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Contrast sensitivity function with soft contact lens wear

Abstract

Purposes: To compare contrast sensitivity function (CSF) with soft contact lens (SCL) and spectacles wear. To investigate the effect of a three-month period of SCL wear on CSF.Methods: Forty-seven myopic subjects with no history of contact lens (CL) wear were included in this longitudinal prospective study. CSF was measured with spectacles using the CSV-1000 (VectorVision, Greenvile, OH). Subsequently, subjects were fitted with a daily disposable lens (Nelfilcon-A, Stenofilcon-A or Nesofilcon-A) in one eye and a monthly disposable lens (Lotrafilcon-B. Comfilcon-A or Balafilcon-A) in the other eye and wore the same type of CLs for three months. CSF was measured again on the same day and after three months wearing CLs. Differences in CSF with spectacles and CLs on baseline and changes to CSF after three months of CLs wear were assessed. The effect of lens materials and wearing modality on CSF change was also investigated.Results: CSF was higher with CLs in comparison to the values with spectacles for spatial frequencies of 3, 6 and 12 cycles per degree (cpd) (p<0.05) while there was no difference for spatial frequency of 18 cpd (p=0.114). No significant difference was found in the CSF with CLs between baseline and after three months of lens wear (p > 0.05). There was no difference in CSF between hydrogel and silicone CLs as well as when comparing daily with monthly wear CLs (p > 0.05).Conclusion: CSF is better with CLs than with spectacles. CSF values with CL are similar between =baseline and after 3 months of lens wear. (C) 2020 Spanish General Council of Optometry. Published by Elsevier Espana, S.L.U.

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Contrast sensitivity function with soft contact lens wear

Author: Sapkota, Kishor; Franco, Sandra; Lira, Madalena
Publisher: Elsevier
Year: 2020
DOI: 10.1016/j.optom.2020.01.002
Source: https://repositorium.uminho.pt/bitstreams/df5063d2-1257-415f-ac59-3577e62f624d/download
Jou nal
o
Op ome y
(2020)
13,
96---101
www.jou nalo op ome y.o g
ORIGINAL
ARTICLE
Con as
sensi i i y
unc ion
wi h
so
con ac
lens
wea
Kisho
Sapko a∗,
Sand a
F anco,
Madalena
Li a
Cen e
o
Physics,
Uni e si y
o
Minho,
B aga,
Po ugal
Recei ed
26
May
2019;
accep ed
8
Janua y
2020
A ailable
online
13
Feb ua y
2020
KEYWORDS
Con as
sensi i i y
unc ion;
So
con ac
lens;
Spa ial
equency;
Spec acles
wea
Abs ac
Pu poses:
To
compa e
con as
sensi i i y
unc ion
(CSF)
wi h
so
con ac
lens
(SCL)
and
spec-
acles
wea .
To
in es iga e
he
e ec
o
a
h ee-mon h
pe iod
o
SCL
wea
on
CSF.
Me hods:
Fo y-se en
myopic
subjec s
wi h
no
his o y
o
con ac
lens
(CL)
wea
we e
included
in
his
longi udinal
p ospec i e
s udy.
CSF
was
measu ed
wi h
spec acles
using
he
CSV-1000
(Vec o Vision,
G een ile,
OH).
Subsequen ly,
subjec s
we e
i ed
wi h
a
daily
disposable
lens
(Nel ilcon-A,
S eno ilcon-A
o
Neso ilcon-A)
in
one
eye
and
a
mon hly
disposable
lens
(Lo a ilcon-B,
Com ilcon-A
o
Bala ilcon-A)
in
he
o he
eye
and
wo e
he
same
ype
o
CLs
o
h ee
mon hs.
CSF
was
measu ed
again
on
he
same
day
and
a e
h ee
mon hs
wea ing
CLs.
Di e ences
in
CSF
wi h
spec acles
and
CLs
on
baseline
and
changes
o
CSF
a e
h ee
mon hs
o
CLs
wea
we e
assessed.
The
e ec
o
lens
ma e ials
and
wea ing
modali y
on
CSF
change
was
also
in es iga ed.
Resul s:
CSF
was
highe
wi h
CLs
in
compa ison
o
he
alues
wi h
spec acles
o
spa ial
e-
quencies
o
3,
6
and
12
cycles
pe
deg ee
(cpd)
(p
<
0.05)
while
he e
was
no
di e ence
o
spa ial
equency
o
18
cpd
(p
=
0.114).
No
signi ican
di e ence
was
ound
in
he
CSF
wi h
CLs
be ween
baseline
and
a e
h ee
mon hs
o
lens
wea
(p
>
0.05).
The e
was
no
di e ence
in
CSF
be ween
hyd ogel
and
silicone
CLs
as
well
as
when
compa ing
daily
wi h
mon hly
wea
CLs
(p
>
0.05).
Conclusion:
CSF
is
be e
wi h
CLs
han
wi h
spec acles.
CSF
alues
wi h
CL
a e
simila
be ween
baseline
and
a e
3
mon hs
o
lens
wea .
©
2020
Spanish
Gene al
Council
o
Op ome y.
Published
by
Else ie
Espa˜
na,
S.L.U.
This
is
an
open
access
a icle
unde
he
CC
BY-NC-ND
license
(h p://c ea i ecommons.o g/licenses/by-
nc-nd/4.0/).
∗Co esponding
au ho
a :
Cen e
o
Physics,
Uni e si y
o
Minho
(CFUM),
Campus
de
Gual a ,
4710-057
B aga,
Po ugal.
E-mail
add ess:
[email p o ec ed]
(K.
Sapko a).
h ps://doi.o g/10.1016/j.op om.2020.01.002
1888-4296/©
2020
Spanish
Gene al
Council
o
Op ome y.
Published
by
Else ie
Espa˜
na,
S.L.U.
This
is
an
open
access
a icle
unde
he
CC
BY-NC-ND
license
(h p://c ea i ecommons.o g/licenses/by-nc-nd/4.0/).
Con as
sensi i i y
wi h
so
con ac
lens
wea
97
PALABRAS
CLAVE
Función
de
sensibilidad
al
con as e;
Len illas
blandas;
F ecuencia
espacial;
Uso
de
ga as
Función
de
sensibilidad
al
con as e
con
el
uso
de
len es
de
con ac o
blandas
Resumen
Obje i os:
Compa a
la
unción
de
sensibilidad
al
con as e
(CSF)
con
el
uso
de
len illas
blandas
y
ga as.
In es iga
el
e ec o
en
la
CSF
de
un
pe iodo
de
uso
de
len illas
blandas
de
es
meses.
Mé odos:
En
es e
es udio
longi udinal
p ospec i o
incluimos
a
cua en a
y
sie e
suje os
miopes
sin
an eceden es
de
uso
de
len illas.
La
CSF
se
midió
con
ga as,
u ilizando
el
sis ema
CSV-
1000
(Vec o Vision,
G een ile,
OH).
A
con inuación,
se
p opo ciona on
a
los
suje os
len illas
dia ias
desechables
(Nel ilcon-A,
S eno ilcon-A
o
Neso ilcon-A)
en
un
ojo,
y
len illas
mensuales
desechables
(Lo a ilcon-B,
Com ilcon-A
o
Bala ilcon-A)
en
el
o o
ojo,
u ilizándose
el
mismo
ipo
de
len illas
du an e
es
meses.
Se
ol ió
a
medi
la
CSF
el
mismo
día,
y
anscu idos
es
meses
de
uso
de
len illas.
Se
e alua on
las
di e encias
en
cuan o
a
CSF
con
ga as
y
len illas
al
inicio,
y
los
cambios
de
CSF
anscu idos
es
meses
de
uso
de
len illas.
También
se
in es igó
el
e ec o
en
el
cambio
de
CSF
de
las
modalidades
de
las
len illas
y
la
modalidad
de
uso.
Resul ados:
La
CSF
ue
más
al a
con
el
uso
de
len illas,
en
compa ación
con
el
uso
de
ga as
pa a
las
ecuencias
espaciales
de
3,
6
y
12
ciclos
po
g ado
(cpg)
(p
<
0,05),
mien as
que
no
se
p odujo
di e encia
pa a
la
ecuencia
espacial
de
18
cpg
(p
=
0,114).
No
se
encon ó
di e encia
signi ica i a
de
CSF
en e
el
alo
basal
y
anscu idos
es
meses
de
uso
de
len illas
(p
>
0,05).
No
se
encon ó
di e encia
de
CSF
en e
las
len illas
de
hid ogel
y
silicona,
ni
al
compa a
el
uso
de
len illas
dia ias
y
mensuales
(p
>
0,05).
Conclusión:
La
CSF
es
mejo
con
len illas
que
con
ga as.
Los
alo es
de
CSF
con
el
uso
de
len illas
son
simila es
en e
el
alo
basal
y
anscu idos
es
meses
de
uso
de
len illas.
©
2020
Spanish
Gene al
Council
o
Op ome y.
Publicado
po
Else ie
Espa˜
na,
S.L.U.
Es e
es
un
a ´
ıculo
Open
Access
bajo
la
licencia
CC
BY-NC-ND
(h p://c ea i ecommons.o g/licenses/by-
nc-nd/4.0/).
In oduc ion
Visual
h eshold
o
de e mine
he
smalles
di e ence
in
con as
be ween
he
isible
and
in isible
is
he
h esh-
old
con as ,
he
ecip ocal
o
which
p o ides
con as
sensi i i y.1Gene ally,
sinusoidal
g a ings,
which
con ain
a
g adual
change
om
highes
luminance
o
lowes
luminance
and
ice- e sa,
a e
used
o
de e mine
he
isual
con as
h eshold.
This
is
measu ed
wi h
di e en
spa ial
equen-
cies
and
con as s,
so
i
measu es
he
eal-wo ld
isual
unc ion
unlike
he
isual
acui y
measu emen .
Visual
acu-
i y
only
indica es
he
isual
pe o mance
on
high
con as ,
and
gene ally
i
is
measu ed
in
a
100%
con as
a ge .
I
does
no
s and
as
a
comple e
ool
o
ep esen
isual
pe o mance
because
con as
g ea ly
a ies
in
he
eal-
wo ld
isual
equi emen s
and
a
wide
ange
o
a ge s
ha e
abou
1%
o
con as .
In
some
condi ions,
con as
sensi i -
i y
may
be
signi ican ly
educed
e en
i
isual
acui y
emains
no mal.1
Many
esea che s
included
con as
sensi i i y
es s
o
de e mine
he
isual
pe o mance
wi h
di e en
ypes
o
con ac
lenses
(CL).
Some
ha e
assessed
con as
sensi i -
i y
as
he
unc ion
o
di e en
spa ial
equencies,
which
is
con as
sensi i i y
unc ion
(CSF),2 --- 4 while
o he s
ha e
measu ed
isual
acui y
wi h
high
and
low
con as
isual
acui y
cha s.5,6 Howe e ,
low
con as
isual
cha s
e lec
he
slope
o
highe
spa ial
equency
le el
alone.7Some
o
he
p e ious
s udies
ound
no
di e ence
in
he
CSF
in
sub-
jec s
wea ing
spec acles
and
CL.6Howe e ,
O iz
e
al.
ound
lowe
CSF
wi h
cosme ic
as
well
as
i is
in ed
so
CL
when
compa ed
o
no
co ec ion.8Po ish
showed
ha
he
CSF
can
be
imp o ed
in
a hle es
wi h
spo - in ed
CL.9Howe e ,
he
imp o emen
was
oo
small
o
a ec
he
pe o mance
o
hese
a hle es.
Cu en ly,
wi h
he
high
need
o
cons an ly
pe o m
asks
ha
equi e
con inuous
obse a ion
o
objec s
wi h
a y-
ing
deg ees
o
con as ,
and
no
only
objec s
easily
isible
wi h
high
con as ,
i
becomes
ele an
o
assess
he
CSF.
As
he
CSF
is
posi i ely
co ela ed
wi h
ision- ela ed
quali y
o
li e,
i
is
impo an
o
lea n
whe he
cu en
CL
a ec
con as
sensi i i y.10,11 As
a
as
he
au ho s
know,
none
o
he
p e ious
s udies
de e mined
he
e ec
o
con empo a y
CL
wea
on
he
CSF.
The
aim
o
his
s udy
was
o
in es iga e
he
e ec
o
h ee
mon hs
o
so
CL
wea
on
he
CSF.
The
CSF
wi h
CL
(baseline)
was
compa ed
wi h
spec acles
and
a e
h ee
mon hs
o
CL
wea .
The
e ec
o
lens
ma e ials,
wea ing
modali y,
and
gende
on
he
CSF
was
also
assessed.
Ma e ial
and
me hods
Nine y- ou
eyes
o
47
heal hy
neophy e
myopic
subjec s
be ween
18
and
40
yea s
o
age
wi h
no
ocula
pa hol-
ogy
we e
included
in
his
longi udinal
clinical
ial.
All
he
subjec s
had
bes
co ec ed
isual
acui y
equal
o
be e
han
6/6
in
each
eye.
Subjec s
wi h
as igma ism
highe
han
0.75
diop e
(D)
and
his o y
o
CL
wea
we e
excluded.
A
consen
o m
was
signed
a e
de ailed
in o ma ion
was
p o-
ided
o
he
subjec s.
This
s udy
ollowed
he
ene s
o
he
Decla a ion
o
Helsinki
and
was
e iewed
and
app o ed
by
he
Uni e si y
o
Minho’s
E hics
Subcommi ee
o
Li e
and
Heal h
Sciences.
The
sample
size
was
calcula ed
o
wa an
80%
s a is ical
powe
wi h
0.05
signi ican
le el
o
de ec
98
K.
Sapko a
e
al.
he
di e ence
in
LogCS
by
0.15
be ween
wo
condi ions:
wi h
spec acles
and
CL
a
baseline;
and
wi h
CL
a
baseline
and
a e
a
pe iod
o
h ee
mon hs
o
wea .
P elimina y
examina ion
including
sli -lamp
bio-
mic oscopy
and
bo h
objec i e
and
subjec i e
e ac ion
was
pe o med
on
each
subjec .
Visual
acui y
was
measu ed
wi h
spec acles
using
Snellen
sel -illumina ed
cha .
CSF
was
measu ed
wi h
CSV-1000
(Vec o Vision,
G een ile,
OH).3,12,13 This
is
one
o
he
comme cially
a ailable
con as
sensi i i y
measu emen
ools
wi h
good
eliabili y
which
applied
sinusoidal
g a ings.14 I
uses
an
subjec i e
me hod
by
o ced-choice
de ec ion
and
measu es
he
con as
sensi i i y
in
ou
le els
o
spa ial
equencies:
3,
6,
12
and
18
cycles
pe
deg ee
(cpd).1Each
se
o
spa ial
equency
con ains
17
pa ches
wi h
a
diame e
o
3.8
cm
o
0.87
deg ees.
The
i s
pa ch
wi h
highes
con as
e ical
sinusoidal
g a ings
is
used
o
explana ion
while
he
o he
8
pai s
o
pa ches,
numbe ed
1
o
8,
a e
used
o
es ing.
The
con as
o
he
1s
o
3 d
pa ch
dec eases
in
0.17
log
uni
s eps
while,
om
he
3 d
o
he
8 h,
i
dec eases
in
0.15
log
uni
s eps.
The
cha
is
e o-illumina ed
wi h
an
85
cd/m2
luo escen
ligh
which
can
be
con olled
wi h
a
emo e
con ol.
Subjec s
we e
sea ed
wo
and
a
hal
me e s
away
om
he
cha .
CSF
was
measu ed
in
each
eye
sepa a ely
wi h
hei
habi ual
spec acles.
Con as
sensi i i y
alue
o
he
las
co ec
esponse
was
documen ed.
As
sensi i i y
is
he
in e se
o
con as
alues,
he
log
uni
was
used,
and
he e o e,
highe
log
alues
indica e
be e
sensi i i y.15
Each
sinusoidal
g a ing
pa ch
con ains
a
ba
wi h
b igh es
luminance
and
da kes
luminance,
and
he
hickness
o
he
ba
depends
on
he
spa ial
equency
o
he
g a ings,
e.g.
o
3
cpd
i
is
wide
in
compa ison
o
ha
o
18
cpd.
Thus,
Con as
h eshold
=
Luminance
maximum
−
Luminance
minimum
Luminance
maximum
+
Luminance
minimum
Schi me ’s
es ,
ke a ome y
and
biomic oscopic
exami-
na ion
we e
also
pe o med
on
each
subjec .
One
eye
was
i ed
wi h
a
daily
disposable
lens
(Nel ilcon
A
o
S eno ilcon
A
o
Neso ilcon
A)
and
he
o he
was
i ed
wi h
a
mon hly
disposable
lens
(Lo a ilcon
B
o
Com ilcon
A
o
Bala ilcon
A)
in
a
con ala e al
manne .
Only
mono ocal
sphe ical
CL
we e
used
in
his
s udy.
De ails
on
he
CL
a e
p esen ed
in
Table
1.
Lens
i ing
was
e alua ed,
and
should
any
unac-
cep able
i ing
be
ound
due
o
lens
pa ame e s,
ano he
lens
was
i ed
om
he
s udy
lens
g oup.
CSF
was
measu ed
again
a e
30
min
o
CL
wea .
OPTIFREE®Pu emois ®mul-
ipu pose
disin ec ing
solu ion
(Polyquad
0.001%
and
Aldox
0.0006%,
Alcon
Labo a o ies,
TX)
was
p o ided
o
he
ca e
o
he
mon hly
disposable
lenses.
Subjec s
we e
ins uc ed
o
come
a e
h ee
mon hs
o
CL
wea
o
ollow-up
e al-
ua ion
and
subjec s
we e
again
e alua ed
including
he
CSF
assessmen .
Da a
we e
analysed
wi h
S a is ical
So wa e
o
Social
Sciences
(SPSS
22,
IBM
Co p.,
A monk,
NY).
Kolmogo o -
Smi no
es
was
applied
o
analyse
he
dis ibu ion
o
he
a iables;
pa ame ic
es s
we e
used
o
es
no mally
dis-
ibu ed
a iables
and
non-pa ame ic
es s
we e
applied
o
o he s.
A
epea ed
measu es
ANOVA
was
used
o
compa e
he
CSF
alues
in
h ee
di e en
si ua ions
(wi h
spec a-
cles
and
wi h
CL
du ing
baseline
isi
and
wi h
CL
on
inal
2.00
1.80
1.60
1.40
1.20
1.00
3 cpd 6 cpd 12 cpd 18 cpd
Baseline wi h spec acles
Baseline wi h CL
Final wi h CL
Con as sensi i i y (log uni )
Spa ial equency
Figu e
1
G aph
showing
con as
sensi i i y
unc ion
wi h
di -
e en
spa ial
equencies.
isi )
as
well
as
o
de ec
he
e ec
o
gende
on
i .
Asso-
cia ion
o
changes
in
he
CSF
acco ding
o
lens
wea ing
modali y
(daily
disposable
s
mon hly
disposable)
and
ype
o
lenses
(hyd ogel
s
silicone
hyd ogel)
was
assessed
by
applying
Mann-Whi ney
es .
Co ela ion
o
he
CSF
wi h
lens
hickness,
oxygen
pe meabili y
and
wa e
con en
was
de e mined
by
applying
Spea man’s
ho
es .
P
alues
less
han
0.05
we e
conside ed
as
s a is ically
signi ican .
Resul s
Nine y- ou
eyes
o
47
subjec s
wi h
a
mean
age
o
24.3
±
4.1
yea s
we e
included
in
his
s udy.
Among
hese,
66.0%
(31)
we e
women.
The
mean
e ac i e
e o
was
−1.86
±
1.54
D
wi h
a
ange
o
−0.75
o
−5.50
D.
Lo a ilcon
B
was
wo n
in
16
eyes,
Nel ilcon
A
on
16
eyes,
Com ilcon
A
on
15
eyes,
S eno ilcon
A
on
15
eyes,
Bala ilcon
A
on
16
eyes
and
Neso il-
con
A
on
16
eyes.
Subjec s
used
he
CL
o
11.8
±
1.8
h
pe
day.
Table
2
shows
he
alues
o
he
CSF
wi h
hei
habi ual
spec acles
(be o e
s a ing
o
wea
CL),
a e
30
min
o
CL
use
on
he
i s
isi ,
and
a e
a
pe iod
o
h ee
mon hs
CL
wea .
Repea ed
measu es
o
ANOVA
shows
ha
he e
is
no
di e ence
in
he
CSF
alues
wi h
spa ial
equency
o
18
cpd
(F(2,
174)
=
2---196,
p
=
0.114)
bu
he e
is
a
s a is ically
signi ican
di e ence
in
CSF
wi h
spa ial
equencies
o
3
cpd
(F(1.754,
152.606)
=
12.729,
p
<
0.001),
6
cpd
(F(1.832,
159.419)
=
14.141,
p
<
0.001)
and
12
cpd
(F(2,
174)
=
5.001,
p
=
0.008).
Pai wise
compa ison
shows
ha
baseline
CSF
wi h
spec acles
was
less
han
ha
wi h
baseline
CSF
wi h
CL
and
inal
CSF
wi h
CL
wi h
spa ial
equencies
o
3,
6
and
12
cpd
(p
<
0.05).
Howe e ,
he e
was
no
signi ican
di e ence
be ween
baseline
CSF
alues
wi h
CL
and
inal
CSF
alues
wi h
CL
wi h
spa ial
equencies
o
3,
6
and
12
cpd
(p
>
0.05).
In
a e age,
baseline
CSF
wi h
CL
was
0.07
highe
han
base-
line
CSF
wi h
spec acles.
As
shown
in
Fig.
1,
he
CSF
was
highe
a
medium
le el
o
spa ial
equency
when
compa ed
o
lowe
o
highe
spa-
ial
equencies
wi h
spec acles
as
well
as
wi h
CL
du ing
baseline
and
a e
he
h ee-mon h
pe iod.
The e
we e
no
s a is ically
signi ican
di e ences
be ween
CSF
alues
ob ained
in
men
and
women
nei he
wi h
spec acles
no
wi h
CL
(p
>
0.05).
Table
3
p esen s
he
changes
in
he
CSF
o
each
spa ial
equency
o
he
di e en
lens
ma e ials
a e
a
pe iod
o
h ee
mon hs
o
lens
wea .
The e
was
no
associa ion
o
lens
wea ing
Con as
sensi i i y
wi h
so
con ac
lens
wea
99
Table
1
Cha ac e is ics
o
he
lenses
used
in
he
s udy.
Nel ilcon
A
and
neso ilcon
A
a e
hyd ogel
lenses
while
o he s
a e
silicone
hyd ogel
lenses.
Lo a ilcon
B
Com ilcon
A
Bala ilcon
A
S eno ilcon
A
Nel ilcon
A
Neso ilcon
A
Company
Alcon
Coope
Vision
Bausch
&
Lomb
Coope
Vision
Alcon
Bausch
&
Lomb
B and
name
Ai Op ix®
AquaTM
Bio ini yTM Pu e ision2TM MyDayTM Dailies®
AquaCom-
o
Plus®
Bio ueTM
ONEday
Wa e
con en
(%) 34
48
36
54
69
78
Thickness
(mm) 0.08
0.08
0.07
0.08
0.10
0.1
Base
cu e/
diame e
(mm) 8.6/14.2
8.7/14.5
8.6/14
8.4/14.2
8.7/14
8.6/14.2
Oxygen
Pe meabili y
(ba e )m
110
128
91
80
26
42
Modulus
(MPa)
1.2
0.75
1.1-1.25
0.4
0.89
0.49
T ansmissibili y
(ba e /cm)
137.5
160
130
100
26
42
Table
2
Con as
sensi i i y
unc ion
(in
Log
Uni s)
wi h
spec acles
and
wi h
con ac
lenses
on
he
i s
day
and
wi h
con ac
lenses
on
he
inal
day.
Spa ial
equency
(cpd)
Baseline
wi h
spec acles
Baseline
wi h
CL
paFinal
wi h
CL
pb
3
1.58
±
0.20
1.66
±
0.16
0.001
1.67
±
0.14
0.502
6
1.76
±
0.23
1.86
±
0.20
0.000
1.88
±
0.19
0.316
12
1.44
±
0.26
1.53
±
0.24
0.004
1.52
±
0.25
0.875
18
1.03
±
0.28
1.08
±
0.23
0.114
1.09
±
0.26
0.687
aCompa ison
be ween
CL
and
spec acles
on
baseline
isi
(day
1).
bCompa ison
be ween
baseline
wi h
CL
and
wi h
CL
a e
h ee
mon hs
[CL:
con ac
lenses].
Table
3
Changes
in
con as
sensi i i y
unc ion
(in
Log
Uni s)
by
h ee
mon hs
o
so
con ac
lens
wea
wi h
di e en
lens
ma e ials.
3
cpd
6
cpd
12
cpd
18
cpd
Lo a ilcon
B
0.04
±
0.17
[0.464]
0.08
±
0.22
[0.217]
0.07
±
0.40
[0.608]
−0.02
±
0.31
[0.805]
Com ilcon
A
0.04
±
0.09
[0.052]
−0.01
±
0.18
[0.320]
0.05
±
0.26
[0.506]
0.003
±
0.24
[0.758]
Bala ilcon
A
−0.01
±
0.15
[0.464]
0.001
±
0.17
[0.916]
−0.13
±
0.27
[0.053]
0.02
±
0.27
[0.959]
Nel ilcon
A
−0.02
±
0.19
[0.465]
0.05
±
0.22
[0.422]
0.03
±
0.33
[0.527]
0.07
±
0.29
[0.318]
S eno ilcon
A
0.02
±
0.10
[0.330]
0.03
±
0.17
[0.354]
0.01
±
0.13
[0.892]
−0.04
±
0.18
[0.473]
Neso ilcon
A
0.03
±
0.18
[0.549]
−0.01
±
0.12
[0.863]
−0.07
±
0.33
[0.717]
0.04
±
0.28
[0.474]
Mean
alues
±
s anda d
de ia ions
a e
ollowed
by
p
alues
in
b acke .
modali y
wi h
changes
in
he
CSF
alues.
I
was
simila
wi h
daily
and
mon hly
disposable
lenses
(p
>
0.05).
The
CSF
alues
we e
simila
wi h
silicone
hyd ogel
lenses
and
hyd o-
gel
lenses
(p
>
0.05).
Also,
no
signi ican
co ela ion
was
ob ained
be ween
he
changes
in
he
CSF
wi h
wa e
con en
(
<
0.121,
p
>
0.05),
oxygen
pe meabili y
(
<
0.145,
p
>
0.05)
o
lens
hickness
(
<
0.144,
p
>
0.05).
Fig.
2
shows
he
CSF
o
he
di e en
lens
ma e ials
a
baseline
and
a
he
inal
ollow
up
isi .
I
can
be
obse ed
ha
di e en
ma e ials
appa en ly
beha ed
di e en ly.
Fo
example,
wi h
lo a ilcon
B
lens
wea ,
he
CSF
inc eased
a
3,
6
and
12
cpd,
bu
dec eased
a
18
cpd,
while
wi h
com-
ilcon
A
lens
wea ,
he
CSF
inc eased
in
3,
12
and
18
cpd,
bu
dec eased
a
6
cpd
a e
h ee
mon hs
o
lens
wea .
Howe e ,
all
o
hese
di e ences
we e
conside ed
no
s a-
is ically
signi ican
(p
>
0.05).
The
di e ence
in
he
CSF
was
no
co ela ed
wi h
he
e ac i e
powe
o
he
lenses
(
<
0.164,
p
>
0.05).
Discussion
This
s udy
measu ed
he
e ec
o
so
CL
wea
in
he
CSF,
by
compa ing
he
sco es
ob ained
wi h
spec acles
and
a e
a
pe iod
o
h ee
mon hs
o
lens
wea .
The
e ec
o
lens
ma e ials,
wea ing
modali y,
and
gende
was
also
assessed.
Signi ican ly
highe
CSF
was
ound
wi h
CL
in
compa ison
o
he
CSF
wi h
spec acles
on
he
i s
examina ion
o
all
he
spa ial
equencies
excep
o
he
spa ial
equency
o
18
cpd.
The
lowe
he
spa ial
equency,
he
g ea e
was
he
di e ence.
Simila
o
ou
indings,
Dalcoll
e
al.
ound
100
K.
Sapko a
e
al.
Figu e
2
G aph
showing
baseline
and
inal
con as
sensi i i y
unc ion
wi h
di e en
spa ial
equencies
wi h
con ac
lenses
o
di e en
ma e ials.
an
inc ease
in
he
CSF
wi h
so
CL.16 The
CSF
is
a
p oduc
o
bo h
neu al
and
op ical
ac o s.1Abe a ion
and
gla e
a ec
he
quali y
o
he
image,
so
he
highe
CSF
wi h
CL
when
compa ed
o
spec acles,
may
be
due
o
he
smalle
asymme ic
abe a ions
wi h
so
CL.17 Cha man
epo ed
ha
inco ec
e ac i e
e o
co ec ion
educes
he
CSF
in
high
spa ial
equency.18 So,
in
he
cu en
s udy,
no
di -
e ence
in
he
CSF
wi h
spec acles
and
CL
in
high
spa ial
equency
o
18
cpd
may
be
due
o
unco ec ed
as igma ism
wi h
sphe ical
CL.
Fu he mo e,
he
di e ence
in
he
CSF
wi h
spec acles
and
wi h
CL
du ing
he
baseline
isi
was
in e io
o
0.14
Log
uni s
in
all
he
spa ial
equencies,
so
his
di e ence
may
no
be
clinically
signi ican .19
Con a y
o
he
cu en
s udy,
a
couple
o
p e ious
s udies
ound
no
di e ence
in
he
CSF
wi h
spec acles
and
wi h
so
CL
wea .20,21 G ay
sugges ed
ha
changes
in
co neal
physi-
ology
due
o
CL
wea
may
educe
he
CSF.22,23 Howe e ,
in
he
cu en
s udy,
he
baseline
CSF
was
measu ed
wi h
CL
wi hin
hal
an
hou
o
lens
wea .
So,
wi hin
his
sho
pe iod,
no
changes
in
co neal
physiology
a e
expec ed.
Ano he
impo an
inding
o
his
s udy
is
ha
h ee
mon hs
o
so
CL
wea
did
no
change
he
CSF.
Soni
e
al.
sugges ed
ha
CL
wi h
highe
hicknesses
and
low
oxygen
ansmissibili y
may
educe
he
CSF
by
inducing
co neal
edema.7Howe e ,
in
he
cu en
s udy,
CL
we e
wo n
in
a
daily
wea
modali y
and
he
cen al
hickness
o
he
lenses
was
no
mo e
han
0.10
mm.
The
oxygen
ansmissibili y
o
he
CL
used
in
his
s udy
was
enough
o
a oid
co neal
edema
on
open
eye
condi ion.24 Li a
e
al.
ound
ha
CL
powe
impac s
oxygen
ansmissibili y
as
he
cen al
hickness
and
he
pe iphe al
hickness
o
he
CL
di e
signi ican ly,
espe-
cially
in
high
powe
lenses.25 Howe e ,
low
powe
CL
(mean
−1.86
±
1.54
D)
we e
used
in
his
wo k,
so,
i
is
no
expec ed
o
ind
lowe
Dk/
alues
han
hose
ecommended
o
daily
wea .
Suppo ing
ou
indings,
G ey
ound
no
changes
in
he
CSF
wi h
six
mon hs
o
so
CL
wea .23 In
his
six-sample
size
s udy,
he
concluded
ha
he
CSF
ini ially
dec eases
wi h
so
CL
wea
bu
i
apidly
eco e s
o
a
no mal
s a e
wi hin
ew
hou s.
In
ano he
s udy,
he
ound
a
educ ion
in
he
CSF
wi h
so
CL
a e
ew
hou s
o
wea
when
compa ed
o
he
ini ial
CSF
wi h
no
co ec ion.22
As
shown
in
Table
3
and
Fig.
2,
CSF
seems
o
a y
wi h
lens
ma e ials.
The e
was
a
smalle
di e ence
in
CSF
on
lowe
spa ial
equency
when
compa ed
o
he
CSF
on
highe
spa-
ial
equencies,
and
his
a ia ion
was
highly
pe cei able
a e
h ee
mon hs
o
CL
wea .
Howe e ,
his
a ia ion
was
no
s a is ically
signi ican .
Mo eo e ,
in
his
s udy,
he
CSF
was
simila
wi h
daily
disposable
e sus
mon hly
disposable
lenses
and
silicone
lenses
e sus
hyd ogel
lenses.
Con a y
o
he
p esen
indings,
Belda-Salme on
ound
ha
he
CSF
depends
on
he
lens
ma e ials
as
well
as
lens
design
and
manu ac u ing
me hods.6They
epo ed
se e e
educ ion
in
he
CSF
wi h
hicke
lenses
han
hinne
lenses
and
a
be e
CSF
wi h
la he-cu
lenses
as
opposed
o
spec acles
o
cas -moulded
lenses
was
ound.
Howe e ,
in
he
cu en
s udy,
he e
was
no
signi ican
co ela ion
be ween
changes
in
he
CSF
and
cen e
hickness.
This
may
be
due
o
he
ac
ha ,
a
small
ange
o
cen e
hickness
o
he
CL
was
used
in
he
cu en
s udy.
Gup a
e
al.
compa ed
he
CSF
wi h
wo
ypes
o
CLs,
Pu e ision
mul i ocal
and
Pu e ision
single
ision
lenses,
and
ound
no
di e ences
in
he
CSF.26
Simila ly,
Fe nandes
e
al.
ound
no
signi ican
di e ence
in
he
CSF
wi h
mul i ocal
and
mono ision
CL
in
p esbyopic
subjec s.5
This
s udy
used
he
CSV-1000
o
con as
sensi i i y
mea-
su emen .
Some
o
he
s udies
ound
lowe
eliabili y
o
he
CSV-1000
in
CS
measu emen .27 Howe e ,
he
same
es
was
used
du ing
all
he
isi s
in
his
longi udinal
s udy
and
he
same
examine
measu ed
all
he
da a.
I
was
epo ed
ha
eliabili y
inc eases
i
pe o med
by
he
same
examine .27
One
limi a ion
o
he
s udy
is
ha
he
CSF
was
measu ed
wi h
habi ual
spec acles
o
he
subjec s
on
he
i s
day,
and
he
powe
o
he
spec acles
in
some
o
he
subjec s
migh
no
be
accu a e
a
ha
ime.
Thus,
om
his
s udy,
i
can
be
concluded
ha
CSF
is
highe
wi h
so
CL
when
compa ed
o
he
CSF
wi h
spec-

Con as
sensi i i y
wi h
so
con ac
lens
wea
101
acles.
No
signi ican
di e ence
was
ound
in
he
CSF
wi h
CL
be ween
baseline
and
a e
3
mon hs
o
lens
wea .
The
CSF
wi h
CL
does
no
ela e
o
he
lens
ma e ials,
wea ing
modali y
and
gende
o
he
subjec s.
In
he
u u e,
i
would
be
in e es ing
o
explo e
he
e ec
o
o ic
and
mul i ocal
CL
wea
on
he
CSF.
Con lic
o
in e es
The
au ho s
ha e
no
con lic s
o
in e es
o
decla e.
Financial
suppo
This
wo k
was
suppo ed
by
he
Po uguese
Founda ion
o
Science
and
Technology
(FCT)
wi hin
he
amewo k
o
he
S a egic
Funding
UID/FIS/04650/2019.
Re e ences
1.
Pelli
DG,
Bex
P.
Measu ing
con as
sensi i i y.
Vision
Res.
2013;90:10---14.
2.
B iggs
ST.
Con as
sensi i i y
assessmen
o
so
con ac
lens
wea e s.
In
Con ac
Lens
Clin.
1998;25:99---102.
3.
Do n
L.
Con as
Sensi i i y
in
S abologic
Func ional
Tes .
Ac a
Clin
C oa .
2008;47:15---20.
4.
de
Fez
MD,
Luque
MJ,
Viquei a
V.
Enhancemen
o
con as
sensi i i y
and
losses
o
ch oma ic
disc imina ion
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