Using clinical optical coherence tomography to characterise contact lens edge shape and base curve radius.

Clinical Relevance: Clinical optical coherence tomography devices are widely used in optometry and ophthalmology and may be used to measure contact lens base curvature radius and visualise contact lens edge shape.

Background: Knowledge of contact lens geometry facilitates fitting, while optical coherence tomography provides a powerful means of measuring geometrical form. This study evaluates the performance of a clinical optical coherence tomography device (3D OCT-1000) in characterising contact lens edge shape and measuring the back optic zone radius of rigid gas-permeable contact lenses in vitro.

Methods: First, an opto-mechanical optical coherence tomography contact lens adaptor was designed and 3D-printed to facilitate a contact lens being imaged using a commercial optical coherence tomography device. Second, several image-processing algorithms and a simple calibration method were developed to measure the back optic zone radius in optical coherence tomography B-scans. Finally, based on the findings of two experiments, B-scan performance was evaluated in terms of 1) capacity to differentiate between contact lens edge geometries, and 2) capacity to obtain accurate and repeatable back optic zone radius measurements. Statistical and graphical analyses were performed to characterise reliability and reproducibility.

Results: The 3D OCT-1000 and adaptor combination was capable of acquiring images of sufficient quality to discriminate between soft and rigid contact lens edge geometries. Additionally, statistical analysis of the rigid contact lens measurements demonstrated satisfactory back optic zone radius measurement accuracy and reproducibility.

Conclusion: This study demonstrates that a 3D OCT-1000 fitted with an opto-mechanical adaptor combination can be used to assess contact lens edges in vitro and that this clinical optical coherence tomography device, combined with image processing and linear calibration of the B-scans, is capable of obtaining back optic zone radius measurements of rigid gas-permeable contact lenses that are close to the ISO 18,369-2:2018 manufacturing tolerance range (±0.05 mm).