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February 1971

Contact Lens Medical Seminar

Author Affiliations

Brookline, Mass

Arch Ophthalmol. 1971;85(2):254. doi:10.1001/archopht.1971.00990050256024

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Contact Lens Medical Seminar is a monograph summarizing the proceedings of the First Contact Lens Seminar held prior to the 1968 meetings of the American Academy of Ophthalmology and Otolaryngology. This text is not represented as being, and indeed is not a comprehensive text on contact lens fitting. In fact, the chapters devoted to contact lens fitting techniques are the weakest part of the book.

As nicely explained in the first chapter, "Clinical Application of Corneal Physiology," the most important prerequisite of a successful contact lens fit is the maintenance of an adequate oxygen tension of the corneal environment. This requires an adequate circulation of freshly oxygenated tears beneath the lens in order to avoid corneal epithelial hypoxia and edema. Yet, other than emphasizing the importance of blinking, no logical explanation was offered anywhere in this text as to how this end can best be achieved under a variety of

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