Advertisement
Research Article| Volume 37, ISSUE 5, P346-350, October 2014

Download started.

Ok

Comparison of fitting stability of the different soft toric contact lenses

      Highlights

      • Comparison of lens orientation and rotational recovery of soft toric lenses.
      • Study toric lenses: PureVision, Air Optix, Biofinity, Acuvue Advance and Proclear.
      • Appropriate fitting based on lens orientation and reorientation speed with all lenses.
      • Best performance with the optimized ballast method used in the design of Biofinity.
      • The lowest rotation from the vertical position and the lowest reorientation speed.

      Abstract

      Purpose

      To compare lens orientation and rotational recovery of five currently available soft toric lenses.

      Methods

      Twenty subjects were recruited and trialed with each of the study lenses in a random order. Study lenses were PureVision® Toric (B&L), Air Optix® for Astigmatism (Alcon), Biofinity® Toric (CooperVision), Acuvue® Advance for Astigmatism (Vistakon), and Proclear® Toric (CooperVision). Lens orientation in primary position to determine the lens rotation form the vertical position and rotational recovery to primary gaze orientation following a 45° manual misorientation for the different lenses was compared.

      Results

      The Biofinity Toric showed the lowest rotation from the vertical position and the Proclear Toric the highest. Also, the highest and the lowest reorientation speed were related to the Biofinity Toric and the Acuvue Advance for Astigmatism, respectively. The Repeated Measures ANOVA showed a significant difference in the lens rotation (P = 0.004) and rotational recovery (P < 0.001) among different contact lenses and the performed multiple comparisons indicated differences in rotation and also in reorientation speed were only seen between the Biofinity Toric when compared to four other lenses (P < 0.05).

      Conclusion

      Although there was appropriate fitting, based upon lens orientation and reorientation speed, with each of the study lenses it would appear that the optimized ballast technique used in the design of the Biofinity Toric helps reduce lens rotation and improve rotational recovery compared to others.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Contact Lens and Anterior Eye
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Young G.
        • Veys J.
        • Pritchard N.
        • Coleman S.
        A multi-centre study of lapsed contact lens wearers.
        Ophthal Physiol Opt. 2002; 22: 516-527
        • Tan J.
        • Papas E.
        • Carnt N.
        • Jalbert I.
        • Skotnitsky C.
        • Shiobara M.
        • et al.
        Performance standards for toric soft contact lenses.
        Optom Vis Sci. 2007; 84: 422-428
        • Young G.
        • McIlraith R.
        • Hunt C.
        Clinical evaluation of factors affecting soft toric lens orientation.
        Optom Vis Sci. 2009; 86: 1259-1266
        • Young G.
        • Hunt C.
        • Covey M.
        Clinical evaluation of factors influencing toric soft contact lens fit.
        Optom Vis Sci. 2002; 79: 11-19
        • Fonn D.
        • Dumbleton K.
        • Jones L.
        • du Toit R.
        • Sweeney D.
        Silicone hydrogel material and surface properties.
        Contact Lens Spectrum. 2002; 17: 24-28
        • Bennett E.
        • Henry V.A.
        Clinical manual of contact lenses.
        3rd ed. Lippincott Williams and Wilkins, Philadelphia2012: 345-357
        • Goldsmith W.A.
        • Steel S.
        Rotational characteristics of toric contact lenses.
        ICLC. 1991; 18: 227-229
        • Andrzejewski T.M.
        • Pence N.
        Design, materials, and fitting of toric silicone hydrogel lenses.
        Contact Lens Spectrum. 2011; 26: 32-37
        • Gasson A.
        • Morris J.A.
        The contact lens manual: a practical guide to fitting.
        3rd ed. Butterworth-Heinemann, Oxford/Boston2003: 68-70
        • Jones L.
        • Subbaraman L.N.
        • Dumbelton K.
        • Rogers R.
        Surface treatment, wetting and modulus of silicon hydrogels.
        Optician. 2006; 232: 28-44
        • Zikos G.A.
        • Kang S.S.
        • Ciuffreda K.J.
        • Selenow A.
        • Ali S.
        • Spencer L.W.
        • et al.
        Rotational stability of toric soft contact lenses during natural viewing conditions.
        Optom Vis Sci. 2007; 84: 1039-1045
        • Cairns G.
        • China P.
        • Green T.
        • Reindel B.
        Differences in toric lens performance: lens orientation and orientation recovery.
        Am Acad Optom. 2009; (Poster presentation)