Search PubMed⌕ Search

Biomedical subjects

E S Bennett

Publications and source records attributed to E S Bennett.

24 records · Page 2Linked to original sources

Rigid gas-permeable lens problem solving.

The introduction of high oxygen-permeable rigid lenses for daily wear has provided practitioners with an excellent alternative to other available lens materials. However, compromise in material properties may, in fact, result in lens-induced complications. This paper describes eight such "typical" problems including a treatment plan and possible alternative methods of treatment. A comprehensive summary table is provided for reference use by practitioners.

Contact Lenses, Extended-Wear↗

A comparison of two techniques of refitting long-term polymethyl methacrylate contact lens wearers.

Two techniques for fitting long-term polymethyl methylcrylate (PMMA) lens wearers with a gas-permeable hard lens are compared. These are: complete cessation of all lens wear for the period necessary to achieve stability in the patient's refraction and corneal curvature, and immediate refitting with a Polycon lens. Eleven patients who had worn hard contact lenses for at least 3 years and had wearing times of at least 8 hr per day were refitted with each technique. Refitting with Polycon lenses slowed but did not otherwise inhibit the recuperative changes taking place in the cornea after PMMA lens removal; vision was better and more stable with this group.

Adult↗

Immediate refitting with gas permeable lenses.

Handling long-term polymethylmethacrylate (PMMA) lens wearers, especially those suffering severe corneal oxygen deprivation, has been a problem much relieved by the introduction of oxygen permeable rigid lenses. Previous methods including lens modifications, discontinuation of lens wear, and de-adaptation possessed limitations which could cause the patient to experience permanent corneal curvature and refractive changes. Immediately refitting these patients with gas permeable lenses has been a procedure which appears to have eliminated many of the previous problems and has achieved rapid approval from contact lens practitioners the past few years. This paper discusses how this procedure can be performed to the satisfaction of both the optometrist and the patient.

Contact Lenses↗

Communication of proper vision care to elementary school children.

The need for optometrist involvement in an elementary school vision care lecture program is very important. A pilot study where a series of vision talks is given to children is described and a proposed model for optometrists considering this method of communication is given.

Adolescent↗

Evaluation of variation in oxygen transmission in rigid contact lens extended wear.

Variation in thickness is known to affect the Dk/L of rigid gas permeable contact lenses. Our study was designed to evaluate the variability of central and average thickness of Oxyflow EW lenses. In addition, the relationship between overnight swelling of the central cornea and Dk/L was examined to determine whether Dk/L calculated with central lens thickness correlated better with lens-induced edema than Dk/L calculated with average lens thickness. The results showed marked variation among lens center thicknesses for all powers (-6 D, -2 D, +2 D, +6 D) examined, and, as expected, more variation for centrally calculated Dk/L with high minus lenses. Average Dk/L did not vary significantly with power. Average and central Dk/L values had a near 1:1 relationship for -2 D lenses for the base curve (7.8 mm) ordered; but only when power was kept constant was a good correlation seen between central and average Dk/L. A one-patient study evaluating the overnight central swelling response to three +6 D and three -6 D (high, medium, and low center thickness) lenses showed that central Dk/L correlated better with lens-induced edema than average Dk/L. Thus, specifying central thickness on lens orders appears to be a primary variable influencing extended wear edema at night. Peripheral Dk/L, however, may influence corneal physiological variables other than central edema and warrants further study.

Adult↗