“…The ortho-k lenses used in this study were Brighten 22, and the material generic name was Butyloxyfocon A (Brighten Optix Co., Taipei, Taiwan). The preparation of artificial tear solution with salts and lipids has been published previously [ 24 ], and 2 mg/mL of lysozyme (Sigma-Aldrich, St. Louis, MO, USA) and 0.2 mg/mL of albumin (Sigma-Aldrich) were added into salt-lipid mixed solution. After salts, lipids, and proteins were mixed, 225 or 450 mg of alginate acid (AA, molecular weight is 120,000–190,000 g/mol, Sigma-Aldrich) and lambda-carrageenan (CRG, molecular weight is 560,500–580,500 g/mol, Sigma-Aldrich) were added into 100 mL of solution to make polysaccharide-containing artificial tear solution.…”