Sei sulla pagina 1di 10

See discussions, stats, and author profiles for this publication at: https://www.researchgate.

net/publication/320915458

Mechanical Properties of Contact Lens Materials

Article  in  Eye & Contact Lens Science & Clinical Practice · November 2017
DOI: 10.1097/ICL.0000000000000442

CITATIONS READS

4 2,432

3 authors:

Eon Kim Mou Saha


Brien Holden Vision Institute Jadavpur University
9 PUBLICATIONS   53 CITATIONS    8 PUBLICATIONS   11 CITATIONS   

SEE PROFILE SEE PROFILE

Klaus Ehrmann
Brien Holden Vision Institute
78 PUBLICATIONS   727 CITATIONS   

SEE PROFILE

Some of the authors of this publication are also working on these related projects:

Effect of gamma irradiation on the properties of polymer films View project

New Generation Polymer Electrolytes with Magnetic & Non-magnetic Fillers: Study of the Ionic Conduction Mechanism for Application in Solid State Devices” View
project

All content following this page was uploaded by Eon Kim on 17 July 2018.

The user has requested enhancement of the downloaded file.


ARTICLE

Mechanical Properties of Contact Lens Materials


Eon Kim, Ph.D., Mou Saha, M.Sc., and Klaus Ehrmann, Ph.D.

ufacturers continue to optimize their materials to improve their


Objectives: To evaluate the mechanical properties of commonly available
soft contact lens materials and compare results using custom-built
physiological compatibility and comfort. A softer material is
MicroTensometer. generally considered to be more comfortable on eye, but lenses
Methods: The Young modulus, parameters for stress relaxation, and with insufficient stiffness are difficult to handle and do not move
toughness of 18 types of single vision soft contact lenses were measured adequately on the eye to provide effective tear exchange underneath
using custom-built MicroTensometer. Five lenses of each type were soaked the lens.1 Lens stiffness is primarily a function of material modulus
in standard phosphate buffered saline and measured at a temperature of and lens thickness. Together with other material and surface prop-
35°C. Each lens was flattened and sliced into a rectangular strip sample erties, such as toughness, creep, surface friction, and wettability,
using two parallel blades. the lens manufacturer has considerable flexibility to design a lens
Results: The Acuvue Moist 1-Day and SofLens Daily lenses measured
that performs well on the eye in vision, comfort, and physiological
lowest moduli, whereas Air Optix Night & Day Aqua and Premio measured
health.
the highest. The measured moduli for silicone hydrogel materials were gen-
erally higher compared with the hydrogels except for Dailies AquaComfort For the conventional hydroxyethyl methacrylate (HEMA)-
Plus. The exponential curve fitted over the decay in stress showed a consistent based hydrogels, the modulus was predominantly influenced by
time constant of approximately 10 sec for most lens types measured. How- the water content of the lens material, which typically range
ever, the amplitude constant varied from 2.84% for SofLens Daily to 22.39% from 30 to 80 percent and can be classified as low (less than
for Acuvue TruEye 1-Day. The toughness results showed that Dailies 40%), medium (40%–60%), and high (more than 60%) water
AquaComfort Plus is strong but not necessarily tough. content groups. In addition to an increase in material softness,
Conclusions: The mechanical properties of commonly prescribed soft these higher water content lenses provide better oxygen perme-
contact lens materials were measured using a dedicated instrument. Its ability, as water is the primary conductor for oxygen through the
reliability was demonstrated, and modulus results were compared against
lens. But even for the thinnest lenses with the highest water
published data from manufacturers and other research groups. Agreement
was generally good, with only a few exceptions exceeding 15% difference. content, oxygen supply to the cornea was still considered to
The more recently released silicone hydrogel lens types have reduced be inadequate, particularly for extended wear and closed eye
modulus, approaching that of medium or high water content hydrogel conditions. This led to the development of silicone hydrogel
materials. materials, where the silicone component is the main and efficient
oxygen carrier through the lens. The first-generation silicone hy-
Key Words: Contact lenses—Mechanical properties—Young modulus—
Material testing.
drogel materials targeted high oxygen permeability through a low
water content and were therefore stiffer than any of the traditional
(Eye & Contact Lens 2017;0: 1–9) hydrogels. These high modulus materials have been implicated in
reducing ocular comfort, corneal reshaping, corneal staining, and
the formation of conjunctival flaps.2–5 Realizing these clinical
complications,6–8 manufacturers have developed second- and
T he dominant reason for the ever-increasing popularity of soft
contact lenses over rigid lenses is their greater on-eye com-
fort, particularly for the neophyte wearer. The softness of the
third-generation silicone hydrogel materials, sacrificing some
oxygen permeability by increasing their water content to achieve
material allows the lens to conform to the ocular shape softer materials, thus leading to greater physiological compatibil-
and minimizes interaction with the eyelids. Still, contact lens man- ity and acceptance of these new materials.9
Of the mechanical properties, modulus of elasticity is the most
important and most commonly quoted. Additional mechanical
From the Brien Holden Vision Institute Technology Department (E.K., properties include toughness, creep, stress relaxation (SR), and
M.S., K.E.), Sydney, Australia, and School of Optometry and Vision Science surface hardness. According to Hooke Law, the property of
(K.E.), University of New South Wales, Sydney, Australia. stiffness or the elasticity engenders the ability of a material to
The authors have no conflicts of interest to disclose.
This research did not receive any specific grant from funding agencies in return, within elastic limits, to its original shape and size after
the public, commercial, or not-for-profit sectors. This work was entirely deforming forces are removed. This property is defined by the
funded by the Brien Holden Vision Institute, Sydney, Australia. relationship between stress and strain where the stress is the load
Presented in part at as a poster at Asia-ARVO Conference 5–8 February, per unit area, and strain is the extent of elongation. By fitting
2017, Brisbane, Australia.
Address correspondence to Eon Kim, Ph.D., Level 5, North Wing, Rupert
a straight line through the quasi linear range of this stress-strain
Myers Building, Gate 14, Barker Street, University of New South Wales, (SS) curve, the Young modulus is obtained as the slope of that line.
Sydney NSW 2052, Australia; e-mail: e.kim@brienholdenvision.org As there is no defined standard for methods or equipment with
Accepted September 10, 2017. which to measure the modulus of soft contact lens materials,
DOI: 10.1097/ICL.0000000000000442 manufacturers and researchers have implemented their own

Eye & Contact Lens  Volume 0, Number 0, Month 2017 1

Copyright  Contact Lens Association of Opthalmologists, Inc. Unauthorized reproduction of this article is prohibited.
E. Kim et al. Eye & Contact Lens  Volume 0, Number 0, Month 2017

techniques and conditions, which can lead to differences in can be soft with low modulus of elasticity but tough with high
reported results. The most critical of these factors include the elongation-at-break and vice versa.
sample temperature, the method used to keep the sample hydrated, The purpose of this study was to introduce a purpose-built
the range of elongation, the sample preparation, the resolution of instrument for the reliable measurement of mechanical properties
the data acquisition, and the measurement mode—tensile or of hydrogel and silicone hydrogel contact lens materials. In
compression. addition to the Young modulus, parameters for SR and toughness
Young et al. and Horst et al. investigated modulus changes were also determined. All commonly available soft contact lens
with temperature for different contact lens materials.10,11 They materials were measured, and a comprehensive table with compa-
found that in general, the modulus decreases with higher tem- rable results of mechanical properties is presented. The relation-
peratures. The modulus can also vary with the type of contact ships between modulus versus water content and modulus versus
lens care product in which the lenses are soaked in.12 For the toughness are also examined.
most common method used to measure the modulus of soft lens
materials, the lenses are cut into strips of uniform width and
thickness. Horst et al.11 have introduced a novel method to MATERIALS AND METHODS
quantify the local deformations and to calculate local moduli Instrumentation and Analysis Software
by sprinkling graphite particles on one surface of the strip and One commercial instrument that was favored for the measure-
recording local movement of the particles as a tensile load is ment of soft contact lens modulus, the Vitrodyne 200 (Liveco
applied. Measuring lens samples of different thickness profiles, Biomechanical Instruments, Burlington, VT) is no longer available.
they concluded that the modulus is not affected by the lens As it was, this instrument had some limitations in measurement
thickness. Localized modulus measurements were also reported range and resolution. To overcome these limitations, we developed
by Lee et al.,13 where the microindentation instrument was used a dedicated instrument to measure the mechanical properties of soft
to measure modulus in a compression mode. A similar method contact lens materials (Figs. 1A, B). The MicroTensometer is capa-
using an atomic force microscopy probe was used by González- ble of measuring mechanical properties in both tensile and com-
Méijome et al.14 and Caglayan.15 Because of the different nature pression modes. An earlier version of this instrument was used to
of these measurements, their absolute modulus results are not measure a range of intraocular lens materials in a compression
directly comparable with those obtained with the tensile mode and concluded that the measurements were repeatable
methods. between the three samples for any of the measurement methods.16
Very few studies have investigated properties other than Modulus measurements are performed by obtaining the SS curve
Young modulus of contact lens materials. In addition to the of a material under compression or tension and fitting a straight line
Young modulus, tensile properties, such as tensile strength and over a selected strain range. The strain is generated by a linear
elongation-at-break, were calculated by Tranoudis.1 No signif- actuator. The stress is obtained using an analytical balance. A
icant correlations were observed between elongation-at-break Perspex container filled with phosphate buffered saline (PBS) is
versus tensile strength and between elongation-at-break versus placed on the balance (X1203S, Mettler Toledo, Switzerland) that
Young modulus. This can be explained by the fact that a material has a resolution of 1 mg. An electromagnetic coil is integrated into

FIG. 1. (A) Custom-built MicroTensometer


showing (1) analytical balance, (2) motorized lin-
ear actuator, (3) clamps, and (4) a saline container
with heating coils and a thermocouple; (B) sample
strip clamped for measurement; (C) upper clamp
assembly swivelled horizontally for loading sample.

2 Eye & Contact Lens  Volume 0, Number 0, Month 2017

Copyright  Contact Lens Association of Opthalmologists, Inc. Unauthorized reproduction of this article is prohibited.
Eye & Contact Lens  Volume 0, Number 0, Month 2017 Mechanical Properties of Soft Contact Lens Materials

the bottom of the container. When activated, it firmly secures the (3) Creep (CR): A predetermined constant stress is applied
lower part of the sample holding clamp to the container. The upper quickly to the sample, and the increase in strain is recorded
part of the clamp is attached to the motorized linear actuator (M- as a function of time. An exponential curve was fitted to
227.50, Physik Instrumente). The C-863 DC-Servo-Motor Con- calculate the time, amplitude, and exponential decay con-
troller Board (Physik Instrumente) is used to interface the motor stants using the following equation:
with the computer, whereas the balance is connected through an RS
232 serial interface. Custom-written software controls the motor  
motions and acquires the readings from the balance at a frequency x
strain 5 a½0 · exp 2 þ a½1;
of 10 Hz. The container is fitted with a pair of heating coils and a½2
a thermocouple, which provides the option to perform measure-
ments at room temperature or with PBS warmed to eye temperature where a½0¼amplitude constant, a½1 ¼decay constant, and
of 35°C. a½2¼time constant.
For convenient loading of the sample, the bottom clamp can be The time constant represents the speed with which the strain
secured to the upper clamp and the entire assembly swivelled inside the material reaches a steady state after forced deformation,
horizontally (Fig. 1C). A spacer block of 6-mm length ensures that whereas the amplitude constant represents the strain difference
the initial, unstretched sample length is known and consistent. By within the material between the initial and the steady-state after
replacing the clamps with parallel plates, this instrument can also deformation. Because CR effectively measures the same material
perform measurements in compression mode. property as SR, only SR was measured in this study.
Customized software using LabWindows/CVI Developer Suite The sample can be measured in both tensile and compression
(ver. 12.0, National Instruments, Texas, TX) was developed to testing modes.
operate the instrument in different modes to measure various (4) Toughness (TGH): The sample is elongated until it breaks.
characteristics of mechanical properties. The area under an SS curve is called the toughness that
The four different modes of operation are as follows: measures how much energy a sample can absorb before it
(1) Stress strain: This mode calculates the Young Modulus of breaks. Toughness is measured only in tensile testing mode.
Elasticity: Lens information and measurement setting parameters are entered
into customized software to select and control the measurement and to
facilitate the recording of the raw data in text files. Separate analysis
stress ðsÞ
E5 · 100% software was developed to analyze the data, such as calculating
strain ðeÞ Young modulus and time constants. For the purpose of this study, all
measurement results reperformed in tensile testing mode.
where stress is defined as the restoring force per unit area required
to change the length in units of MPa, and strain is defined as the
Contact Lenses
change in the length of the sample relative to the initial length of
Eighteen types of commercially available single vision soft contact
the sample in units %.
lenses, seven hydrogel and 11 silicone hydrogel lenses, from the four
The sample is stretched and subsequently released, with the
leading manufacturers were measured in prescription powers of
weight readings continuously recorded and plotted over the
21.00 D, where the front and back surfaces of the lens are parallel
corresponding motor positions. The sample can be measured in
(Table 1). Five lenses of each type were prepared and measured.
both tensile and compression testing modes.
(2) Stress relaxation: A predetermined strain is applied quickly Measurements
to the sample and the gradual decrease in stress necessary to All lenses were removed from their blister packs and soaked in
maintain that strain is recorded as a function of time. An standard PBS solution (ISO 18369-417) for at least 24 hr before
exponential curve is fitted to calculate the time, amplitude, measuring. Each lens was flattened on a sheet of plastic and sliced
and exponential decay constants using the following into a rectangular strip sample containing the center of the lens,
equation: using two parallel blades separated by a 3-mm wide spacer block.
The width and thickness of each sample strip were measured at
three different locations—center, 2 mm up and 2 mm down from
 
x the center, using a Nikon Profile Projector (V12) and a Rehder ET-
stress 5 a½0 · exp 2 þ a½1; 3 electronic thickness gauge (Rehder Development), respectively.
a½2
The averages of these values were used to calculate the cross-
where a½0¼amplitude constant, a½1 ¼decay constant, and sectional area. The total lengths of the samples were approximately
a½2¼time constant. equal to the corresponding lens diameters. However, only the area
The time constant represents the speed with which the stress within the optic zone, generally 8 mm in diameter, was of uniform
inside the material reaches a steady state after forced deformation, thickness. When loading the sample, the distance between the top
whereas the amplitude constant represents the stress difference and bottom clamp was set to 6 mm. This ensured consistent cross-
within the material between the initial and the steady-state after section and initial length of all samples. After clamping the sample,
deformation. the actuator assembly was swivelled back into the vertical position
The sample can be measured in both tensile and compression and the motor activated to lower the sample into the PBS. As the
testing modes. plate of the bottom clamp touches the bottom of the container, the

 2017 Contact Lens Association of Ophthalmologists 3

Copyright  Contact Lens Association of Opthalmologists, Inc. Unauthorized reproduction of this article is prohibited.
E. Kim et al. Eye & Contact Lens  Volume 0, Number 0, Month 2017

TABLE 1. List of Commercially Available Soft Single Vision Contact Lenses Used in this Study
Base
Brand Manufacturer Material/Dk Curve (mm) Dia (mm) Water Content Modality

Biotrue ONEday Bausch & Lomb, USA (Hydrogel) nesofilcon A/42 8.6 14.2 78% Daily
Dailies AquaComfort Plus ALCON, USA (Hydrogel) nelfilcon A/26 8.7 14.0 69% Daily
Proclear Cooper Vision, USA (Hydrogel) omafilcon B/27 8.6 14.4 62% Monthly
Proclear 1-Day Cooper Vision, USA (Hydrogel) omafilcon A/21 8.7 14.2 60% Daily
SofLens Daily Bausch & Lomb, USA (Hydrogel) hilafilcon B/22 8.6 14.2 59% Daily
Acuvue 2 Vistakon, Johnson & Johnson, USA (Hydrogel) etafilcon A/28 8.3 14.0 58% Bi-weekly
Acuvue Moist 1-Day Vistakon, Johnson & Johnson, USA (Hydrogel) etafilcon A/21 8.5 14.3 58% Daily
Clariti 1-Day Cooper Vision, USA (Silicone hydrogel) omofilcon A/60 8.6 14.1 56% Daily
Acuvue TrueEye 1-Day Vistakon, Johnson & Johnson, USA (Silicone hydrogel) narafilcon A/100 8.5 14.2 46% Daily
MyDay Cooper Vision, USA (Silicone hydrogel) stenfilcon A/180 8.4 14.2 54% Daily
Biofinity Cooper Vision, USA (Silicone hydrogel) comfilcon A/128 8.6 14.0 48% Monthly
Avaira Cooper Vision, USA (Silicone hydrogel) enfilcon A/100 8.5 14.2 46% Bi-weekly
PremiO Menicon (Silicon hydrogel) asmofilconA/129 8.6 14.0 40% Bi-weekly
Acuvue Oasys Vistakon, Johnson & Johnson, USA (Silicone hydrogel) senofilcon A/103 8.8 14.3 38% Bi-weekly
PureVision2 Bausch & Lomb, USA (Silicone hydrogel) balafilcon A/91 8.6 14.0 36% Monthly
Dailies Total1 ALCON, USA (Silicone hydrogel) delefilcon A/140 8.5 14.1 Gradient 33% Daily
to$80%
Air Optix Aqua ALCON, USA (Silicone hydrogel) lotrafilcon B/110 8.6 14.2 33% Monthly
Air Optix Night & Day Aqua ALCON, USA (Silicone hydrogel) lotrafilcon A/140 8.6 13.8 24% Monthly

balance detects an increase in load and the motor is stopped. Statistical Analysis
The spacer block is removed, the side clamps, holding the bot- The relationship between stretch and release moduli, modulus
tom clamp, were opened, the initial load is recorded, and the and water content, and modulus and toughness was assessed using
instrument is ready to commence the measurements. The sam- the Pearson correlation coefficient (r). A P value less than 0.05 was
ples were prestretched 1% of the sample length and manually considered statistically significant. All the moduli are calculated
adjusted the motor start position to avoid the toe region of the from the SS measurements. To compare the differences between
measurements. the measured and nominal manufacturer values, a paired t test (two
To compensate for the rise and fall of the liquid level in the tailed) was used on the moduli data. All analyses were performed
container during the measurements due to the varying immersion using GraphPad Prism 5.
depth of the upper clamp assembly, the corresponding balance
readings without a sample were recorded and subsequently used to
compensate for this measurement error. RESULTS
For repeatability testing, three lens types were selected—Biotrue Variability of the measured sample width within each sample
ONEday, Air Optix Night & Day Aqua and SofLens Daily; one was generally less than 60.02 mm with an average width of
sample from each type was independently measured in an SS mode 3.25 mm between all the samples. The measured thickness was
five times by one operator. The coefficient of repeatability (COR) proportionally more variable within samples because of the
was calculated using 1.96 · SD between the five measurements. 21.00 D power of all the investigated lenses. On average, samples
For mechanical testing, five lenses from each lens type were measured 3-mm thinner in the center compared with the 2-mm off-
used and measured SS, SR, and TGH with the following settings: center measurements. Measured center thickness values ranged
(1) For SS: Three-dependent repeats (no unloading of samples from 58 mm to 136 mm.
between repeats) with the following setting—pull speed 0.2 Figure 2A shows a typical example of the raw data acquisition in
mm/sec and strain of 10% of length. The modulus was calcu- the SS mode of operation. Motor position and balance readings of the
lated by fitting a straight line through data points between 4% three repeated stretch-release cycles are recorded and plotted in real
to 8% strain for the stretch and release cycles. The three repeat time. These data are subsequently analyzed to obtain the SS curves
results were averaged to obtain the modulus for each sample. and the slopes of the averaged data points between 4% and 8% strain
(2) For SR: One repeat with the following setting—pull speed for the stretch and release sections (Fig. 2B). The steeper the slope,
0.75 mm/sec, strain 15% of length, and observed relaxation the stiffer or higher the modulus. The R2 value of the linear fit was
time of 60 sec. 0.9972 on average for all samples demonstrating good linearity.
(3) For TGH: One repeat with pull speed of 0.2 mm/sec and The CORs calculated for the three lens types selected were 0.02
stopping when sample breaks. The area under the SS curve MPa for Biotrue ONEday and SofLens Daily and 0.08 MPa for Air
up to the breakpoint was calculated as toughness in units of Optix Night & Day Aqua with moduli of 0.53, 0.37, and 1.38 MPa,
MPa. respectively.
For most of the lenses, the measured stretch moduli were
The results from these three measurement types were examined approximately 10% lower compared with the corresponding
to determine whether there is any significant correlation between release modulus (Fig. 3). The stretch and release moduli statisti-
the three material properties. cally correlated well with Pearson correlation coefficient (r) of
All measurements were performed at temperature of 35°C. All 0.985 (P value,0.000). Because of this high correlation, only
lens strips were pre-examined for any accidental damage or tears the stretch modulus, which is the typical measurement reported
during the sample preparation. in contact lens literature, will be included in the further analysis.

4 Eye & Contact Lens  Volume 0, Number 0, Month 2017

Copyright  Contact Lens Association of Opthalmologists, Inc. Unauthorized reproduction of this article is prohibited.
Eye & Contact Lens  Volume 0, Number 0, Month 2017 Mechanical Properties of Soft Contact Lens Materials

FIG. 2. (A) Raw data plot showing


weight and distance (extension of the
linear motor) readings for a lens mea-
sured in an SS mode; (B) Analyzed data
plotted as stress-strain curves with the
three individual cycles and the average
for stretch and release moduli. Stress is
calculated using the raw weight data
multiplied by gravity, which represents
the force and then divided by the area.
Strain is calculated using the raw dis-
tance data, which represents the length
of the motor, hence determines the
change in the length of the sample and
then divided by the initial length of the sample multiplied by 100%. SS, stress-strain.

The measured moduli for silicone hydrogel materials were gener- to 22.39% for Acuvue TruEye 1-Day lens. The SR constants cal-
ally higher compared with the hydrogels, except for the Dailies culated for all lens types are plotted in Figure 7.
AquaComfort Plus lens type. There were no obvious trends in the relationships between the
The moduli measured in this study and values reported pre- time and amplitude constants (Fig. 8). For most lens types, the time
viously in the literature, including the nominal values as published constant was measured at approximately 10 seconds, whereas the
by the manufacturers, are plotted in Figure 4. Comparing the calculated amplitude constants were more variable between lens
nominal data with moduli measured in this study, the maximum types.
difference was 0.28 MPa, although statistically insignificant (P- The toughness—area under the curve at breakpoint—was calcu-
value¼0.291). The nominal values for Dailies AquaComfort Plus lated for all lens types (Fig. 9). No significant correlation was
and SofLens Daily were not available. found between toughness and modulus with Pearson’ correlation
The relationship between modulus and water content is coefficient (r) of 0.310 (P-value¼0.211).
shown in Figure 5 for both measured and nominal moduli. As
the water content increases, the modulus tended to decrease for
silicone hydrogel lenses with Pearson correlation coefficient (r) DISCUSSION
of 20.750 and statistically significant (P value¼0.008) for mea- In this study, a purpose-built MicroTensometer instrument was
sured moduli. For hydrogel lenses, the reverse trend was introduced, and tensile results presented from testing most of the
observed with Pearson correlation coefficient (r) of 0.553, commonly prescribed soft contact lens materials. In this current
although this was not statistically significant (P value¼0.198) study, applications for different tensile mode measurement meth-
for measured moduli. ods that characterize the mechanical properties of soft contact lens
An example of the data generated in the SR mode is illustrated in materials are presented. In addition to the customarily reported
Figure 6. From the acquired raw distance and weight data, the modulus of elasticity parameter, material toughness and the
decay in stress following the applied step elongation is extracted dynamic property of SR were also investigated.
over the 60 sec. The exponential curve fitted over the decay in As there are no standard lens material samples available and
stress showed a consistent time constant of approximately 10 sec there is no prescribed or standardized measurement method,
for most of the lens types measured in this study. However, the validation of absolute accuracy is difficult to achieve. The two
amplitude constant varied from 2.84% for the SofLens Daily lens key measurement parameters of force and elongation are obtained

FIG. 3. The modulus measured for all lens types. The error bars represent SDs between five lenses of
each lens types.

 2017 Contact Lens Association of Ophthalmologists 5

Copyright  Contact Lens Association of Opthalmologists, Inc. Unauthorized reproduction of this article is prohibited.
E. Kim et al. Eye & Contact Lens  Volume 0, Number 0, Month 2017

FIG. 4. The nominal modulus values plotted against measured and previously reported literature
values of modulus; Young et al.,9 Horst et al.10

using commercial equipment with specified accuracy of 60.8 mg medium (59%), and high (78%) water content. Regardless of its
and 60.1 mm, respectively. The measurement of the cross- water content, all three lens types had a COR,0.1 MPa between
sectional area of the samples was performed with calibrated five repeated measurements, demonstrating high repeatability.
equipment with better than 62 mm accuracy. Other error con- In comparison, Young et al.12 using the Instron 3,343 tensiom-
tributing factors like the possible slippage of the sample within eter (Instron, Norwood, USA) reported the mean differences
the clamps, introduction of small defects on the sample, or the between two measurements of ,0.1 MPa for eight of nine ma-
effects of working with a nonflat sample are more difficult to terials measured. The COR ranged from 60.04 MPa with galy-
quantify. Although the presented results are similar to previ- filcon A to 0.30 MPa with lotrafilcon A. Tranoudis et al.1 used
ously published data, this is only an indirect confirmation of a similar instrument, the Instron 1,122 Universal Testing Instru-
accuracy as the other methodologies used would have faced ment (Instron Ltd, Buckinghamshire, United Kingdom), to test
similar problems in validating absolute accuracy of their results. the precision of their measurement technique and reported
The COR of the instrument for the modulus measurement was an SD of 2.07 kg/cm2, which equates to 0.203 MPa, between
determined using three types of lens materials with low (24%), 15 samples. The COR calculated for an SD of 0.203 MPa is

FIG. 5. The relationship between measured and nominal modulus against nominal water content.
Dailies Total1 lens plotted against nominal core water content.

6 Eye & Contact Lens  Volume 0, Number 0, Month 2017

Copyright  Contact Lens Association of Opthalmologists, Inc. Unauthorized reproduction of this article is prohibited.
Eye & Contact Lens  Volume 0, Number 0, Month 2017 Mechanical Properties of Soft Contact Lens Materials

FIG. 6. (A) Raw data plot of “SR”


measurement in weight and distance
(extension of the linear motor); (B)
analyzed data, showing decay of stress
over time. SR, stress relaxation.

0.40 MPa, which is more than four times higher than the COR immersed in temperature-controlled saline bath to measure soft
reported in the current study. contact lens modulus of elasticity. It has been demonstrated that
The modulus of elasticity was calculated for the stretch and modulus can be sensitive to changes in temperature, such as room
release cycles. The stretch modulus measured slightly lower temperature compared with eye temperature.10 The difference
compared with the release modulus for most of the lens types between Young results and this study ranged from 0.00 MPa to
but were strongly correlated. These slight differences in the two 0.45 MPa for the nine common lenses measured. Eight lens types
moduli can be explained by the hysteresis effect within the material were within 0.25 MPa with only the Air Optix Night & Day Aqua
as well as within the instrument.18,19 The reversal of the stretch lens falling outside that range. A similarly large difference of 0.4
movement does not immediately lead to a reduction in stress. The MPa for Air Optix Night & Day Aqua lens was found when com-
range selection of 4% to 8% strain for the linear curve fit was based paring this study with data from Horst et al.11 Horst et al. used the
on the observation that most materials showed good linear behavior BioTester biaxial test system (CellScale Biomaterials Testing,
over this range. In addition, we estimate that this is also the defor- Waterloo, Canada), a novel method for measuring the modulus
mation range a lens might experience while fitted and moving on of silicone hydrogel materials, which uses BioRakes (BT-305-10)
the eye. to clamp the samples. This system enabled the lens sample strips to
A few studies have reported measurement results of contact lens be kept immersed in a temperature-controlled saline bath. Compar-
modulus of elasticity. As there is no standardized method for ing the results from the four common lens types measured to our
measuring the modulus of soft contact lens materials, researchers results, modulus differences ranged from 0.02 to 0.41 MPa for
have defined and implemented their own methods. Differences in saline solution at 37°C. Most contact lens manufacturers publish
sample preparation methods, measurement conditions and equip- modulus data for their materials. However, no information is pro-
ment used, can lead to variations in results. Tranoudis et al.1 used vided by the manufacturers as to how the measurements were
the Instron 1,122 Universal Testing Instrument to measure tensile performed and how moduli of elasticity were calculated. Differ-
properties of eight hydrogel lens materials, including at least one ence in moduli compared with this study ranged from 0.01 MPa to
sample from each of the four FDA-classified groups. The lens 0.28 MPa.
samples were soaked in saline; however, the measurements were There is a general correlation between the three material
conducted in air at room temperature. This is different to Young properties of modulus, water content, and oxygen permeability.20
et al.,10 who used an Instron 3,343 tensiometer with lens samples With conventional hydrogels, the oxygen permeability increases

FIG. 7. The three SR constants calculated using exponential curve fitted on raw data. The error bars
represent SDs between five lenses of each lens type. For Dailies AquaComfort Plus n¼4. SR, stress
relaxation.

 2017 Contact Lens Association of Ophthalmologists 7

Copyright  Contact Lens Association of Opthalmologists, Inc. Unauthorized reproduction of this article is prohibited.
E. Kim et al. Eye & Contact Lens  Volume 0, Number 0, Month 2017

FIG. 8. The relationship between time


and amplitude constants of stress relaxa-
tion measurement.

and the modulus decreases with the water content.21 The introduc- measured. This is likely due to the absence of low water content
tion of silicone hydrogel materials some 16 years ago inverted the materials in our selection of samples. The lowest water content
relationship between water content and oxygen permeability, as the materials measured were the Acuvue 2 and Acuvue 1-Day Moist
oxygen is primarily transported through the lens by the silicone, lenses with 58% EWC and 0.45 MPa and 0.38 MPa moduli,
not the water. The first-generation silicone hydrogel materials tar- respectively. A second factor contributing to this anomaly is the
geted maximum oxygen permeability, thus had low water content uncharacteristically stiff material of the Dailies AquaComfort Plus
and were consequently stiff. This caused few undesired clinical lens. This may be due to the unique manufacturing process that
effects.2–5 To address these issues, the water content of the second- does not involve disposable moulds or an extraction process, or the
and third-generation silicone hydrogel materials has been polyvinyl alcohol–based hydrogel, which could have adjusted to
increased, leading to reduced moduli in conjunction with other high tensil strength.23 The daily disposable Dailies Total1 silicone
structural changes within the chemistry, while still maintaining hydrogel lens is the first water gradient silicone hydrogel contact
sufficient oxygen permeability for daily wear.21,22 The second sil- lens on the market. It is claimed to have a novel structure with
icone hydrogel lens on the market, the Air Optix Night & Day a transition from core water content of 33% to surface water
Aqua, targeted high oxygen permeability with a Dk of 175 through content in excess of 80% at the interface with the tear film.24 With
a low water content of 24% and had the highest modulus of elas- no further information provided on the proportional thickness or
ticity of 1.44 MPa as reported in this study. The more recently volume of surface and core, this material is difficult to categorize
released silicone hydrogel lenses Avaira and MyDay measured for its water content. The modulus result suggests that the average
almost three times softer with water contents of 46% and 54%, water content is approximately 45%–50%.
respectively. The expected negative correlation between water con- The factors influencing the contact lens–related comfort of the
tent and modulus was not evident for the seven hydrogel materials eye include mechanical interaction of the lens with the eye, the

FIG. 9. The relationship between stretch


modulus with toughness. All values are
average n¼5 for each lens types, except
for Dailies AquaComfort Plus where n¼4.

8 Eye & Contact Lens  Volume 0, Number 0, Month 2017

Copyright  Contact Lens Association of Opthalmologists, Inc. Unauthorized reproduction of this article is prohibited.
Eye & Contact Lens  Volume 0, Number 0, Month 2017 Mechanical Properties of Soft Contact Lens Materials

ocular physiology, and the wearing characteristics.25 There are 3. Graham AD, Truong TN, Lin MC. Conjunctival epithelial flap in continu-
conflicting findings reported on the comfort of silicone hydrogel ous contact lens wear. Optom Vis Sci 2009;86:e324–e331.
4. Alba-Bueno F, Beltran-Masgoret À, Sanjuan C, et al. Corneal shape
lenses compared with the hydrogel lenses. In a study reported by changes induced by first and second generation silicone hydrogel contact
Young et al.,26 496 hydrogel soft lens wearers were refitted into the lenses in daily wear. Cont Lens Anterior Eye 2009;32:88–92.
second-generation silicone hydrogel lenses for daily wear and 5. Maissa C, Guillon M, Garofalo RJ. Contact lens-induced circumlimbal
found that comfort improved significantly with these silicone hy- staining in silicone hydrogel contact lenses worn on a daily wear basis.
Eye Contact Lens 2012;38:16–26.
drogel lenses in various challenging environments. Dumbleton et al.27
6. Dumbleton K. Noninflammatory silicone hydrogel contact lens complica-
also reported that the use of silicone hydrogel lenses resulted in tions. Eye Contact Lens 2003;29:S186–S189.
a decrease in symptoms of dryness and discomfort over hydrogel 7. French K. Contact lens material properties. Part 2—mechanical behaviour
lenses. Cheung et al.,28 however, concluded that there is no difference and modulus. Optician 2005;230:29–34.
in any aspect of contact lens comfort comparing hydrogels to silicone 8. French K, Jones L. A decade with silicone hydrogels: Part 2. Optom Today
2008;48:38–42.
hydrogels. Mechanical properties are only one aspect of material 9. Tighe BJ. A decade of silicone hydrogel development: Surface properties,
characteristics that can influence on-eye comfort; thus, no conclusions mechanical properties, and ocular compatibility. Eye Contact Lens 2013;39:4–12.
can be drawn on which material would be most acceptable to the eye 10. Young G, Garofalo R, Peters S, et al. The effect of temperature on
based on those properties alone. soft contact lens modulus and diameter. Eye Contact Lens 2011;37:
Although modulus of elasticity is the most commonly measured 337–341.
11. Horst CR, Brodland B, Jones LW, et al. Measuring the modulus of silicone
mechanical property, other properties such as the SR and toughness hydrogel contact lenses. Optom Vis Sci 2012;89:1468–1476.
were also measured in this study. The SR parameters describe the 12. Young G, Garofalo R, Harmer O, et al. The effect of soft contact lens care
dynamic behavior of the material. Both the time and amplitude products on lens modulus. Cont Lens Anterior Eye 2010;33:210–214.
parameters are important factors that contribute to lens fit and 13. Lee SJ, Bourne GR, Chen X, et al. Mechanical characterization of contact
lenses by microindentation: Constant velocity and relaxation testing. Acta
movement on the eye.29 The exponential curve fitted over the Biomater 2008;4:1560–1568.
decay in stress showed a consistent time constant of approximately 14. Gonzalez-Meijome J, Almeida J, Parafita M. Analysis of surface mechanical
10 sec for most of the lens types measured in this study. However, properties of unworn and worn silicone hydrogel contact lenses using nano-
the amplitude constant varied from 2.84% for the SofLens Daily indentation with AFM. Microsc Sci Technol Appl Education 2010;1:554–559.
lens to 22.39% for Acuvue TrueEye 1-Day lens. 15. Caglayan MO. Atomic force microscopy as a characterization tool for con-
tact lenses: Indentation tests and grain analysis. Int J Polymeric Mater Poly-
The toughness modulus, which was calculated as the area under meric Biomater 2014;63:680–684.
the stress strain curve up to the breakpoint, is a measure of how 16. Ehrmann K, Kim E, Parel J-M. Mechanical Properties of Intra-Ocular
much energy is absorbed by the sample before it breaks. A lens Lenses. Proceeding SPIE 6844, Ophthalmic Technologies XVIII, 68440O
material can be strong but not necessarily be tough—such a sample 2008; 6844: 68440O-68440O-68411.
17. International Organization for Standardization. ISO 18369-4:2006 Ophthal-
can be described as being brittle. An example of this characteristic
mic Optics—Contact Lenses—Part 4: Physiochemical Properties of Contact
is the Dailies AquaComfort Plus lens type, where high stress is Lens Materials, 2006.
required to break the sample but small deformation is produced 18. Li C, Ahearne M, Liu KK. Micromechanical characterization of hydrogel-
before failure. The brittle behavior of the Dailies AquaComfort based contact lens. Int J Mod Phys B 2010;24:117–127.
Plus was also observed while measuring the lenses. Three of the 19. Zhao X. Multi-scale multi-mechanism design of tough hydrogels: Building
dissipation into stretchy networks. Soft Matter 2014;10:672–687.
five lenses broke while performing SS measurements and had to be 20. Jones L, Subbaraman L, Rogers R, et al. Surface treatment, wetting and
replaced. Tranoudis et al.1 have also observed that polymer modulus of silicone hydrogels. Optician 2006;232:28–34.
samples can be strong with high modulus but brittle with low 21. Loretta SF. Looking at silicone hydrogels across generations. Optometric
elongation-at-break. Management 2008;May.
22. Iskeleli G, Karakoc Y, Ozkok A, et al. Comparison of the effects of first and
In conclusion, using the purpose-built instrument, the mechan-
second generation silicone hydrogel contact lens wear on tear film osmo-
ical properties, such as the Young modulus as well as toughness larity. Int J Ophthalmol 2013;6:666–670.
and SR, of soft contact lenses, were reliably measured. All the most 23. Hyon S-H, Cha W-I, Ikada Y, et al. Poly(vinyl alcohol) hydrogels as soft
commonly prescribed soft contact lens materials were presented, contact lens material. J Biomater Sci Polym Edition 1994;5:397–406.
and modulus data were compared against published data from 24. Pruitt J, Bauman E. The development of dailies total1 water gradient contact
lenses. Contact Lens Spectr 2013;28:40–44.
manufacturers and other research groups. Agreement was generally 25. Guillon M. Are silicone hydrogel contact lenses more comfortable than
good, with only a few exceptions exceeding 15% deviation. The hydrogel contact lenses? Eye Contact Lens 2013;39:86–92.
more recently released silicone hydrogel lens types have reduced 26. Young G, Riley CM, Chalmers RL, et al. Hydrogel lens comfort in chal-
modulus, approaching that of medium or high water content lenging environments and the effect of refitting with silicone hydrogel
lenses. Optom Vis Sci 2007;84:302–308.
hydrogel materials.
27. Dumbleton KA, Woods CA, Jones LW, et al. Comfort and adaptation to
silicone hydrogel lenses for daily wear. Eye Contact Lens 2008;34:215–223.
28. Cheung SW, Cho P, Chan B, et al. A comparative study of biweekly dispos-
REFERENCES able contact lenses: Silicone hydrogel versus hydrogel. Clin Exp Optom
1. Tranoudis I, Efron N. Tensile properties of soft contact lens materials. Cont 2007;90:124–131.
Lens Anterior Eye 2004;27:177–191. 29. Hosaka S, Yamada A, Tanzawa H. Mechanical properties of the soft contact
2. Meng CL, Thao NY. Mechanical complications induced by silicone hydro- lens of poly (methyl methacrylate-N-vinylpyrrolidone). J Biomed Mater Res
gel contact lenses. Eye Contact Lens 2013;39:115–124. 1980;14:557–566.

 2017 Contact Lens Association of Ophthalmologists 9

Copyright  Contact Lens Association of Opthalmologists, Inc. Unauthorized reproduction of this article is prohibited.
View publication stats

Potrebbero piacerti anche