CLARO (Clinical and Laboratory Applications of Research in Optometry) Research Group, Department of Optics, University of Granada, Campus de la Fuentenueva 2, 18071, Granada, Spain.
Int Ophthalmol. 2022 Sep;42(9):2773-2784. doi: 10.1007/s10792-022-02268-8. Epub 2022 Apr 4.
This study aimed to assess the impact of wearing swimming goggles (SG) on corneal biomechanics.
Corneal deformation response, central corneal thickness (CCT), intraocular pressure (IOP) and biomechanically corrected intraocular pressure (bIOP) were measured with the Corvis system (Oculus Optikgeräte GmbH, Wetzlar, Germany) in thirty-one healthy young adults while wearing a drilled SG. All measurements were obtained before, at 30 s, 2 min, 3.5 min and 5 min of wearing SG, just after SG removal and after 2 min of SG removal.
The corneal biomechanics is sensitive to SG wear, observing lower corneal deformability during SG use. Specifically, wearing SG caused an increase in the time and length of the first applanation and radius curvature at the highest concavity, as well as a decrease and in the velocity of the first applanation and time and deformation amplitude of the second applanation (p < 0.001 in all cases). After SG removal, corneal biomechanical parameters showed a rebound-effect, obtaining a higher corneal deformability in comparison with baseline reading (p-corrected < 0.05 in all cases). Additionally, IOP and bIOP significantly increased while wearing SG (p < 0.001 in both cases), whereas CCT remained stable (p = 0.850).
Wearing SG modifies the biomechanical properties of the cornea, with reduced corneal deformability during SG wear. The outcomes of this study should be taken into consideration when making clinical decisions in subjects at high risk of developing corneal ectasias or glaucoma, as well as in the post-surgical management of these ocular conditions.
本研究旨在评估佩戴泳镜对角膜生物力学的影响。
使用 Corvis 系统(德国 Oculus Optikgeräte GmbH,威茨拉尔)对 31 名健康年轻成年人进行角膜变形反应、中央角膜厚度(CCT)、眼内压(IOP)和生物力学校正眼内压(bIOP)测量,同时佩戴有孔泳镜。所有测量均在佩戴泳镜前、佩戴 30 秒、2 分钟、3.5 分钟和 5 分钟后、刚取下泳镜后以及取下泳镜后 2 分钟后进行。
角膜生物力学对泳镜佩戴敏感,观察到佩戴泳镜时角膜变形性降低。具体来说,佩戴泳镜会导致第一次压平的时间和长度以及最高凹陷处的半径曲率增加,而第一次压平的速度和第二次压平的时间以及变形幅度减小(所有情况下均 p<0.001)。在取下泳镜后,角膜生物力学参数表现出回弹效应,与基线读数相比,角膜变形性更高(所有情况下 p-corrected<0.05)。此外,佩戴泳镜时 IOP 和 bIOP 显著增加(两种情况下均 p<0.001),而 CCT 保持稳定(p=0.850)。
佩戴泳镜会改变角膜的生物力学特性,导致佩戴泳镜期间角膜变形性降低。在有发生角膜扩张或青光眼风险的患者中进行临床决策时,以及在这些眼部疾病的术后管理中,应考虑本研究的结果。