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        검색결과 1

        1.
        2015.05 구독 인증기관·개인회원 무료
        Purpose: Non-invasive tear break up time (NITBUT) is a test commonly used by clinicians to measure the stability of the tear film. This study aims to compare the NITBUT of the Bausch and Lomb Biotrue Oneday (BT) Daily Disposable contact lenses against 3 other commercially available daily disposable lenses to see if BT can provide a more stable pre-lens tear film over the other 3 types of lenses at 12 hours of lens wear. Methods: Twelve existing contact lens wearers were recruited to wear 4 types of contact lenses each for a day of at least 12 hours. Other than BT, the other 3 test lenses were the daily disposable lenses made of etafilcon A (AV), narafilcon A (TE) and delefilcon A (DT1) materials. Each subject was assigned the lenses without knowing the brand of the lenses. Baseline NITBUT was first measured with no lens in the eye and pre-lens NITBUT was measured again at 12 hours after the lenses were worn. The NITBUT was measured using Oculus Keratograph 5M. This instrument measures the NITBUT objectively using infrared illumination which is invisible to the human eye and can prevent glare or bright light irritation during examination. Results: NITBUT was provided by the instrument as “first break” and “average break” values. In this study, the first break value was analyzed because that was the time when the break-up of tears was first detected by the instrument, and that matches with what the clinicians normally do in measuring NITBUT. The NITBUT for the nesofilcon A lens (BT) was longer than that for all the other 3 lens types in 10 out of the 12 subjects (83%). The mean TBUT for BT, AV, TE, DT1 was respectively 17.9 ± 4.3 sec, 9.5 ± 3.3 sec, 8.3 ± 5.9 sec and 8.8 ± 3.6 sec. Not only is the difference in NITBUT statistically significant (p<0.05, paired t-test – nesofilcon A (BT) Vs each of the 3 lens types), but also the NITBUT for BT is about double than that for all the other 3 types of lenses. Conclusion: The NITBUT for the nesofilcon A lens (BT) measured at 12 hours was about double than that for the other 3 lens types and the difference was statistically significant. The results suggested that the Biotrue Oneday provides a more stable pre-lens tear film than the other 3 types of daily disposable lenses at 12 hours of lens wear.