Abstract
The relationship between the precorneal tear film and contact lenses has been recognized since the conception of contact lenses by da Vinci, who identified the optical effect of tears in a contact lens system.1 With the initiation of the modern age of contact lenses by Feinbloom in 19362 and Mullen in 1938,3 an insertion solution was required to fill the vaulted and sealed space between the posterior lens surface and the cornea. Since no significant interchange of fresh tears to the retro-lens space occurred, pH, osmolarity, and buffering agents of the insertion solutions were manipulated in unsuccessful attempts to eliminate corneal edema and to increase wearing time.4 In 1943, Bier introduced fenestration, allowing the exchange of tear fluid into the retro-lens space and reducing edema, with a concurrent increase in wearing time.5
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Korb, D.R. (1994). Tear Film — Contact Lens Interactions. In: Sullivan, D.A. (eds) Lacrimal Gland, Tear Film, and Dry Eye Syndromes. Advances in Experimental Medicine and Biology, vol 350. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2417-5_70
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DOI: https://doi.org/10.1007/978-1-4615-2417-5_70
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