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Development of an In Vitro Ocular Platform to Test Contact Lenses
Published on: April 6, 2016
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Ocular surface characteristics and its association with soft contact lens fitting
Javier Rojas Viñuela1, James S Wolffsohn2, Alejandra Consejo3
1Natural Optics Balaguer, Lleida, Spain.
Summary
Soft contact lens fit is influenced by the corneoscleral junction, not just sagittal height. Peripheral ocular parameters, especially slopes in superior and inferior quadrants, are key for optimal soft contact lens fitting.
Area of Science:
- Ophthalmology
- Biomedical Engineering
- Optometry
Background:
- Soft contact lens fitting is crucial for visual acuity and ocular health.
- Understanding the relationship between ocular surface topography and lens fit is essential for improving lens design and patient outcomes.
Purpose of the Study:
- To analyze the associations between ocular surface shape parameters and soft contact lens fitting.
- To investigate the role of corneo-scleral junction (CSJ) parameters in soft contact lens (SCL) movement.
Main Methods:
- Retrospective analysis of 106 eyes fitted with standard silicone hydrogel soft lenses.
- Objective lens fit analysis using proprietary software and Eye Surface Profiler for corneo-scleral parameters.
- Characterization of delta-sag (δ-sag) as the relationship between ocular (OC-SAG) and lens (CL-SAG) sagittal height.
Main Results:
- No significant correlation found between δ-sag and lens fitting features.
- Statistically significant differences in corneoscleral junction (CSJ) angle and peripheral corneal/scleral slopes between right and left eyes.
- Moderate to strong associations between lens fit and peripheral ocular parameters, though not consistent between eyes.
Conclusions:
- Soft contact lens movement is influenced by the corneoscleral transition, particularly in superior and inferior quadrants.
- Focusing on peripheral slopes is more beneficial for soft contact lens fitting than central corneal parameters or sagittal height.
- Asymmetrical ocular surface topography may impact soft contact lens fit consistency between eyes.
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