Page 119 - The Indian Optician Digital Edition July-August 2021
P. 119

CONTACT LENS






          - WETTABILITY, CLEANING,


          DISINFECTION AND INTERACTION

          WITH TEARS












                                                  he material of contact lenses has undergone a
                                                  tremendous amount of change in the last two
                                             Tdecades, and so has its usage. Whilst one of the
                                             major criteria of choosing a contact lens is the comfort
                                             it offers, research has made it more accessible and
                                             affordable. The comfort of a contact lens heavily depends
                                             on its wettability.

                                               Before one delves into the details, it is important to
                                             understand a bit more about contact lens wettability.
                                             In simple terms, contact lens wettability is a measure
                   Khushbu Arora             of how easily and effortlessly a liquid can spread over
                Manager and Optometrist,     the surface of the contact lens. This can be essentially
                  Arora Optical, Raipur
                                             studied in two settings - clinically and in a laboratory.
                                             In the former, the wettability of a material is measured
                                             on-eye by determining the break-up time of the tear film
                                             over the front surface of the lens. In the latter setting, it
                                             is determined through the contact angle that provides
                                             the inverse angle of wettability, i.e. higher wettability
                                             corresponds through lower angles. The research on
                                             contact lenses has been largely driven by this one factor
                                             but there is no substantial evidence that correlates
                                             wettability with comfort either which provides further
                                             scope and also places power in the hands of the patient.

                                             CLEANING AND DISINFECTING
                                               There are two kinds of contacts - single-use and
                                             reusable. The ones designed for single-use are contained
                                             in a cleaning agent until removed, used and then
                                             discarded within a certain time frame, leaving no room
                                             for any avoidable disinfection. It is the reusable lenses
                                             that need to be placed in lens solution for cleaning and
                                             disinfecting purposes at the end of each day. The solution
                                             also hydrates the lens and makes it ready for the next


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