Regional changes in corneal thickness and shape with soft contact lenses

Tyagi, Garima, Collins, Michael J., Read, Scott A., & Davis, Brett A. (2010) Regional changes in corneal thickness and shape with soft contact lenses. Optometry and Vision Science, 87(8), pp. 567-575.

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Purpose: To investigate the influence of soft contact lenses on regional variations in corneal thickness and shape while taking account of natural diurnal variations in these corneal parameters. Methods: Twelve young, healthy subjects wore 4 different types of soft contact lenses on 4 different days. The lenses were of two different materials (silicone hydrogel, hydrogel), designs (spherical, toric) and powers (–3.00, –7.00 D). Corneal thickness and topography measurements were taken before and after 8 hours of lens wear and on two days without lens wear, using the Pentacam HR system. Results: The hydrogel toric contact lens caused the greatest level of corneal thickening in the central (20.3 ± 10.0 microns) as well as peripheral cornea (24.1 ± 9.1 microns) (p < 0.001) with an obvious regional swelling of the cornea beneath the stabilizing zones. The anterior corneal surface generally showed slight flattening. All contact lenses resulted in central posterior corneal steepening and this was weakly correlated with central corneal swelling (p = 0.03) and peripheral corneal swelling (p = 0.01). Conclusions: There was an obvious regional corneal swelling apparent after wear of the hydrogel soft toric lenses, due to the location of the thicker stabilization zones of the toric lenses. However with the exception of the hydrogel toric lens, the magnitude of corneal swelling induced by the contact lenses over the 8 hours of wear was less than the natural diurnal thinning of the cornea over this same period.

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17 citations in Web of Science®

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ID Code: 38375
Item Type: Journal Article
Refereed: Yes
Keywords: Contact Lens, Cornea, Anterior Conreal Topography, Posterior Corneal Topography, Petacam
DOI: 10.1097/OPX.0b013e3181e61b78
ISSN: 1040-5488
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Optometry & Vision Science
Copyright Owner: Copyright 2010 American Academy of Optometry
Deposited On: 08 Nov 2010 02:12
Last Modified: 29 Feb 2012 14:18

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