Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Correlation of Tear Break-Up Time according to Corneal Refractive Power

각막굴절력에 따른 누액층 파괴시간 분포와 연관성

  • 정연홍 (경동대학교 안경광학과)
  • Received : 2013.03.27
  • Accepted : 2013.06.07
  • Published : 2013.06.30
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Abstract

In this study, the relation between the corneal refractive power and the tear break-up time(TBUT) was analyzed. The results can be effectively used in eye clinics and served as the reference on wearing the contact lenses. We had measured the radius of the corneal of university students who are in the range of 21 to 27 year-old and who don't have eye disease. The corneal refractive power was calculated by using the radius of the corneal. And TBUT is the time when the mire image is distorted first time. The relation between the corneal refractive power and TBUT in right eye was a linear as 'y=37.921-0.610x', in which the larger the refractive power of the cornea is, the shorter TBUT is(negative relationship; r=-0.462, p=0.010). The relation in left eye was also a negatively linear as 'y=41.894-0.695x'(r=-0.509, p=0.004). Consequently, in both eyes the corneal refractive power and TBUT have a negative correlation when myopia is a high. It is possible to predict TBUT, which is necessary in deciding on wear of contact lenses, by measuring the corneal radius of subjects.

본 연구에서는 각막굴절력에 따른 누액층 파괴시간(TBUT)의 연관성을 분석하여 콘택트렌즈의 선택 및 착용을 위한 참고자료로 활용하고자 한다. 각막손상 및 안질환이 없는 만 21세부터 27세 이하(평균 $22.87{\pm}1.48$세) 대학생들의 각막곡률반경을 각막곡률계로 측정하였다. 각막굴절력은 곡률반경을 이용하여 계산하였고 TBUT는 각막곡률계의 마이어(mire) 상이 처음으로 왜곡되는 시간으로 측정하였다. 각막굴절력과 TBUT의 관계에서 우안의 경우, 'y=37.921-0.610x'의 관계를 가지며 각막굴절력이 클수록 누액층이 파괴되는 시간이 단축되는 음의 연관성을 나타냈다(r=-0.462, p=0.010). 좌안은 'y=41.894-0.695x'의 관계로서 음의 연관성(r=-0.509, p=0.004)으로 측정되어 좌 우안 모두 각막근시도가 높으면 TBUT는 짧아지는 음의 상관관계가 있는 것으로 분석되었다. 이 결과는 피검자의 각막곡률반경 측정으로 콘택트렌즈 착용여부를 결정하는데 필요한 TBUT의 기본적인 예측이 가능하다.

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