软性隐形眼镜的眼内性能。

In-eye performance of soft contact lenses made from different materials.

作者信息

Tranoudis Ioannis, Efron Nathan

机构信息

Eurolens Research, Department of Optometry and Neuroscience, University of Manchester Institute of Science and Technology, P.O. Box 88, Manchester M60 1QD, UK.

出版信息

Cont Lens Anterior Eye. 2004 Sep;27(3):133-48. doi: 10.1016/j.clae.2004.02.004.

Abstract

The in-eye performance of soft contact lenses may be affected by the material from which they are fabricated and may alter during wear. This study describes clinical and laboratory experiments that were conducted in order to examine the in-eye performance of eight soft contact lenses manufactured from different materials; these materials (and nominal water contents) were: HEMA/VP 40%, HEMA/VP 55%, HEMA/VP 70%, VP/MMA 55%, VP/MMA 70%, HEMA 40%, HEMA/MAA 55% and HEMA/MAA 70% (HEMA: 2-hydroxy-ethyl methacrylate, VP: vinyl pyrrolidone, MMA: methyl methacrylate, MAA: methacrylic acid). Two lenses from each of the eight soft contact lens groups were used in experiments concerning their parameter stability. Six subjects were fitted with lenses for 1 day. Verification of back optic zone radius, total diameter, back vertex power, centre thickness and water content was undertaken at 20 degrees C. In vitro measurements of total diameter were taken at 35 degrees C before lens fitting and after 6 h of lens wear. In vivo measurements of lens centration, up-gaze lag, post-blink movement, total diameter and subjective assessment of comfort were taken (a) immediately after lens insertion (1 min), (b) 20 min later and (c) 6 h later (same day). The majority of differences of the in vivo parameters between lens types (with respect to lens centration, lag, movement on blink, lens total diameter and comfort) were not found to be statistically significant throughout the 6 h wearing period. It was also found that lenses increase in diameter when first placed on the eye and decrease in diameter when they were removed from the eye. The information generated in study concerning the in-eye performance of soft contact lens materials may assist the contact lens industry and contact lens practitioners in developing and prescribing soft lenses with optimal performance characteristics.

摘要

软性隐形眼镜在眼内的性能可能会受到其制造材料的影响,并且在佩戴过程中可能会发生变化。本研究描述了为检查由不同材料制成的八种软性隐形眼镜的眼内性能而进行的临床和实验室实验;这些材料(以及标称含水量)分别为:HEMA/VP 40%、HEMA/VP 55%、HEMA/VP 70%、VP/MMA 55%、VP/MMA 70%、HEMA 40%、HEMA/MAA 55%和HEMA/MAA 70%(HEMA:甲基丙烯酸2-羟乙酯,VP:乙烯基吡咯烷酮,MMA:甲基丙烯酸甲酯,MAA:甲基丙烯酸)。在关于其参数稳定性的实验中,使用了八个软性隐形眼镜组中每组的两枚镜片。六名受试者佩戴镜片1天。在20摄氏度下对后光学区半径、总直径、后顶点屈光力、中心厚度和含水量进行验证。在镜片佩戴前和佩戴6小时后,于35摄氏度下对总直径进行体外测量。在体内测量镜片的中心定位、上视滞后、眨眼后移动、总直径以及舒适度主观评估,分别在(a)镜片插入后立即(1分钟)、(b)20分钟后以及(c)6小时后(同一天)进行。在整个6小时的佩戴期间,未发现不同类型镜片之间的体内参数(关于镜片中心定位、滞后、眨眼时的移动、镜片总直径和舒适度)的大多数差异具有统计学意义。还发现镜片首次放置在眼睛上时直径会增大,而从眼睛上取下时直径会减小。该研究中产生的关于软性隐形眼镜材料眼内性能的信息可能有助于隐形眼镜行业和隐形眼镜从业者开发和开具具有最佳性能特征的软性隐形眼镜。

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