01 1-1 1-2 1-3 1-4 1-5
Fitting Techniques For Contact Lenses 1 1 2
0 1 CHAPTER 5~15% 16~19 1508 1-1 1-1 1637 Rene Descartes Thomas Young 1801 25 mm 3
Fitting Techniques For Contact Lenses John Herschel 1845 Thomas Young George Airy John Herschel 19 1886 Xavier Galezowski 0.25~0.50 mm 1886 1888 Adolf E. Fick Eugene Kalt 1910 Augus T. M ller 1887 M ller 14 D Kiel contact lens 4
0 1 CHAPTER 20 30 (PMMA) PMMA Kvein Tuohy 1946 PMMA PMMA PMMA PMMA PMMA PMMA PMMA PMMA 80% (HEMA) Otto Wichterle 1954 38.6% Wichterle 1972 5
Fitting Techniques For Contact Lenses 71% HEMA HEMA 20 50 20 90 (silicone hydrogel) 30 (rigid gas permeable contact lens, RGP) PMMA PMMA 6
0 1 CHAPTER RGP RGP 1946 Kevin Tuohy PMMA Tuohy 7
Fitting Techniques For Contact Lenses 20 70 (FDA) FDA 20 70 RGP 20 80 PMMA 3~5 RGP 1~2 1 1987 FDA (Johnson & Johnson) 1 1 30 8
0 1 CHAPTER 1-1 1-1 1508 Codex of the Eye 1845 John Herschel 1888 Adolf E.Fick,Augus. T. M ller 20 30 PMMA 1946 Kvein Tuohy (PMMA) 20 50 Otto Wichterle HEMA 20 50 20 60~70 9
Fitting Techniques For Contact Lenses 1-1 20 70 John de Carle 20 70 RGP PMMA 20 80 20 90 RGP RGP RGP 20 ~21 1 2 (cornea) 11 5~12 mm 10 5~11 mm 10
0 1 CHAPTER 0 5~0 55 mm 1 mm 7 8 mm 6 8 mm 1-2 1-2 5 1-3 35 m 5~6 (Bowman s membrane) 12 m 500 m 90% 200 (Descemet s membrane) 10~12 m 1-3 11
Fitting Techniques For Contact Lenses 5 m2013 1 m 1.5~2.5 mm 1. 1 376 +43 05 D 70% 2. 10% 3. (1) (2) (3) 12
0 1 CHAPTER (4) (5) Na K ATP 4. (1) ph (2) (tear film) 7 m 3 1-4 13
Fitting Techniques For Contact Lenses 1-4 1-5 0 1 mzeis Moll 1-5 6~7 m Krause Wolfring 0 02~0 05 m 14
0 1 CHAPTER 1. Krause Wolfring 1 2 L/min 24 hrs 10 ml 12~16%/min ph 6 5~7 6 296~308 mosm/l 12 /min 2. (1) (2) (3) (4) (5) 3. 1-2 15
Fitting Techniques For Contact Lenses 1-2 / m Zeis Moll Krause Wolfring 0 1 6~7 0 02~0 05 (conjunctiva) (conjunctival sac) 3 1-6 1. (palpebral conjunctiva) 1-6 2. (fornical conjunctiva) 3. (bulbar conjunctiva) 16
0 1 CHAPTER Wolfring Krause 2~5 (eye lids) 1-7 28 mm 8 mm 30 mm 10 mm 88 98 mm 33 90 mm 1~2 mm 25~30 mm 2 mm 2~3 8~12 mm 100~150 6~8 mm 50~75 1-8 17
Fitting Techniques For Contact Lenses 1-7 1-8 5 (meibomian gland) Moll Zeis Moll Zeis Zeis 1 3 21% (PO 2 ) 156 54 mmhg 155 mmhg 1-9 1-10 18
0 1 CHAPTER 55 mmhg 8 hrs 3 5% 1-3 1-9 1-10 a. b. 1-3 19
Fitting Techniques For Contact Lenses 1. 2. 1. (oxygen permeability, Dk) (oxygen transmissibility, Dk/L Dk/t) Dk (D) (k) Dk/L Dk/t L t Dk/L Dk 2. (critical oxygen requirement, COR) Dk/L Holden Mertz 20