Terminologies in contact lens dimension and manufacturing of RGP lenses

Manoj Mahat
Manoj MahatOptometrist em Institute of Medicine
Terminologies in contact lens dimensions and
manufacturing of RGP lens
Moderator Presenter
Mr. Sanjib Kumar Mishra Mr. Manoj Mahat
Ms Jenisha Bhattrai
Introduction to RGP
• Rigid Gas Permeable
• Hard lens that allows the passage of oxygen in substantial amount for the normal
corneal metabolism. -Philips.
• A lens that with normal lid pressure, body temperature and water content at
equilibrium with the wearing environment does not mould to the eye surface.
Lens parameters : ISO terminology
1.r0= Back Optic Zone Radius (BOZR)
2. r1= Back Peripheral Radius, First (BPR1)
3. r2= Back Peripheral Radius, Second (BPR2)
4. ra0= Front Optic Zone Radius (FOZR)
5.ra1= Front Peripheral Radius, First (FPR1)
6.tc= Geometric Centre Thickness
7.tpj1= Peripheral Junction Thickness, First
8.tpj2= Peripheral Junction Thickness, Second
9. tER= Radial Edge Thickness
10.tEA= Axial edge Thickness
11.Ø0 = Back Optic Zone Diameter (BOZD)
12.Øa0 = Front Optic Zone Diameter (FOZD)
13. Ø1 = Back Peripheral Zone Diameter (BPZD )
14. ØT = Total Diameter (TD)
• Miscellaneous (not shown):
• Fv ´ = Back Vertex Power (BVP)
• Fv= Front Vertex Power (FVP)
Terminologies in contact lens dimension and manufacturing of RGP lenses
Terminologies in contact lens dimension and manufacturing of RGP lenses
1. Total diameter
• Linear measurement of the greatest distance across the physical
boundaries of the lens.
• Expressed in millimeters
• RGP lenses typically have a diameter varying between 9.0 and 9.8
mm
• An overall diameter of 0.5mm less or more may be selected if corneal
dimeter and palpebral aperture are small or wide respectively
• Diameter of lens and base curve have direct co-relation
• 1mm change in diameter is equivalent to 0.01mm change in radius
Effects of Changing the Lens Total Diameter
Affects other parameters:
• Centre of gravity
• Peripheral curve width
• Axial edge lift
• Edge profile
CHANGING LENS TOTAL DIAMETER
Affects fitting:
• Centration
• Corneal coverage
• Movement/tightness
• Tear exchange
• Lid interaction
CHANGING LENS TOTAL DIAMETER
• May also affect:
 Comfort:
• Larger lens diameter places more of the lens edge under the lids in resting
position enhancing the comfort of RGP lens.
• Williams-Lyan et al.,(1993) showed that larger diameter(10mm vs 9.5 and
9.0mm) RGP lenses were more comfortable.
3 & 9 o'clock staining
• If an area is susceptible to staining(3-9 o’clock) then increasing diameter
will help to reduce this
• Occurs due to poor wetting in the horizontal axis
Centre of Gravity: Plus Lens
Changing the Lens Total Diameter
This diagram illustrates the effect that diameter reduction has on the location of the C of G of plus lenses. A
larger diameter plus lens places the
C of G more posteriorly. The more anterior the
C of G is located, the potentially less stable will be the fit because of the greater mislocation force (rotational
moment) produced by gravity.
The work of Carney and Hill (1987) has clearly demonstrated that the main design
change with RGP lenses that significantly affects the C of G is the lens TD. For plus
lenses, a diameter change of 0.1 mm produces a 7x greater effect on the position of
the centre of gravity than does a 0.01 mm change in the lens centre thickness.
This diagram illustrates the effect lens diameter can have on the location of the C of G of minus lenses.
A more anterior C of G is located in a smaller lens creating a less stable fit because of the greater
mislocation force (rotational moment) produced by gravity.
For minus lenses, a change in the lens TD produces a slightly reduced effect on the C of G compared
with plus power lenses.
Reducing the Lens Total Diameter
Effect on the static fitting:
• Reduced edge width and clearance
 Effect on dynamic fitting:
• Loosening of lens fit
• Increased lens movement
• Decentration more likely
Terminologies in contact lens dimension and manufacturing of RGP lenses
Optic zone diameter
• It is the dimension of the central optic zone of lens meant for focusing
rays on retina
• Should be larger than pupil size and cover during movement
• Dependent upon overall diameter and peripheral curve
• Normal range:7.0-8.5mm
Changing the Back Optic Zone Diameter (BOZD)
• Increasing the BOZD increases apical clearance:-tightens fit - improves
centration
• Decreasing the BOZD decreases apical clearance:-loosens fit-increases
decentration
Effects on movement and centration
• Small BOZD (7.40 mm) lenses showed slightly less movement but greater
decentration than larger (7.90, 8.40 mm) lenses
2. Lens Thickness
• Effects of Changing the Lens Centre Thickness
A. Decreases transmissibility.
An inverse relationship between oxygen permeability and lens thickness
increasing oxygen transmission by decreasing the centre thickness (tc)
will reduce the level of corneal oedema during lens wear.
B. Moves C of G anteriorly.
Thinning a lens causes an inward shift of the C of G which translates into
improved lens stability.
C. Increases movement.
Due to the anterior shift of the C of G, greater movement
accompanied by a looser fitting lens may be exhibited.
 Increased lens-lid interaction may also develop which, if excessive,
may cause instability of the lens fitting.
Changing the Lens Thickness
• Centre Thickness: Comfort Study
• Generally, thinner lenses are more comfortable. However, in a study
by Cornish and Sulaiman (1996), very thin lenses (0.08 mm) were
significantly more uncomfortable than thicker lenses (0.12 and 0.16
mm). They hypothesized this was due to deformation of the thinner
lens during a blink. The deformation would result from the greater
flexibility of the lens.
Changing the Lens Thickness
Edge Profile:
• The edge profile are ideally directed towards producing an edge with a well rounded,
centrally or posteriorly located apex to attain maximum comfort.
• Changes to lens edge thickness affects
Affects other parameters:
• Edge thickness
• Apex position and location
Affects fitting:
• Lid interaction
• Vertical centration
• Tear meniscus
• Lens removal
Influences subjective response:
• Comfort
• Vision
Creates physiological changes:
• 3 & 9 o'clock
• Conjunctival chemosis/staining
• Bulbar redness
Edge Configuration
• Edge configuration can affect:
Comfort: Generally, the thinner, rounder and smoother the edge, the
better.
Durability: If the edge is too thin, the risk of lens fragility is increased
and if it is too thick, comfort is adversely affected.
Tear meniscus: The edge clearance, apex location and material
wettability largely define the tear meniscus at the lens edge.
Edge Configuration
Comfort versus Edge Shape
• RGP lenses with rounded and square posterior edge profiles are more
comfortable
• Comfort is determined by interaction of lens edge with the lid
• Edge Configuration
Comfort versus Apex Location:
• In a detailed study of custom fitted lenses, Orsborn (1988) found a
centrally located edge apex was more comfortable than either a
posterior or anterior location.
Back Vertex Power
• Measured as the position of the second principal focus from the back
vertex of the lens
Measurement of BVP of a contact lens requires a special stage on the focimeter (vertometer, lensometer) to
accurately locate the back vertex of a contact lens
• Front Vertex Power
• Front vertex power (also called the neutralizing power) is sometimes
used when specifying the power of haptic lenses.
• This is because the depth of a scleral shell may prevent the back
vertex from touching the focimeter stop.
• Under these circumstances the FVP can be determined using either a
special stop or placing a thin glass flat across the stop to locate the
front vertex of the lens.
• FVP can be calculated in a similar manner to that used for BVP.
Front Peripheral Radius (FPR):
• The lens peripheral profile is defined by the front peripheral radius
(FPR), the back peripheral radius (BPR) and their angular separation.
• FPR Can affect:
• Junction angle
• Junction thickness
• Front peripheral curve width
INCREASING JUNCTION THICKNESS
• The effects:
• Decreases comfort
• Increases upper lid interaction
• Superior/central lens decentration
•DECREASING JUNCTION THICKNESS
• The effects:
• Improves comfort
• Minimizes upper lid interaction
• Central/lower lens position
Edge Thickness:
• The edge thickness of an RGP lens is a key design feature affecting level of
comfort experienced by the patient.
• The edge thickness(measured as the radial edge thickness, tER) is
dependent on the lens BVP, lens design, material properties, manufacturing
process, etc.
• The manufacturer will attempt to determine the type of lenticulation and
edge design that is most appropriate.
• For a given RGP lens design, as the minus BVP increases, the unfinished
edge thickness also increases.
• Based on an edge thickness calculation, the lenticulation process should be
chosen that provides the most effective reduction in the finished edge
thickness
• An edge thickness of about 0.12 mm is considered to be optimal for
comfort and lens durability.
• A thinner lens edge will be prone to breakage, whereas a thicker
edge may reduce comfort.
• The lenticulation process involves either a straight line taper using a
conical modification tool, or a lathe-cut peripheral curve.
• A taper may generally be used up to an edge thickness of 0.20 mm.
• For thicker edges, the use of a lathed edge curve will be more
suitable.
Terminologies in contact lens dimension and manufacturing of RGP lenses
Base curve
• Curve on the back surface of the lens to fit the front surface of cornea
• Base curve should align with the curvature of cornea
• The base curve radius (BCR) to be selected for a given patient
depends upon several factors, including corneal curvature, lid-to-
cornea relationship and fluorescein pattern evaluation.
• As the cornea is aspheric and tends to flatten at a greater rate at an
increasing distance from the center, the selection of a base curve radius
that is slightly flatter than “K” should result in an alignment fitting
relationship.
• A simple rule of thumb is to flatten the BCR by 0.25D for every increase
in overall diameter of 0.5mm and to steepen the BCR by 0.25D for
every decrease in overall diameter of 0.5mm.
• Gas permeable lenses will always move along the steeper meridian of
the cornea as well as to the steepest region of the cornea (i.e., apex).
• Range of normal values:7.0-8.5mm
Changes to the back surface design will affect the:
• Fluorescein pattern: Changes to the back surface geometry can be
observed by the effect the varying regional differences in the post-
lens tear film thickness have on fluorescein brightness.
• Centration :An alignment fit is desirable to achieve good lens
centration, but this is influenced by the back surface curvature of the
RGP lens in relation to the curvature and sphericity of the corneal
surface.
• Movement: due to interaction between the RGP lens and the lid
forces during blink( particularly the upper lid).
• Tear exchange :The back peripheral surface geometry is crucial to
allowing a good tear exchange. A tight back periphery can greatly limit
tear exchange.
Terminologies in contact lens dimension and manufacturing of RGP lenses
BOZR/BOZD RELATIONSHIP
• This Rule of Thumb is a useful guide to determining the effect of
BOZD changes to the BOZR while trying to maintain the same central
TLT.
• In a study by Atkinson (1984), an 0.7 mm change in BOZD is required
for every change of 0.5 mm BOZR to maintain the same fluorescein
fitting pattern.
Terminologies in contact lens dimension and manufacturing of RGP lenses
Terminologies in contact lens dimension and manufacturing of RGP lenses
Terminologies in contact lens dimension and manufacturing of RGP lenses
Terminologies in contact lens dimension and manufacturing of RGP lenses
Terminologies in contact lens dimension and manufacturing of RGP lenses
Terminologies in contact lens dimension and manufacturing of RGP lenses
Terminologies in contact lens dimension and manufacturing of RGP lenses
Terminologies in contact lens dimension and manufacturing of RGP lenses
Terminologies in contact lens dimension and manufacturing of RGP lenses
• The terminology for a standard tricurve lens in ISO 8320-1986
symbols is:
• Example:7.90:7.80/8.70:8.60/10.75:9.20 tc 0.15 BVP -3.00D Tint
light blue
• 7.90 = back optic zone radius (BOZR) r0
• 7.80 = back optic zone diameter (BOZD Ø0
• 8.70 = first back peripheral radius r1
• 8.60 = first back peripheral zone diameter Ø1
• 10.75 = second back peripheral radius r2
• 9.20 = total diameter ØT
• 0.15 = geometric centre thickness tc
• -3.00 = back vertex power (BVP)
Terminologies in contact lens dimension and manufacturing of RGP lenses
RGP Polymers
1.PMMA
The first commercially available RGP material.
 It is a derivative of acrylic material (CH2=CH-COOH)
Advantages:
High optical quality and stability
Readily machined and polished.
 It is non toxic and does not excite allergic reactions
Disadvantage
Almost zero oxygen permeability.
Being relatively hard, it can induce corneal abrasions.
 Being hydrophobic in nature, it resists wetting.
Cellulose Acetate Butyrate
Flexible, water resistant.
Can be molded or lathed
Hydroxyl group result in 2% water content and reasonable wettability.
Material stability lower than PMMA.
 Dk in range 4 to 8.
Butyl Styrene
DK of 25
The refractive index of 1.553 is the highest of any RGP material.
The specific gravity of 0.95 is the lowest of any RGP material.
The combination of high refractive index and low specific gravity
offers the thinnest, lightest lens possible. This makes the material
ideal for high RX
Siloxane Acrylate
A PMMA backbone gives material its dominant physical properties
especially rigidity.
 Si-O-Si bond results in significant increase in oxygen permeability but
reduction in material rigidity.
Unlike PMMA lens materials which are made of single component, SA material
contain methacrylate, wetting agents and cross linking agents.
 Dks in low to medium range are available
Advantages
Higher oxygen permeability than the preceding lenses.
The lower rigidity of SAs allows lenses to conform more closely
to the shapes of corneas on which they are placed .
Allows Optic Zone diameter to increase.
Disadvantages
More deposit prone
 Surface easily scratched
 Higher breakage rate.
 Can craze
 Reduced correction of corneal astigmatism
 Flexure problems
 Parameter instability
Fluoro-siloxane Acrylate
Developed to increase Dk of RGP materials and to increase
resistance to surface deposition.
The element F is added to basic SA chemistry to enhance
oxygen permeability.
 A lower surface charge results
DKs of 40-100 are more achievable.
DKs are high enough for extended wear to be a possibility
Disadvantages
FAs are generally more flexible than SAs
 Surfaces are relatively easily scratched.
Per-fluoroethers
A per-fluoroether consists of fluorine, oxygen, carbon and hydrogen
Advantages
 High DK(90+), potentially sufficient to support extended wear
No surface charge thus reducing the likelihood of lens spoilage
High flexibility, conforming to the corneal shape.
This results in stable vision and comfort
Disadvantages
A low refractive index means thicker lens for a given prescription
High specific gravity means a heavier lens for a given prescription
 Low yields and high costs
The wet ability of the fluorocarbon lens surface is only average
 On eye flexibility and conformity reduces the correction of cornea
induce d astigmatism.
Manufacturing Methods
There are three main manufacturing methods:
1.Moulding - mainly the mass production of lenses of limited parameters at
low cost.
2.Lathe cutting - the production of individually specified lenses.
3. Hybrid lens manufacture - a combination of the two.
1.Molding
Manufacturing Step
Step1-
Within a typical injection-moulding machine are two operating
faces known as bolsters
 These effectively close together to form the cavity into which
the moulding material is injected.
Step2-Once the cavity is formed the molding material is injected into the
mould at very high pressure to ensure that the complete cavity is filled.
Stage3 - Once cooled, the bolsters are moved apart to allow access to the
cast.
Stage 4 - The cast is removed from the bolster, using a robotic system and
then it is transferred onto a conveyor where it is stocked for the next stage
Stage 5 and 6
A precise quantity of contact lens material monomer is placed on the female
cast mould.
 Immediately after dosing the mould, the male cast mould is placed on the
female to form an individual contact lens cavity containing the monomer and
squeezed.
 Female mold defined front surface of contact lens and male mold defines
the back surface
Stages 7 and 8 –
The combined female and male mould is transferred from the conveyor
system into a polymerization process.
 Each contact lens material uses a different polymerization process to cure
the monomer
Step 9 and 10-
Once fully cured the casts are mechanically bent and separated to reveal the
contact lens.
Stage 11 –
The lens is hydrated and washed in a hydrating fluid such as saline, and a
cleaning solution, in a suitable bath.
 This process also removes any excess monomers that have not been
polymerized.
Stage 12- Quality inspection and final packaging
Terminologies in contact lens dimension and manufacturing of RGP lenses
Molding Advantages
 Low cost per lens
 Rapid
 Volume production is easy
 Good surface quality
 Good reproducibility
Disadvantages
Expensive to start production
 Expense limits parameter range
 Essentially for stock lenses only
2. Lathing
Lathe cutting is a technique favored throughout the world as a method for
the manufacture of both specialist and durable RGP.
a. Lens Design
 Machining parameters are determined taking into account the specified
parameters ,designs and material property of the lens.
 Depending on the level of automation, the machining parameters are
transferred into the contact lens laboratory.
b. Annealing
All casting introduces strain, which needs to be released from the material
to ensure consistent results in rigid lens fabrication.
 This is done by annealing which involves heating the material to a
temperature between 140 and 150°C for a short period and slowly returning
it to room temperature.
c. Stress testing
Any stress present in the blank will later cause distortion to the finished lens.
 Blanks are assessed for stress by viewing with a polarized light strain tester
Terminologies in contact lens dimension and manufacturing of RGP lenses
Back surface lathing
The material blank is held in the spindle of the lathe by the spindle collets.
 Then the cutting process is started ensuring that the correct data have been
uploaded into the lathe.
 The final cui creates the final back surface geometry and removes only
0.005--0.02 mm of material
The feed rate, depth of cuts and spindle speeds are preprogrammed according
to the particular characteristics of the material being machined.
 When the generation of the back surface is complete, the blank is removed
from the collet and replaced with the next blank.
Marking
Marks are produced on lenses by laser light focused to
create a series of axis alignment marks
 Or, by engraving using diamond tool held against the
surface with a specific force and moved to create the
required mark.
Substance measurement
During the front lathing process, the lathe probes the back surface
 And then it calculates the amount of material to remove by subtracting the
desired centre thickness from the substance thickness
Back surface polishing
Polishing is carried out in
the-conventional manner
by mounting the blank in a
plastic ‘clippy'.
The polishing tool may be formed from a spherical
convex tool covered with foam and a polishing cloth held
on to the tool by an
o -ring
Front Surface blocking
It allows the front lathe to cut the front surface accurately.
The blank must be presented on a chuck designed to fit within the
spindle collet and remain optically concentric
Front surface lathing
The cutting process is similar to that of the back surface.
 Except that an initial probing routine is used to determine the back
reference surface of the lens blank as previously described
Front surface polishing
Same as that of back surface polishing
Back surface blending
This is carried out on multicurve RGP lenses
in order to smooth the transitions. it is necessary to blend between each
successive curve.
The contact lens is held on a suction holder against the vertical spindle
carrying the convex tool.
 Using plenty of polishing compound, the lens is moved from side to side
and removed for frequent inspection
Edge polishing
Most laboratories use an
automatic edge polisher to
polish RGP lenses.
 The lens is held in a suction cup and rotated on a revolving
sponge, which contains polish.
Final checking
The checking of the final lens includes thickness, diameter, radius, back
vertex power measurements, Surface and edge quality.
Lens cleaning and packaging
 Once an RGP lens completes final inspection, it is cleaned using a
laboratory contact lens cleaning solution.
Cleaning removes all traces of polish and detritus likely to affect the surface
wet ability of the lens.
 The lens is then rinsed in purified water, to ensure that it is perfectly clean,
and placed into its final container either as a dry lens or with a disinfecting
wetting solution.
Toric lens production
Concave and convex toric surfaces can be produced in
one of two ways:
Manual methods such as crimping. (historical interest
only)
 Lathe cutting, which can be subdivided into:
Direct lathing using oscillating tool technologies
 Toric generation using fly-cutting techniques
 automatic crimping techniques
Oscillating tool technology
It is a method for oscillating the diamond-cutting tool on a contact lens
lathe.
The oscillations are sinusoidal and the period is synchronized to the
rotation of the lathe spindle such that the lathe cuts a toric surface directly
onto the contact lens blank.
Toric generation using fly cutting technique
Here the position of blank and cutting tool are reversed.
 When the spindle rotates the fly cutter tip describes in the vertical plane
and at right angles to the spindle axis
 This process defines a circle whose radius is the distance from the centre of
the spindle to the tip of the diamond
The radius of the vertical circle, which is the flatter radius of the toric
surface, can be altered by:
• Changing the size of the cutting tool.
• Offsetting the axis of the fly-cutting tool centre line in relation to the
centre line of the radius cartridge.
Automated crimping technique
It induces toricity by a double-toothed jawed collet crimping the blank in situ.
The degree of crimp and hence toricity is controlled by computer
Once the requisite amount of crimp is achieved, the lens blank is
machined using conventional spherical lathing.
 Front surface toric lenses can be generated in a similar fashion to the back
surface
Advantages
Established technology
 Simple
 Wide range of parameters
 Suits most materials
Disadvantage
 Complex designs are difficult.
 Intensive labor is required.
 High cost per lens
 Variable surface finish
 Relatively slow
 Less reproducibility
Manufacturing RGP bifocals
Concentric and progressive bifocals are made by using conventional lathing or
molding techniques.
 Implanted segments have a high refractive index segment incorporated in a
lens button of conventional material. They are usually D shaped or crescent
shaped.
Diffractive Concentric zones are molded onto the lens back segment.
Terminologies in contact lens dimension and manufacturing of RGP lenses
Hybrid Process
 Lenses are manufactured using the cast-moulding
technique with a defined back surface geometry and
a generic front surface.
 Once the mould is split, the cast lens is then lathe-
cut while remaining attached to the back surface
mould.
Preliminary lens assessment
Dry state-
BOZR and lens diameter are amongst the most
important measurements.
 BVP is measured to determine that the final
prescription is as ordered.
 CT is measured as it determines the physiology of the lens.
 Edge profile has been shown to be critical to lens comfort.
 The overall quality of workmanship needs to be assessed to
predict the optimum performance and comfort on the eyes.
Wet state
BOZR is critical. It influences the lens fit and optics of the tear lens.
The BOZR will be approximately 0.03mm flatter after hydration.
Image quality is assessed to determine the optical quality of the product.
Changes from dry to hydrated state
Expansion resulting from hydration and its uniformity determine the
outcome of hydration step.
 Any untoward hydration effect has the potential to produce a toric or
even irregular lens shape.
REFRENCES
Terminologies in contact lens dimension and manufacturing of RGP lenses
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Terminologies in contact lens dimension and manufacturing of RGP lenses

  • 1. Terminologies in contact lens dimensions and manufacturing of RGP lens Moderator Presenter Mr. Sanjib Kumar Mishra Mr. Manoj Mahat Ms Jenisha Bhattrai
  • 2. Introduction to RGP • Rigid Gas Permeable • Hard lens that allows the passage of oxygen in substantial amount for the normal corneal metabolism. -Philips. • A lens that with normal lid pressure, body temperature and water content at equilibrium with the wearing environment does not mould to the eye surface.
  • 3. Lens parameters : ISO terminology 1.r0= Back Optic Zone Radius (BOZR) 2. r1= Back Peripheral Radius, First (BPR1) 3. r2= Back Peripheral Radius, Second (BPR2) 4. ra0= Front Optic Zone Radius (FOZR) 5.ra1= Front Peripheral Radius, First (FPR1) 6.tc= Geometric Centre Thickness 7.tpj1= Peripheral Junction Thickness, First 8.tpj2= Peripheral Junction Thickness, Second
  • 4. 9. tER= Radial Edge Thickness 10.tEA= Axial edge Thickness 11.Ø0 = Back Optic Zone Diameter (BOZD) 12.Øa0 = Front Optic Zone Diameter (FOZD) 13. Ø1 = Back Peripheral Zone Diameter (BPZD ) 14. ØT = Total Diameter (TD) • Miscellaneous (not shown): • Fv ´ = Back Vertex Power (BVP) • Fv= Front Vertex Power (FVP)
  • 7. 1. Total diameter • Linear measurement of the greatest distance across the physical boundaries of the lens. • Expressed in millimeters • RGP lenses typically have a diameter varying between 9.0 and 9.8 mm • An overall diameter of 0.5mm less or more may be selected if corneal dimeter and palpebral aperture are small or wide respectively • Diameter of lens and base curve have direct co-relation • 1mm change in diameter is equivalent to 0.01mm change in radius
  • 8. Effects of Changing the Lens Total Diameter Affects other parameters: • Centre of gravity • Peripheral curve width • Axial edge lift • Edge profile
  • 9. CHANGING LENS TOTAL DIAMETER Affects fitting: • Centration • Corneal coverage • Movement/tightness • Tear exchange • Lid interaction
  • 10. CHANGING LENS TOTAL DIAMETER • May also affect:  Comfort: • Larger lens diameter places more of the lens edge under the lids in resting position enhancing the comfort of RGP lens. • Williams-Lyan et al.,(1993) showed that larger diameter(10mm vs 9.5 and 9.0mm) RGP lenses were more comfortable. 3 & 9 o'clock staining • If an area is susceptible to staining(3-9 o’clock) then increasing diameter will help to reduce this • Occurs due to poor wetting in the horizontal axis
  • 11. Centre of Gravity: Plus Lens Changing the Lens Total Diameter This diagram illustrates the effect that diameter reduction has on the location of the C of G of plus lenses. A larger diameter plus lens places the C of G more posteriorly. The more anterior the C of G is located, the potentially less stable will be the fit because of the greater mislocation force (rotational moment) produced by gravity.
  • 12. The work of Carney and Hill (1987) has clearly demonstrated that the main design change with RGP lenses that significantly affects the C of G is the lens TD. For plus lenses, a diameter change of 0.1 mm produces a 7x greater effect on the position of the centre of gravity than does a 0.01 mm change in the lens centre thickness.
  • 13. This diagram illustrates the effect lens diameter can have on the location of the C of G of minus lenses. A more anterior C of G is located in a smaller lens creating a less stable fit because of the greater mislocation force (rotational moment) produced by gravity. For minus lenses, a change in the lens TD produces a slightly reduced effect on the C of G compared with plus power lenses.
  • 14. Reducing the Lens Total Diameter Effect on the static fitting: • Reduced edge width and clearance  Effect on dynamic fitting: • Loosening of lens fit • Increased lens movement • Decentration more likely
  • 16. Optic zone diameter • It is the dimension of the central optic zone of lens meant for focusing rays on retina • Should be larger than pupil size and cover during movement • Dependent upon overall diameter and peripheral curve • Normal range:7.0-8.5mm
  • 17. Changing the Back Optic Zone Diameter (BOZD) • Increasing the BOZD increases apical clearance:-tightens fit - improves centration • Decreasing the BOZD decreases apical clearance:-loosens fit-increases decentration Effects on movement and centration • Small BOZD (7.40 mm) lenses showed slightly less movement but greater decentration than larger (7.90, 8.40 mm) lenses
  • 18. 2. Lens Thickness • Effects of Changing the Lens Centre Thickness A. Decreases transmissibility. An inverse relationship between oxygen permeability and lens thickness increasing oxygen transmission by decreasing the centre thickness (tc) will reduce the level of corneal oedema during lens wear. B. Moves C of G anteriorly. Thinning a lens causes an inward shift of the C of G which translates into improved lens stability.
  • 19. C. Increases movement. Due to the anterior shift of the C of G, greater movement accompanied by a looser fitting lens may be exhibited.  Increased lens-lid interaction may also develop which, if excessive, may cause instability of the lens fitting.
  • 20. Changing the Lens Thickness • Centre Thickness: Comfort Study • Generally, thinner lenses are more comfortable. However, in a study by Cornish and Sulaiman (1996), very thin lenses (0.08 mm) were significantly more uncomfortable than thicker lenses (0.12 and 0.16 mm). They hypothesized this was due to deformation of the thinner lens during a blink. The deformation would result from the greater flexibility of the lens.
  • 21. Changing the Lens Thickness Edge Profile: • The edge profile are ideally directed towards producing an edge with a well rounded, centrally or posteriorly located apex to attain maximum comfort. • Changes to lens edge thickness affects Affects other parameters: • Edge thickness • Apex position and location Affects fitting: • Lid interaction • Vertical centration • Tear meniscus • Lens removal
  • 22. Influences subjective response: • Comfort • Vision Creates physiological changes: • 3 & 9 o'clock • Conjunctival chemosis/staining • Bulbar redness
  • 23. Edge Configuration • Edge configuration can affect: Comfort: Generally, the thinner, rounder and smoother the edge, the better. Durability: If the edge is too thin, the risk of lens fragility is increased and if it is too thick, comfort is adversely affected. Tear meniscus: The edge clearance, apex location and material wettability largely define the tear meniscus at the lens edge.
  • 24. Edge Configuration Comfort versus Edge Shape • RGP lenses with rounded and square posterior edge profiles are more comfortable • Comfort is determined by interaction of lens edge with the lid
  • 25. • Edge Configuration Comfort versus Apex Location: • In a detailed study of custom fitted lenses, Orsborn (1988) found a centrally located edge apex was more comfortable than either a posterior or anterior location.
  • 26. Back Vertex Power • Measured as the position of the second principal focus from the back vertex of the lens Measurement of BVP of a contact lens requires a special stage on the focimeter (vertometer, lensometer) to accurately locate the back vertex of a contact lens
  • 27. • Front Vertex Power • Front vertex power (also called the neutralizing power) is sometimes used when specifying the power of haptic lenses. • This is because the depth of a scleral shell may prevent the back vertex from touching the focimeter stop. • Under these circumstances the FVP can be determined using either a special stop or placing a thin glass flat across the stop to locate the front vertex of the lens. • FVP can be calculated in a similar manner to that used for BVP.
  • 28. Front Peripheral Radius (FPR): • The lens peripheral profile is defined by the front peripheral radius (FPR), the back peripheral radius (BPR) and their angular separation. • FPR Can affect: • Junction angle • Junction thickness • Front peripheral curve width
  • 29. INCREASING JUNCTION THICKNESS • The effects: • Decreases comfort • Increases upper lid interaction • Superior/central lens decentration •DECREASING JUNCTION THICKNESS • The effects: • Improves comfort • Minimizes upper lid interaction • Central/lower lens position
  • 30. Edge Thickness: • The edge thickness of an RGP lens is a key design feature affecting level of comfort experienced by the patient. • The edge thickness(measured as the radial edge thickness, tER) is dependent on the lens BVP, lens design, material properties, manufacturing process, etc. • The manufacturer will attempt to determine the type of lenticulation and edge design that is most appropriate. • For a given RGP lens design, as the minus BVP increases, the unfinished edge thickness also increases. • Based on an edge thickness calculation, the lenticulation process should be chosen that provides the most effective reduction in the finished edge thickness
  • 31. • An edge thickness of about 0.12 mm is considered to be optimal for comfort and lens durability. • A thinner lens edge will be prone to breakage, whereas a thicker edge may reduce comfort. • The lenticulation process involves either a straight line taper using a conical modification tool, or a lathe-cut peripheral curve. • A taper may generally be used up to an edge thickness of 0.20 mm. • For thicker edges, the use of a lathed edge curve will be more suitable.
  • 33. Base curve • Curve on the back surface of the lens to fit the front surface of cornea • Base curve should align with the curvature of cornea • The base curve radius (BCR) to be selected for a given patient depends upon several factors, including corneal curvature, lid-to- cornea relationship and fluorescein pattern evaluation.
  • 34. • As the cornea is aspheric and tends to flatten at a greater rate at an increasing distance from the center, the selection of a base curve radius that is slightly flatter than “K” should result in an alignment fitting relationship. • A simple rule of thumb is to flatten the BCR by 0.25D for every increase in overall diameter of 0.5mm and to steepen the BCR by 0.25D for every decrease in overall diameter of 0.5mm. • Gas permeable lenses will always move along the steeper meridian of the cornea as well as to the steepest region of the cornea (i.e., apex). • Range of normal values:7.0-8.5mm
  • 35. Changes to the back surface design will affect the: • Fluorescein pattern: Changes to the back surface geometry can be observed by the effect the varying regional differences in the post- lens tear film thickness have on fluorescein brightness.
  • 36. • Centration :An alignment fit is desirable to achieve good lens centration, but this is influenced by the back surface curvature of the RGP lens in relation to the curvature and sphericity of the corneal surface. • Movement: due to interaction between the RGP lens and the lid forces during blink( particularly the upper lid). • Tear exchange :The back peripheral surface geometry is crucial to allowing a good tear exchange. A tight back periphery can greatly limit tear exchange.
  • 38. BOZR/BOZD RELATIONSHIP • This Rule of Thumb is a useful guide to determining the effect of BOZD changes to the BOZR while trying to maintain the same central TLT. • In a study by Atkinson (1984), an 0.7 mm change in BOZD is required for every change of 0.5 mm BOZR to maintain the same fluorescein fitting pattern.
  • 48. • The terminology for a standard tricurve lens in ISO 8320-1986 symbols is: • Example:7.90:7.80/8.70:8.60/10.75:9.20 tc 0.15 BVP -3.00D Tint light blue • 7.90 = back optic zone radius (BOZR) r0 • 7.80 = back optic zone diameter (BOZD Ø0 • 8.70 = first back peripheral radius r1 • 8.60 = first back peripheral zone diameter Ø1 • 10.75 = second back peripheral radius r2 • 9.20 = total diameter ØT • 0.15 = geometric centre thickness tc • -3.00 = back vertex power (BVP)
  • 50. RGP Polymers 1.PMMA The first commercially available RGP material.  It is a derivative of acrylic material (CH2=CH-COOH)
  • 51. Advantages: High optical quality and stability Readily machined and polished.  It is non toxic and does not excite allergic reactions
  • 52. Disadvantage Almost zero oxygen permeability. Being relatively hard, it can induce corneal abrasions.  Being hydrophobic in nature, it resists wetting.
  • 53. Cellulose Acetate Butyrate Flexible, water resistant. Can be molded or lathed Hydroxyl group result in 2% water content and reasonable wettability. Material stability lower than PMMA.  Dk in range 4 to 8.
  • 54. Butyl Styrene DK of 25 The refractive index of 1.553 is the highest of any RGP material. The specific gravity of 0.95 is the lowest of any RGP material. The combination of high refractive index and low specific gravity offers the thinnest, lightest lens possible. This makes the material ideal for high RX
  • 55. Siloxane Acrylate A PMMA backbone gives material its dominant physical properties especially rigidity.  Si-O-Si bond results in significant increase in oxygen permeability but reduction in material rigidity.
  • 56. Unlike PMMA lens materials which are made of single component, SA material contain methacrylate, wetting agents and cross linking agents.  Dks in low to medium range are available
  • 57. Advantages Higher oxygen permeability than the preceding lenses. The lower rigidity of SAs allows lenses to conform more closely to the shapes of corneas on which they are placed . Allows Optic Zone diameter to increase.
  • 58. Disadvantages More deposit prone  Surface easily scratched  Higher breakage rate.  Can craze  Reduced correction of corneal astigmatism  Flexure problems  Parameter instability
  • 59. Fluoro-siloxane Acrylate Developed to increase Dk of RGP materials and to increase resistance to surface deposition. The element F is added to basic SA chemistry to enhance oxygen permeability.  A lower surface charge results
  • 60. DKs of 40-100 are more achievable. DKs are high enough for extended wear to be a possibility Disadvantages FAs are generally more flexible than SAs  Surfaces are relatively easily scratched.
  • 61. Per-fluoroethers A per-fluoroether consists of fluorine, oxygen, carbon and hydrogen Advantages  High DK(90+), potentially sufficient to support extended wear
  • 62. No surface charge thus reducing the likelihood of lens spoilage High flexibility, conforming to the corneal shape. This results in stable vision and comfort
  • 63. Disadvantages A low refractive index means thicker lens for a given prescription High specific gravity means a heavier lens for a given prescription  Low yields and high costs
  • 64. The wet ability of the fluorocarbon lens surface is only average  On eye flexibility and conformity reduces the correction of cornea induce d astigmatism.
  • 65. Manufacturing Methods There are three main manufacturing methods: 1.Moulding - mainly the mass production of lenses of limited parameters at low cost. 2.Lathe cutting - the production of individually specified lenses. 3. Hybrid lens manufacture - a combination of the two.
  • 66. 1.Molding Manufacturing Step Step1- Within a typical injection-moulding machine are two operating faces known as bolsters  These effectively close together to form the cavity into which the moulding material is injected.
  • 67. Step2-Once the cavity is formed the molding material is injected into the mould at very high pressure to ensure that the complete cavity is filled. Stage3 - Once cooled, the bolsters are moved apart to allow access to the cast. Stage 4 - The cast is removed from the bolster, using a robotic system and then it is transferred onto a conveyor where it is stocked for the next stage
  • 68. Stage 5 and 6 A precise quantity of contact lens material monomer is placed on the female cast mould.  Immediately after dosing the mould, the male cast mould is placed on the female to form an individual contact lens cavity containing the monomer and squeezed.  Female mold defined front surface of contact lens and male mold defines the back surface
  • 69. Stages 7 and 8 – The combined female and male mould is transferred from the conveyor system into a polymerization process.  Each contact lens material uses a different polymerization process to cure the monomer Step 9 and 10- Once fully cured the casts are mechanically bent and separated to reveal the contact lens.
  • 70. Stage 11 – The lens is hydrated and washed in a hydrating fluid such as saline, and a cleaning solution, in a suitable bath.  This process also removes any excess monomers that have not been polymerized. Stage 12- Quality inspection and final packaging
  • 72. Molding Advantages  Low cost per lens  Rapid  Volume production is easy  Good surface quality  Good reproducibility
  • 73. Disadvantages Expensive to start production  Expense limits parameter range  Essentially for stock lenses only
  • 74. 2. Lathing Lathe cutting is a technique favored throughout the world as a method for the manufacture of both specialist and durable RGP.
  • 75. a. Lens Design  Machining parameters are determined taking into account the specified parameters ,designs and material property of the lens.  Depending on the level of automation, the machining parameters are transferred into the contact lens laboratory.
  • 76. b. Annealing All casting introduces strain, which needs to be released from the material to ensure consistent results in rigid lens fabrication.  This is done by annealing which involves heating the material to a temperature between 140 and 150°C for a short period and slowly returning it to room temperature.
  • 77. c. Stress testing Any stress present in the blank will later cause distortion to the finished lens.  Blanks are assessed for stress by viewing with a polarized light strain tester
  • 79. Back surface lathing The material blank is held in the spindle of the lathe by the spindle collets.  Then the cutting process is started ensuring that the correct data have been uploaded into the lathe.  The final cui creates the final back surface geometry and removes only 0.005--0.02 mm of material
  • 80. The feed rate, depth of cuts and spindle speeds are preprogrammed according to the particular characteristics of the material being machined.  When the generation of the back surface is complete, the blank is removed from the collet and replaced with the next blank.
  • 81. Marking Marks are produced on lenses by laser light focused to create a series of axis alignment marks  Or, by engraving using diamond tool held against the surface with a specific force and moved to create the required mark.
  • 82. Substance measurement During the front lathing process, the lathe probes the back surface  And then it calculates the amount of material to remove by subtracting the desired centre thickness from the substance thickness
  • 83. Back surface polishing Polishing is carried out in the-conventional manner by mounting the blank in a plastic ‘clippy'. The polishing tool may be formed from a spherical convex tool covered with foam and a polishing cloth held on to the tool by an o -ring
  • 84. Front Surface blocking It allows the front lathe to cut the front surface accurately. The blank must be presented on a chuck designed to fit within the spindle collet and remain optically concentric
  • 85. Front surface lathing The cutting process is similar to that of the back surface.  Except that an initial probing routine is used to determine the back reference surface of the lens blank as previously described Front surface polishing Same as that of back surface polishing
  • 86. Back surface blending This is carried out on multicurve RGP lenses in order to smooth the transitions. it is necessary to blend between each successive curve. The contact lens is held on a suction holder against the vertical spindle carrying the convex tool.  Using plenty of polishing compound, the lens is moved from side to side and removed for frequent inspection
  • 87. Edge polishing Most laboratories use an automatic edge polisher to polish RGP lenses.  The lens is held in a suction cup and rotated on a revolving sponge, which contains polish.
  • 88. Final checking The checking of the final lens includes thickness, diameter, radius, back vertex power measurements, Surface and edge quality. Lens cleaning and packaging  Once an RGP lens completes final inspection, it is cleaned using a laboratory contact lens cleaning solution.
  • 89. Cleaning removes all traces of polish and detritus likely to affect the surface wet ability of the lens.  The lens is then rinsed in purified water, to ensure that it is perfectly clean, and placed into its final container either as a dry lens or with a disinfecting wetting solution.
  • 91. Concave and convex toric surfaces can be produced in one of two ways: Manual methods such as crimping. (historical interest only)  Lathe cutting, which can be subdivided into: Direct lathing using oscillating tool technologies  Toric generation using fly-cutting techniques  automatic crimping techniques
  • 92. Oscillating tool technology It is a method for oscillating the diamond-cutting tool on a contact lens lathe. The oscillations are sinusoidal and the period is synchronized to the rotation of the lathe spindle such that the lathe cuts a toric surface directly onto the contact lens blank.
  • 93. Toric generation using fly cutting technique Here the position of blank and cutting tool are reversed.  When the spindle rotates the fly cutter tip describes in the vertical plane and at right angles to the spindle axis  This process defines a circle whose radius is the distance from the centre of the spindle to the tip of the diamond
  • 94. The radius of the vertical circle, which is the flatter radius of the toric surface, can be altered by: • Changing the size of the cutting tool. • Offsetting the axis of the fly-cutting tool centre line in relation to the centre line of the radius cartridge.
  • 95. Automated crimping technique It induces toricity by a double-toothed jawed collet crimping the blank in situ. The degree of crimp and hence toricity is controlled by computer
  • 96. Once the requisite amount of crimp is achieved, the lens blank is machined using conventional spherical lathing.  Front surface toric lenses can be generated in a similar fashion to the back surface
  • 97. Advantages Established technology  Simple  Wide range of parameters  Suits most materials
  • 98. Disadvantage  Complex designs are difficult.  Intensive labor is required.  High cost per lens  Variable surface finish  Relatively slow  Less reproducibility
  • 99. Manufacturing RGP bifocals Concentric and progressive bifocals are made by using conventional lathing or molding techniques.  Implanted segments have a high refractive index segment incorporated in a lens button of conventional material. They are usually D shaped or crescent shaped. Diffractive Concentric zones are molded onto the lens back segment.
  • 101. Hybrid Process  Lenses are manufactured using the cast-moulding technique with a defined back surface geometry and a generic front surface.  Once the mould is split, the cast lens is then lathe- cut while remaining attached to the back surface mould.
  • 102. Preliminary lens assessment Dry state- BOZR and lens diameter are amongst the most important measurements.  BVP is measured to determine that the final prescription is as ordered.
  • 103.  CT is measured as it determines the physiology of the lens.  Edge profile has been shown to be critical to lens comfort.  The overall quality of workmanship needs to be assessed to predict the optimum performance and comfort on the eyes.
  • 104. Wet state BOZR is critical. It influences the lens fit and optics of the tear lens. The BOZR will be approximately 0.03mm flatter after hydration. Image quality is assessed to determine the optical quality of the product.
  • 105. Changes from dry to hydrated state Expansion resulting from hydration and its uniformity determine the outcome of hydration step.  Any untoward hydration effect has the potential to produce a toric or even irregular lens shape.

Notas do Editor

  1. An almost ideal fluorescein fitting pattern is presented in slide 35. It demonstrates the little or no fluorescein pattern under the central and mid- peripheral zones of the lens indicating corneal alignment, the edge clearance desired, the tear meniscus at the lens edge and good lens centration
  2. Anteriorly placed c of g cause loosing of lens and viceversa for posteriorly placed Larger the diameter larger the edge lift and clearance
  3. Diameter and edge width inverse relation if BOZD varies Daimeter and edge width direct relation if BOZD constant
  4. shows a large diameter lens. The large BOZD and narrow edge width indicates the need for their alteration when the lens TD is reduced. When this is done, an acceptable fluorescein pattern is noted and good centration is maintained
  5. Thin edged lens – ‘lens –lid ‘interaction decrease, comfort increaset Vertical cebtration; thick lens ride low and vice-versa When thickness change to edge profile result from decreasing TD there will be reduced tear meniscus and difficult in lens removal
  6. luorescein patterns of a flat and steep fitting RGP lens on the same cornea.
  7. n these examples of a series of lenses with a fixed BOZD of 7.00 mm, as the corneal radius of curvature (based on keratometry readings - K) flattens, the central TLT decreases, even though the fitting relationship with the flattest corneal meridian is maintained. This highlights the association between the BOZR and the BOZD with regard to the central TLT as disclosed by fluorescein.
  8. ncreasing the radius of the back peripheral curves increases the AEC (axial edge clearance)
  9. This diagram shows the competing issues involved in selecting edge widths. While a wide edge will increase the volume of tears stored in the edge reservoir, the stability of lens fit may be adversely affected. A balance between these forces is required.
  10. Hence also called acrylic.
  11. A class of thermoplastic material derived from special grade of wood cellulose. Hydroxyl group…….hence well tolerated. DK…from half to approximately the same as PMMA, HEMA orPHEMA
  12. The combination of high refractive index and low specific gravity offers the thinnest, lightest lens possible. This makes the material ideal for high RXs
  13. OZD= By offering improved physiology and to a lesser extent lower rigidity larger lenses could be fitted.
  14. Surface charge and surface chemistry Relatively soft surfaces Relatively brittle Possibly due to the result of induced internal stresses being released, leading to surface and MATRIX FALIURE Less rigid- less confirmation- reduced correcton of astigmatism Flexure problems – silicone content-less rigidity Influence of age and their environment, lens care products and the stresses placed on them by storage cases or astigmatic eyes
  15. FSA and SA are more prone to surface burning and solvent damage during manufacture.
  16. A
  17. These 2 points constitute a significant disadvantage, Together they mean a heavier, thicker lens, the reverse of what is required Success rate during manufacture is lower
  18. which not only has the benefit of low cost mass production, but also goes some way to producing lenses that are more specific.
  19. The majority of contact lens applications require two injection-moulding machines configured to create either female or male casts. The former is used to form the front surface of the contact lens and the latter the back surface.
  20. (examples include ultraviolet light and temperature exposure) and an annealing process may be employed to reduce any stresses in the material matrix
  21. The 1st fig shows the two operating faces of a typical injection molding machine…the two bolsters effectively close together to form a cavity where mould is injected at high pressure…then the bolsters are separated by robotic system to reveal the cast….Now the contact lens polymer is placed on female mould…immediately afer dosing the male mould is placed over the female mould and are squeezed together…..the mold along with the cast are placed for polymerization and then hydrated and inspected for the parameters.
  22. This does not cause any difficulty when done with sheet material but with thick material the temperature has to be low enough to prevent depolymerization of the surface but heated long enough to ensure the centre of the block reaches at least I3O°C
  23. Before discussing the lathe cutting, it is important to understand the machining part…. The above fig. shows lathe machine…the leg portion carries the weight of the machine… The tray portion collects the waste products…bed portion consists of carriage which supports tool post which contains cutting material…it can be rotated to any point….Head stock contains all the gears…..The green portion is the spindle which is hollow and is able to rotate….The chuck is a lens holding part…The chuck portion moves along with the spindle…The tail stock portion holds the working rod and shows no movement
  24. Too tight a collet, which causes the blank to be crimped during cutting, will result in a torie surface once the cui blank is released from the collet. Too loose a collet, which allows the blank to slip during machining, will produce a poor-quality surface.
  25. Overpolishing may result in localized heating of lens blank with surface alteration of its properties and also results in poor wettability
  26. There are three ways to achieve this: • Static. • Dynamic. • Optical.
  27.  Feed rates and depths of cut will again affect the overall surface quality and material performance
  28. The closed loop control systems to drive the oscillating tool:r. are all software controlled and synchronized with the spindle using spindle encoders