Lee Se Eun, Kim So Ra, Park Mijung
Department of Optometry, Seoul National University of Science and Technology, Seoul 139-743, Korea.
Int J Ophthalmol. 2015 Oct 18;8(5):1037-42. doi: 10.3980/j.issn.2222-3959.2015.05.33. eCollection 2015.
To determine the effect of pH, osmolality, and buffering system on the oxygen permeability (Dk) of soft contact lenses.
Two hydrogel lenses (nelfilcon A and etafilcon A) and 2 silicone hydrogel lenses (lotrafilcon A and balafilcon A) were used in the study. These lenses were incubated in phosphate-buffered saline (PBS) and borate-buffered saline (BBS) solutions adjusted by 0.8 pH increments to a pH in the range of 5.8-9.0 or in hypotonic (280 mOsmol/kg), isotonic (310 mOsmol/kg) and hypertonic (380 mOsmol/kg) PBS solutions. Polarographic method was used for measuring the Dk and lenses were stacked as 4 layers to correct the boundary effect.
Dk values of all contact lenses measured in BBS solutions were more stable than those in PBS solutions. Especially the etafilcon A lens showed a relative big change compared with other types of contact lenses at the same conditions. When the osmolality of PBS solution increased from hypotonic to hypertonic, Dk of all contact lenses decreased. Variations in Dk existed depending on lens materials, etafilcon A lens was the most affected and nelfilcon A was the least affected by osmolality.
From the result obtained, it is revealed that Dk of contact lenses is changed by the pH, osmolality, and buffering condition of tear. Thus, Dk of contact lens can be varied by the lens wearers' physiological and/or pathological conditions.
确定pH值、渗透压和缓冲系统对软性隐形眼镜透氧性(Dk)的影响。
本研究使用了两种水凝胶镜片(奈非那酮A和依他氟酮A)以及两种硅水凝胶镜片(洛替非酮A和百拉氟酮A)。这些镜片分别置于磷酸盐缓冲盐水(PBS)和硼酸盐缓冲盐水(BBS)溶液中进行孵育,PBS和BBS溶液的pH值以0.8的增量调节至5.8 - 9.0范围内,或者置于低渗(280 mOsmol/kg)、等渗(310 mOsmol/kg)和高渗(380 mOsmol/kg)的PBS溶液中。采用极谱法测量Dk,镜片堆叠为4层以校正边界效应。
在BBS溶液中测量的所有隐形眼镜的Dk值比在PBS溶液中更稳定。特别是依他氟酮A镜片在相同条件下与其他类型的隐形眼镜相比显示出相对较大的变化。当PBS溶液的渗透压从低渗增加到高渗时,所有隐形眼镜的Dk均降低。Dk的变化因镜片材料而异,依他氟酮A镜片受渗透压影响最大,奈非那酮A受影响最小。
从所得结果可知,隐形眼镜的Dk会因泪液的pH值、渗透压和缓冲条件而改变。因此,隐形眼镜的Dk会因佩戴者的生理和/或病理状况而变化。