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KMID : 1011420160210020091
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Journal of Korean Ophthalmic Optics Society
2016 Volume.21 No. 2 p.91 ~ p.98
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Study of Masking Effect of Soft Contact Lenses on Cornea after Refractive Surgery
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Moon Ye-Rim
Park Hyung-Min
Chu Byoung-Sun
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Abstract
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Purpose: This study investigated the masking effect of the hydrogel lens and silicone hydrogel lens on the cornea with refractive surgery and without surgery.
Methods: 24 university students (means age: 23.48±2.89 years) without refractive surgery (12, control group) and with refractive surgery (LASIK: 8, LASEK: 4, experimental group) participated in the study. Mean refractive errors of right eyes were ?2.73 D for control group and ?0.24 D for experimental group. The differences in the refractive power and corneal topography map between pre- and post-wearing the ?3.00 D lenses were compared, and 2 kinds of hydrogel contact lenses (0.89 Mpa, 0.49 Mpa) and 2 kinds of silicone hydrogel lenses (1.5 Mpa, 0.8 Mpa) were used for ?3.00 D lenses. NVision-K5001 (Shin nippon, Japan) was used to measure the refractive power and Keratograph 5M (Oculus, Germany) to measure the corneal topography map change.
Results: Variations in the refractive power increased to the plus direction in the experimental group after wearing soft contact lenses. The corneal topography map showed significant changes on the both groups after wearing soft contact lenses (p<0.05). However there were no significant differences in the refractive power and corneal topography map variations by lens materials.
Conclusions: Wearing soft contact lenses showed corneal topography map changes. Especially wearing soft contact lenses on the flat cornea after corneal refractive surgery showed greater corneal power changes. Therefore, it should pay attention to refractive change in case of prescribing soft contact lenses to patients with corneal refractive surgery.
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KEYWORD
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Silicone hydrogel contact lens, Modulus, Corneal refractive surgery, Irregular astigmatism, Corneal topogra-phy
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