Contact Lens Material Properties Quiz
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Questions and Answers

What is the purpose of the series suffix in the material classification code?

  • To denote the surface modification of the material
  • To indicate the group type of the material
  • To indicate the revision level of the chemical formula (correct)
  • To specify the Dk range of the material

Which prefix is used for soft lenses in the material classification?

  • Filcon (correct)
  • Focon
  • RGP
  • SCL

What Dk range would a group classified as 'V' indicate?

  • Non-ionic materials with high water content
  • Enhanced oxygen permeable materials (SiHy) (correct)
  • Ionic materials with low water content
  • Rigid gas permeable materials

For which country is the prefix optional in the material classification?

<p>USA (D)</p> Signup and view all the answers

Which of the following is NOT part of the 6-part code for material classification?

<p>Color code (D)</p> Signup and view all the answers

What is the primary factor that affects oxygen permeability (Dk) in lens materials?

<p>The temperature and pressure (A)</p> Signup and view all the answers

Which of the following properties is NOT considered important for ideal lens materials?

<p>Ability to withstand high temperatures (D)</p> Signup and view all the answers

How is the oxygen transmissibility (Dk/t) typically measured?

<p>At -3.00DS (C)</p> Signup and view all the answers

Which of the following combinations correctly represents the contribution of D and k in oxygen permeability (Dk)?

<p>D represents diffusion rate, k represents solubility (B)</p> Signup and view all the answers

The primary cause for lower corneal pH due to low oxygen transmissibility is mainly attributed to which factor?

<p>Carbon dioxide retention (C)</p> Signup and view all the answers

Which condition is likely to result from low oxygen transmissibility in contact lenses?

<p>Endothelial polymegethism (C)</p> Signup and view all the answers

Which of the following is an essential characteristic of durable lens materials?

<p>Resistance to spoilage (C)</p> Signup and view all the answers

Which manufacturing technique is NOT typically associated with ideal contact lens materials?

<p>Hand crafting (B)</p> Signup and view all the answers

What does a low contact angle indicate regarding wettability?

<p>Better wettability of the surface (B)</p> Signup and view all the answers

Which method shows an advancing contact angle greater than a receding contact angle?

<p>Wilhelmy plate method (B)</p> Signup and view all the answers

Which technique produces a hydrophilic surface through bombardment with oxygen ions?

<p>Plasma treatment (A)</p> Signup and view all the answers

What characteristic is common to all members of Group V-A in the proposed FDA classification for silicone hydrogels?

<p>Non-ionic and surface treated (C)</p> Signup and view all the answers

Which group in the proposed FDA classification for silicone hydrogels includes both low and high-water content lenses?

<p>Group V-D (A)</p> Signup and view all the answers

What characterizes the captive bubble method in terms of contact angles?

<p>Advancing angle is less than receding angle (C)</p> Signup and view all the answers

Which of the following produces a contact lens material known for its hydrophilic characteristics?

<p>PolyHEMA (B)</p> Signup and view all the answers

What is the main reason ionic hydrogels attract tear proteins such as lysozyme?

<p>Negatively charged surface (B)</p> Signup and view all the answers

What is the primary component of pHEMA that contributes to its hydrophilic behavior?

<p>2-hydroxyethyl methacrylate (C)</p> Signup and view all the answers

In the Dk range classification system, what does a Dk value of 3 represent?

<p>31-60 Dk units (C)</p> Signup and view all the answers

How are the numerical Dk codes expressed in terms of oxygen permeability?

<p>In cm2/s [ml O2/(ml* hPa)] (D)</p> Signup and view all the answers

When evaluating wettability in vivo, which of the following metrics is used?

<p>Tear Break-Up Time (BUT) (B)</p> Signup and view all the answers

What effect does surface treatment have on non-ionic hydrogels?

<p>Removes negative charge (C)</p> Signup and view all the answers

What is the typical water content of contact lenses made from pHEMA when fully hydrated?

<p>38–40% (B)</p> Signup and view all the answers

Which group is specifically identified for low water content, non-ionic, non-surface treated hydrogels?

<p>Group V-B1 (A)</p> Signup and view all the answers

What is the primary concern of the Dk range in contact lens wear?

<p>Oxygen permeability (D)</p> Signup and view all the answers

Which factor does NOT influence O2 permeability?

<p>Color of the polymer (C)</p> Signup and view all the answers

What is a disadvantage of low water content hydrogels?

<p>Less flexible (C)</p> Signup and view all the answers

Which characteristic is associated with high water content hydrogels?

<p>Higher Dk (D)</p> Signup and view all the answers

Which of the following is NOT an advantage of low water content hydrogels?

<p>Higher ductility (C)</p> Signup and view all the answers

What is a disadvantage of high water content hydrogels in terms of manufacturing?

<p>More difficult to manufacture (D)</p> Signup and view all the answers

How does temperature affect O2 permeability?

<p>It increases O2 permeability. (C)</p> Signup and view all the answers

Which disadvantage is NOT related to high water content hydrogels?

<p>More flexible (C)</p> Signup and view all the answers

Which of the following best describes the effect of chemistry of the polymer on O2 permeability?

<p>It can significantly alter the permeability. (B)</p> Signup and view all the answers

What is a notable disadvantage of fluorosilicone acrylates when they are manufactured too thin?

<p>Brittleness (D)</p> Signup and view all the answers

Which property is essential for SCL materials to ensure proper movement during wear?

<p>Ability to allow CL movement (B)</p> Signup and view all the answers

What primary benefit does the addition of fluorine provide in fluorosilicone acrylates?

<p>Improved wettability (D)</p> Signup and view all the answers

Which disadvantage is associated with cellulose acetate butyrate (CAB)?

<p>Easily scratches (B)</p> Signup and view all the answers

In terms of SCL optical quality, which aspect does NOT play a crucial role?

<p>Water content level (D)</p> Signup and view all the answers

What is a common disadvantage of silicone acrylates (siloxanes)?

<p>Brittleness causing breakage issues (C)</p> Signup and view all the answers

Which property is NOT part of the important physical/chemical properties of SCL materials?

<p>Viscosity (A)</p> Signup and view all the answers

What aspect is particularly affected by the dimensional stability in fluorosilicone acrylates?

<p>Manufacturing requirements (C)</p> Signup and view all the answers

What is a key characteristic of silicone acrylates in terms of design choices?

<p>Good range of materials and designs (D)</p> Signup and view all the answers

Which of the following is a listed disadvantage for some materials in silicone acrylates?

<p>Attracts proteins from tears (C)</p> Signup and view all the answers

Flashcards

What is the prefix used for in material classification?

A prefix is used in the material classification code, but it's only required for materials outside the USA.

What does 'filcon' and 'focon' indicate in the material classification code?

The stem of the material classification code indicates the type of lens material. Filcon is used for hydrogel soft lenses, while Focon represents rigid gas permeable lenses.

What does the series suffix in the material classification code indicate ?

The series suffix in the material classification code represents the revision level of the chemical formula. It's indicated by a capital letter (A, B, C,...) that follows the stem.

What information does the group suffix for soft lens materials (SCL) provide?

The group suffix in the material classification code provides information about the material properties for soft lens materials (SCL). It categorizes materials by water content, ionicity, and oxygen permeability.

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What does the group suffix in the material classification code represent for rigid gas permeable lenses (RGP)?

For rigid gas permeable lenses (RGP), the group suffix primarily identifies the type of material used. Some examples include 'Stone'.

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Oxygen Permeability (Dk)

The ability of a material to allow oxygen molecules to pass through it. It's measured by how fast oxygen diffuses and how many oxygen molecules dissolve in the material.

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Oxygen Transmissibility (Dk/t)

The rate at which oxygen passes through a specific contact lens, typically measured at -3.00 diopters. It depends on the lens material's oxygen permeability (Dk) and the lens thickness.

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Epithelial Microcysts

Small, fluid-filled sacs that form in the corneal epithelium. They can be a sign of insufficient oxygen supply to the cornea.

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Endothelial Polymegethism

An abnormal enlargement of the corneal endothelial cells. It can be caused by prolonged oxygen deprivation and can affect the cornea's clarity.

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Wettability

The tendency of a liquid to spread or adhere to a solid surface.

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Contact Angle

The angle formed between the liquid-solid interface and the tangent to the liquid droplet at the point of contact. A lower contact angle indicates better wettability.

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Corneal pH Decrease

The cornea's pH level can decrease due to the buildup of carbon dioxide (CO2) when the cornea is not getting enough oxygen.

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Corneal Edema

Fluid buildup in the cornea, making it appear cloudy or hazy. This is a sign of insufficient oxygen supply to the cornea.

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Plasma Treatment

A surface treatment that enhances wettability by introducing hydrophilic groups, making the material more attracted to water.

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Endothelial Blebs

Small, fluid-filled blisters on the corneal endothelium. They are a sign of hypoxia, where the cornea is not getting enough oxygen.

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Graft Polymerisation

A method of increasing wettability by attaching hydrophilic polymers to the lens surface.

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PMMA

Poly(methyl methacrylate), a clear, hard plastic material commonly used in older contact lenses.

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Endothelial Mosaic

An uneven appearance of the corneal endothelium, often seen as a mosaic-like pattern due to changes in cell shape and size. This can be caused by long-term oxygen deprivation.

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pHEMA

A highly hydrophilic polymer containing hydroxyl groups. It's a key component in many soft contact lenses.

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Tear Break-Up Time (BUT)

The time it takes for a tear film to break up on the surface of a contact lens.

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Sessile Drop Method

A method for measuring wettability that involves observing how a liquid droplet spreads on a solid surface.

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Silicone Hydrogel Contact Lens (SiHy CL) FDA Groups

A classification system for silicone hydrogel contact lenses (SiHy CLs) based on material properties, including water content, ionic nature, and surface treatment. It categorizes lenses into groups (V-A to V-D) for easier comparison and understanding.

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SiHy CL FDA Group V-A

A silicone hydrogel contact lens group that is characterized by low water content, non-ionic properties, and surface treatment designed to improve lens wear comfort and performance.

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SiHy CL FDA Group V-B1

A silicone hydrogel contact lens group characterized by low water content, non-ionic properties, no surface treatment, and the inclusion of a hydrophilic monomer. This composition aims to enhance lens hydration and comfort.

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SiHy CL FDA Group V-B2

A silicone hydrogel contact lens group similar to V-B1, but with the addition of a semi-interpenetrating network (SIPN). SIPN increases lens strength and resistance to tear film interaction, potentially improving wear duration.

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SiHy CL FDA Group V-C

A silicone hydrogel contact lens group characterized by high water content and non-ionic properties. This group may offer improved lens comfort due to increased hydration.

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SiHy CL FDA Group V-D

A silicone hydrogel contact lens group that includes both low and high water content lenses, but with the key characteristic of being ionic. Ionic lenses may have unique properties related to tear film interaction.

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Dk Range (Oxygen Permeability)

A numerical code used to classify contact lenses based on their oxygen permeability (Dk). Different Dk ranges represent varying levels of oxygen transmission, which is important for lens wear comfort and corneal health.

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Material Classification System

A system for classifying contact lens materials using a combination of prefixes, stems, series, groups, Dk ranges, and surface modification codes. This allows for a more comprehensive understanding of a lens's properties.

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Thermoplastic

A type of thermoplastic that can be heated and molded without changing its chemical makeup. It used to be traditionally manufactured using a lathing method.

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Silicone Acrylates (SA)

A type of contact lens material made from a copolymer of acrylate (for rigidity) and silicone (for oxygen permeability). Often contains Methacrylic Acid for enhanced wettability.

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Fluorosilicone Acrylates (FA)

A newer generation of silicone acrylate materials that incorporate fluorine. They offer improved wettability, oxygen permeability, and deposit resistance.

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Cellulose Acetate Butyrate (CAB)

A type of contact lens material made from cellulose acetate butyrate. It’s known for good wettability, low protein attraction, and a low breakage rate but it has lower oxygen permeability than other materials and is susceptible to scratching.

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Water Content

The percentage of water content in a contact lens material. Affects its comfort, flexibility, and oxygen permeability.

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Elasticity

The ability of a material to stretch and return to its original shape. Essential for contact lens comfort and proper fit.

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Dimensional Stability

A measure of how much a material can withstand changes in shape or size. Important for maintaining lens shape and clarity over time.

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Deposit Resistance

The ability of a material to resist the buildup of deposits (like proteins, lipids, and bacteria). Important for maintaining clear vision and healthy eyes.

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Lens Flexure

The ability of a material to bend or flex without breaking. Important for lens comfort and movement on the eye.

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Water Retention

This refers to how well a contact lens material holds onto water, influencing its overall performance.

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Temperature Sensitivity

How easily a contact lens material changes its shape when exposed to different temperatures.

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Material Chemistry

How the chemical makeup of a contact lens material influences its oxygen permeability and other properties.

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Tonicity

The tendency of a contact lens material to absorb or release water depending on the surrounding environment.

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Low Water Content Hydrogels

Hydrogels with a lower water content are more rigid, easier to handle, and less susceptible to environmental changes.

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High Water Content Hydrogels

Hydrogels with a higher water content allow for better oxygen passage, but can be more fragile and susceptible to environmental changes.

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Study Notes

Contact Lens Material

  • Contact lens materials must meet various criteria
  • Ideal lens materials meet corneal oxygen requirements
  • They are inert, resist spoilage, and are dimensionally stable
  • They need high optical clarity and high quality surfaces
  • Minimal patient care required and easy machinability/latheability/moldability

Learning Outcomes

  • Understand ideal lens properties
  • Evaluate material properties
  • Recognize the role of oxygen permeability (Dk)
  • Analyze wettability
  • Distinguish between material types
  • Understand material classification codes
  • Assess manufacturing techniques

Important CL Material Properties

  • Oxygen permeability
  • Wettability
  • Scratch resistance
  • Rigidity (GP CLs)
  • Good stability
  • Deposit resistance
  • Durability
  • Flexibility (SCLs)

Oxygen Permeability (Dk)

  • D: the speed of oxygen molecules passing through a material (diffusion).
  • k: the amount of dissolved oxygen molecules in the material (solubility).
  • Measured in FATT units or BARRERS, 10⁻¹¹ cm²/s ml O₂ /ml mmHg.
  • Measured in ISO units, 10⁻¹¹ cm²/s ml O₂ /ml hPa
  • Multiplying traditional Dk values by 0.75 converts to ISO units.
  • Impacted by temperature and pressure.

Impact of Low O₂ Transmissibility

  • Epithelial microcysts
  • Endothelial polymegethism
  • Lower corneal pH due to CO₂ retention
  • Oedema
  • Endothelial blebs due to hypoxia (low oxygen)

CL Wettability

  • Ability of a liquid drop to adhere to a solid surface
  • Measured by contact angles.
  • Low contact angle means good wettability.
  • Different measurement methods yield different results
  • Enhanced by surface treatment (plasma treatment, bombarding with oxygen ions, or graft polymerisation)

CL Wettability Measurement Techniques

  • In vitro:
    • Sessile drop
    • Wilhelmy plate
    • Captive bubble
  • In vivo
    • Tear break-up time (BUT or TBUT)
    • Drying time

Material Properties

  • Oxygen permeability (Dk): property of a material
  • Oxygen transmissibility (Dk/t): property of a lens (often at −3.00DS)

Contact Lens Materials

  • PMMA (Poly(methyl methacrylate))
  • HEMA (Hydroxy ethyl methacrylate)
  • polyHEMA
  • PHEMA (2-hydroxyethyl methacrylate)

Contact Lens Classification

  • Classified by a 6-part code:

    • Prefix
    • Stem
    • Series suffix
    • Group suffix
    • Dk range
    • Surface modification code
  • Dk range (oxygen permeability): numerical code indicating permeability in ranges considered significant in contact lens wear

  • Modification code (lower-case "m"): Surface of the lens is modified, differing chemically from the bulk material.

Examples of Contact Lens Material

  • Paflufocon B III 3

    • Rigid lens (paflu - USAN prefix)
    • 2nd formulation (B - USAN series suffix)
    • Contains both silicone and fluorine (III - Group suffix)
    • Dk range 31-60 ISO units
  • Etafilcon A IV 1

    • Contains >10% water by mass (Eta - USAN prefix; A - USAN series suffix)
    • Material is ionic (IV - Group suffix)
    • Dk range 1–15 ISO units

Common RGP Materials

  • Cellulose acetate butyrate (CAB)
    • Advantages: good wettability, relatively inert, does not attract protein
    • Disadvantages: Low Dk, sometimes requires moulding, limited designs, scratches easily.
  • Silicone acrylates (SA)
    • Advantages: wide range of materials, designs, good dimensional stability, practitioner control, good vision
    • Disadvantages: can attract protein from tears, some materials are brittle, 3&9 o'clock staining.
  • Fluorosilicone acrylates (FA)
    • Advantages: very high Dk values, suited for flexible extended-wear, better wettability, fewer deposit problems, suitable for modifications.
    • Disadvantages: may be brittle; less stability; manufacture dependent; corneal adhesion

SCL Manufacturing Techniques

  • Molding (anhydrous raw materials - xerogel)
  • Lathing (xerogel)
  • Spin-casting
  • Combinations of these methods
  • Molding; stabilized soft

SCL Materials: Physical Compatibility

  • Must allow contact lens movement
  • Must be flexible, even in thicker contact lenses

SCL Materials: Optical Quality

  • Depends on surface quality after hydration
  • Shape regularity after hydration
  • BVP (base curve value) within tolerance
  • No unwanted toricity
  • Accurate cylinder axis if toric (astigmatism)

Important Physical/Chemical Properties of SCL

  • Oxygen permeability
  • Water content
  • Elasticity
  • lonicity
  • Deposit resistance
  • Refractive index
  • Durability
  • Environment susceptibility

Influential Factors of O₂ Permeability

  • Water content
  • Polymer chemistry
  • Methods of water retention
  • Temperature
  • pH
  • Tonicity

H₂O Content Influences

  • Oxygen permeability
  • Refractive index
  • Rigidity
  • Durability
  • Minimum thickness to prevent pervaporation
  • Environmental susceptibility
  • Contact lens care system choice

Hydrogels: Low Water Content

  • Advantages: less susceptible to environmental influences, more stable, higher rigidity, easier to handle, better refractive index, easier manufacture, higher reproducibility, better wettability, less likely pervaporation staining.
  • Disadvantages: Lower Dk; less flexible; thin contact lenses are more difficult to handle.

Hydrogels: High Water Content

  • Advantages: Higher Dk; More flexible; Faster restoration of shape after deformation.
  • Disadvantages: Fragile; more susceptible to environmental factors; more likely deposition; lower refractive index; less stable parameters; less reproducibility; thermal disinfection not recommended; more difficult to manufacture; larger tolerances often necessary
  • Cannot be made too thin

Physical Properties - Elasticity

  • Large elastic limit (large range before breaking)
  • Strong material (high Young's modulus)
  • Combination of above leads to durable contact lenses
  • Rapid shape recovery

Modulus in soft CL materials

  • Numerical (Young's modulus) values for different materials. (PMMA is high; PHEMA is low).

Ionicity

  • Hydraulic and ionic permeability necessary for adequate lens movement, allows post-tear film to reform
  • Pore size determines substances penetrating the hydrogel; lactate accumulates
  • Lysozyme, fluorescein can penetrate high-water content lenses, Na+ permeability important

Refractive Index

  • Monomer composition determines the ideal refractive index
  • In hydrogels, there is a near-linear link between water content and refractive index
  • Clinically and experimentally, this correlation is used to assess water content

Susceptibility

  • Dimensional stability changes with lens environment
  • Increasing temperature increases water absorption leading to opaqueness.
  • pH changes alter lens properties
  • Tonicity (salinity) affects water content in the lens

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Description

This quiz explores the essential properties and classifications of contact lens materials. It covers topics such as oxygen permeability, wettability, and the criteria for ideal lens materials. By participating, you'll deepen your understanding of how these materials function and their manufacturing techniques.

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