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Contact Lens Class OPT 618
Class 1 History and Theory
56
Medical
Graduate
01/07/2013

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Cards

Term
Eye Exams + Spectacles make up _____%
Eye Exams + Contact Lenses make up ____%
Eye Exams + Ocular Disease make up_____%
Definition
Lenses 60%
CL 30%
Ocular Disease 10%
......of gross income
Term
Who was the first person to conceive the idea of cornea neutralization via a new refracting surface?
Definition
Leonardo De Vinci
Term
"If one applies fluid, directly against the eye, there will be no longer any refraction at the entry of the eye"

Who said this?
Definition
Rene Descartes
Term
Who outlined the principles of the telescope and other techniques for enlarging retinal image size?
Definition
Rene Descartes
Term
-First to provide scientific explanation of color vision
-First Established the fact that accommodation was related to changes in crystalline lens
-First to describe and measure astigmatism
Definition
Thomas Young
Father of Physiological Optics
-Interpreted the Rosseta Stone
Term
Thomas Young invented the closest contact lens device that was a 25 mm tube with a biconvex lens filled with cold water. It was called....
Definition
Hydradiascope- designed to study the mechanism of accommodation
Term
Who described the exact CL we use today?
Definition
Sir John Herschel
also coined the phrase "photography", "negative and positive snapshot"
Term
How did a lacrimal lens work?
Definition
Glass lens that was filled with tears, same index as cornea and glass
Term
Who invented the first glass eye?
Definition
Frederick Muller
Term
The artificial eye had a central portion with no optical power, it was called a therapeutic lens. Sclera had thin string to look like vessels. How long can this eye be worn?
Definition
12- 18 months, due to corrosion of the glass by the tear film. Etching and clouding occurred throughout time
Term
In 1888 three white guys independently developed the first contact lenses, they were...
Definition
Adolph Eugen Fick
August Muller
Eugene Kalt
Term
Adolph Fick first published work on CL and reported how he had fitted Cl to irregular corneas from molds taken from cadaver eyes. What was the diameter of the lenses?
Definition
18-20 mm, had to be large to get it centered correctly on the eye
Term
Fick developed the first contact lens with refractive power with which major lens company?
Definition
Carl Zeiss in 1888
Term
Who was the first to wear a pair of CLs?
Definition
August Muller from Kiel, Germany
He had -14.00 D of myopia!
Term
The first cl showed which major problem?
Definition
Lack of oxygen which caused induced corneal edema
Term
August Muller designed CL that are similar to the lenses we wear today but they are still about how big?
Definition
16.5mm in diameter
Term
Where is pressure exerted by the CL that causes rapid metabolic disorders?
Definition
CL exerts pressure on the border of the cornea
Term
Who first experimented with corneal CL? and correct keratoconus?
Definition
Eugene Kalt MD
Term
Who designed this lens?
1. Designed to apply pressure onto the corneal apex
2. First to base lens fitting from keratometric measurements
3.Used 11 mm corneal lens
4. Fabricated from segments from bottom of test tubes
Definition
Dr. Kalt 1888
Term
First US patent for CL
Definition
Volle, Scranton Mississippi
Issued March 3, 1903
Term
Blown Glass Scleral lenses were made by...
Definition
F.A Muller Company Wiesbaden of Germany
Term
Ground Glass Scleral Lenses were made by....
Definition
Carl Zeiss Company of Jena, Germany
Term
Which ( Blown or Ground) had greater patient tolerance since there was no sharp edges remained
Definition
Blown Glass
Term
First Scleral lenses produced that were commercially available, and what base curves?
Definition
Carl Zeiss- 20 mm dia
6.5, 7.1, 8.1, 9.0
Term
Hindenburg caught fire and burnt which optometry precious cargo?
Definition
Cark Zeiss CL on route to NY
Term
Joesph Dallos is famous because?
Definition
He invented the first impression of living eyes using Negocoll
and first to describe toric and lenticular lenses.
Term
Who developed and patented PMMA as a plastic?
Definition
Crawford and Hill (1934)
Term
PMMA became the lens material for choice in which year?
Definition
1938
Term
William Feinbloom is famous for...
Definition
In 1936 he was the First American to use plastic for CL. Glass central optic and plastic scleral portion. <- Hybrid CL
Term
First to describe bifocal and trifocal contact lenses
Definition
William feinbloom
Term
The first completely plastic scleral contact lens was developed by
Definition
Istuan Gyorffy 1938
Term
Theo Obrig was the first to suggest the use of what to evaluate CL fitting
Definition
Fluroscein dye with Cobalt Blue
Term
Flouroscein pooling is due to..
Definition
lifting of the CL
Term
Who developed the first Scleral lens that had a small hole in periphery to facillicate tear flow and incorporated a transitional curve between the cornea and sclera to provide limbal clearance.
Definition
Norman Bier in 1943
Term
Mold kit was called....
The material that was mixed was called...
Definition
Moldite
Negocol
Must be mixed and placed in syringe in 30 sec
Use anestheric and mold the eye
Term
What is the 6 step process in making a CL?
Definition
1.Mixing the Negocol
2. Applying the Negocol to the anesthetized eye
3. Removing the mold, cornea, limbus and scleral mold
4. Mixing the Castone
5. Making the CL mold with initials
6. Molding the CL with a flame that melts the plastic and shaped into the mold segment
Term
Where is power ground into in a CL?
Definition
The front surface
Term
What type of fluid was placed on the CL for insertion?
Definition
Bicarbonate fluid
Term
If the CL was too snug you would....

If the CL was too loose on the eye you would....
Definition
.... Add more cement ( mold)

....Take away the plastic and remold
Term
First Lens care solution was
Definition
Micon Tablets (Salt tablets)
The pt had to keep track of their solution mixture to determine the correct pH for their eye
Term
What procedure did CL wears follow before inserting the CL?
Definition
Rinse in cold water and lick the inside and out to maintain a clean condition
Term
Who designed the first Corneal contact lens made of PMMA?
Definition
Dennis C. England 1946, applied for patent in January 1946 but it was rejected.

Most of the eyes presented had irregular astigmatism with no keratometric readings.
Term
Which famous person patented the first plastic contact lens?


*hint: All because of his awesome wife
Definition
** Kevin Tuohy** 1948
11mm with CT of 0.40
THe lens was a monocurve design with a base curve and a rounded edge.
Term
Kevin Tuohy CL designed required which important monocurve design?
Definition
It was required to be fitted 1.50D. Flatter than the flat "K".
Term
Who Designed the first multi curve lenses to better contour the true shape of the cornea?
Definition
George Butterfield, 1951
Steep in the center and flattens out in the periphery
Term
Which 3 famous duded developed the "Microlens", which we currently use today.
- 9.5 mm's in dia
- Avg thickness of 0.20 mm
Definition
Frank Dickinson
John Neil
Wilhelm Sohnges
1951
Term
Otto Wichterie in 1961 from Prague invented the first....
Definition
Soft Contact Lens which was bio-compatable by using his kid's erector set
Term
Which Corporation acquired the rights to the Wichterie's hydrogel material?
Definition
The National Patent Development Corp and Dr. Robert Morrison (USA) in 1964
Term
In 1966 the National Patent Development granted license to which company to distribute and manufacture the hydrogel lenses in the US?
Definition
Bausch and Lomb INC.
Term
The FDA started to regulate CL as a drug as well as regulate the manufacture + disinfection of CL in what year?
Definition
1968
Term
What exciting news did Bausch & Lomb receive in 1971?
Definition
First Hydrogel lens was approved by the FDA for the US market.

It was the "C" series and cost $35 per lens
Term
In 1983 Hydrogen Peroxide solutions presented with problems because..
Definition
it lacked preservatives and pts were exposed to microbes
Term
What Materials were the RCP lenses made out of? 4 types and describe their oxygen permeability.
Definition
1. PMMA- Dk:0
2. Cellulose acetate butyrate- Dk: 4-8 low
3. Silicone acrylate- Dk:12-54
4. Fluorosilicone acrylate- Dk: 30-160
We currently use the fluorosilicone
Term
What are some examples of modern cl?
Definition
Disposable lenses, Daily disposable, silicone/hydrogel lenses
Term
Current silicone hydrogel lens examples?
Definition
Acuvue adv, B&L purevision, Ciba night & day, Coopervision avaira, etc.
Term
What are the 3 lens care systems we use today?
Definition
1. Multi-purpose Solution
2. Hydrogen Peroxide
3. UV Systems
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