2015
DOI: 10.1016/j.optom.2014.12.001
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Tear exchange and contact lenses: A review

Abstract: Tear exchange beneath a contact lens facilitates ongoing fluid replenishment between the ocular surface and the lens. This exchange is considerably lower during the wear of soft lenses compared with rigid lenses. As a result, the accumulation of tear film debris and metabolic by-products between the cornea and a soft contact lens increases, potentially leading to complications. Lens design innovations have been proposed, but no substantial improvement in soft lens tear exchange has been reported. Researchers h… Show more

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Cited by 68 publications
(60 citation statements)
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“…Minimum improvement in visual acuity (20%) and fair relief from symptoms and signs (60%) were noted 9 . The frequency of instillation of artificial tear drops was also found to be decreased.…”
Section: Discussionmentioning
confidence: 99%
“…Minimum improvement in visual acuity (20%) and fair relief from symptoms and signs (60%) were noted 9 . The frequency of instillation of artificial tear drops was also found to be decreased.…”
Section: Discussionmentioning
confidence: 99%
“…8 A poor postlens tear exchange, especially with soft contact lenses, leads to the buildup of inflammatory cells, metabolic byproducts, and debris in the postlens tear film that may cause adverse ocular responses. 9,10,14 Supporting this theory is the fact that gas-permeable lenses demonstrate high levels of tear mixing similar to physiologic tear turnover 17 as well as fewer serious ocular complications commonly seen with soft lens extended wear. 2 The apparent difference between rigid and soft lenses, linked to variations in size and material properties, lies in their dissimilar capabilities to mix and replenish the postlens tear film.…”
Section: Adverse Events During Contact Lens Wearmentioning
confidence: 96%
“…7,9,10 Specifically, some components of lens care solutions significantly alter dynamic interfacial properties and rheological behavior of human tear lipid films. [11][12][13] Clinical results suggest that both Asian and non-Asian groups exhibited increased corneal staining in response to biguanidepreserved solutions, although Asian subjects demonstrated greater sensitivity to the solutions than did non-Asian subjects.…”
Section: Adverse Events During Contact Lens Wearmentioning
confidence: 99%
“…Additionally, if parameter p is plotted for every section made by slicing the surface AFM image, then the diagram shown in Figure 1 (right) can be considered as the AFM image lacunarity signature. The plots shown in Figure 1 have been made according to Equation (6):…”
Section: Lacunarity Analysismentioning
confidence: 99%
“…The importance of tear exchange behind an RGP contact lens remains an ongoing debate. 6 Once a contact lens is inserted, the value of the precorneal tear film thickness doubles, resulting in a 2-5 μm thickness for pre and post lens tear films. Some authors 7 determined the post lens tear film below 3 μm.…”
Section: Introductionmentioning
confidence: 99%