A contact lens (also known simply as a contact ) is a corrective, cosmetic, or therapeutic lens usually placed on the cornea of the eye. Modern soft contact lenses were invented by the Czech chemist Otto Wichterle and his assistant Drahoslav Lím, who also invented the first gel used for their production.
Contact lenses usually serve the same corrective purpose as glasses, but are lightweight and virtually invisible—many commercial lenses are tinted a faint blue to make them more visible when immersed in cleaning and storage solutions. Some cosmetic lenses are deliberately colored to alter the appearance of the eye. Some lenses now have a thin surface treatment which is a UV coating; this helps to reduce UV damage to the eye's natural lens.
It has been estimated that 125 million people use contact lenses worldwide (2%), including 28 to 38 million in the United States and 13 million in Japan. The types of lenses used and prescribed vary markedly between countries, with rigid lenses accounting for over 20% of currently-prescribed lenses in Japan, the Netherlands and Germany but less than 5% in Scandinavia.
People choose to wear contact lenses for many reasons, often due to their appearance and practicality. When compared with spectacles, contact lenses are less affected by wet weather, do not steam up, and provide a wider field of vision. They are more suitable for a number of sporting activities. Additionally, ophthalmological conditions such as keratoconus and aniseikonia may not be accurately corrected with glasses.
History
Leonardo da Vinci is frequently credited with introducing the idea of contact lenses in his 1508 Codex of the eye, Manual D , where he described a method of directly altering corneal power by submerging the eye in a bowl of water. Leonardo, however, did not suggest his idea be used for correcting vision—he was more interested in learning about the mechanisms of accommodation of the eye.
René Descartes proposed another idea in 1636, in which a glass tube filled with liquid is placed in direct contact with the cornea. The protruding end was to be composed of clear glass, shaped to correct vision; however the idea was impracticable, since it would make blinking impossible.
In 1801, while conducting experiments concerning the mechanisms of accommodation, scientist Thomas Young constructed a liquid-filled "eyecup" which could be considered a predecessor to the contact lens. On the eyecup's base, Young fitted a microscope eyepiece. However, like Leonardo's, Young's device was not intended to correct refraction errors.
Sir John Herschel, in a footnote of the 1845 edition of the Encyclopedia Metropolitana , posed two ideas for the visual correction: the first "a spherical capsule of glass filled with animal jelly", and "a mould of the cornea" which could be impressed on "some sort of transparent medium". Though Herschel reportedly never tested these ideas, they were both later advanced by several independent inventors such as Hungarian Dr. Dallos (1929), who perfected a method of making molds from living eyes. This enabled the manufacture of lenses that, for the first time, conformed to the actual shape of the eye.
It was not until 1887 that a German glassblower, F.E. Muller, produced the first eye covering to be seen through and tolerated. In 1888, the German physiologist Adolf Eugen Fick constructed and fitted the first successful contact lens. While working in Zürich, he described fabricating afocal scleral contact shells, which rested on the less sensitive rim of tissue around the cornea, and experimentally fitting them: initially on rabbits, then on himself, and lastly on a small group of volunteers. These lenses were made from heavy blown glass and were 18–21mm in diameter. Fick filled the empty space between cornea/callosity and glass with a dextrose solution. He published his work, "Contactbrille", in the journal Archiv für Augenheilkunde in March 1888.
Fick's lens was large, unwieldy, and could only be worn for a few hours at a time. August Müller in Kiel, Germany, corrected his own severe myopia with a more convenient glass-blown scleral contact lens of his own manufacture in 1888.
Also in 1887, Louis J. Girard invented a similar scleral form of contact lens. Glass-blown scleral lenses remained the only form of contact lens until the 1930s when polymethyl methacrylate (PMMA or Perspex/Plexiglas) was developed, allowing plastic scleral lenses to be manufactured for the first time. In 1936, optometrist William Feinbloom introduced plastic lenses, making them lighter and more convenient. These lenses were a combination of glass and plastic.
In 1949, the first "corneal" lenses were developed. These were much smaller than the original scleral lenses, as they sat only on the cornea rather than across all of the visible ocular surface, and could be worn up to sixteen hours per day. PMMA corneal lenses became the first contact lenses to have mass appeal through the 1960s, as lens designs became more sophisticated with improving manufacturing (lathe) technology.
Early corneal lenses in the 1950s and 1960s were relatively expensive and fragile, resulting in the development of a market for contact lens insurance. Replacement Lens Insurance, Inc. (now known as RLI Corp.) phased out its original flagship product in 1994 after contacts became more affordable and easier to replace.
One important disadvantage of PMMA lenses is that no oxygen is transmitted through the lens to the conjunctiva and cornea, which can cause a number of adverse clinical effects. By the end of the 1970s, and through the 1980s and 1990s, a range of oxygen-permeable but rigid materials were developed to overcome this problem. Collectively, these polymers are referred to as "rigid gas permeable" or "RGP" materials or lenses. Although all the above lens types—sclerals, PMMA lenses and RGPs—could be correctly referred to as being "hard" or "rigid", the term hard is now used to refer to the original PMMA lenses which are still occasionally fitted and worn, whereas rigid is a generic term which can be used for all these lens types. That is, hard lenses (PMMA lenses) are a sub-set of rigid lenses. Occasionally, the term "gas permeable" is used to describe RGP lenses, but this is potentially misleading, as soft lenses are also gas permeable in that they allow oxygen to move through the lens to the ocular surface.
The principal breakthrough in soft lenses was made by the Czech chemists Otto Wichterle and Drahoslav Lim who published their work "Hydrophilic gels for biological use" in the journal Nature in 1959. This led to the launch of the first soft (hydrogel) lenses in some countries in the 1960s and the first approval of the "Soflens" material by the United States Food and Drug Administration (FDA) in 1971. These lenses were soon prescribed more often than rigid lenses, mainly due to the immediate comfort of soft lenses; by comparison, rigid lenses require a period of adaptation before full comfort is achieved. The polymers from which soft lenses are manufactured improved over the next 25 years, primarily in terms of increasing the oxygen permeability by varying the ingredients making up the polymers.
In 1999, an important development was the launch of the first silicone hydrogels onto the market. These new materials encapsulated the benefits of silicone—which has extremely high oxygen permeability—with the comfort and clinical performance of the conventional hydrogels which had been used for the previous 30 years. These lenses were initially advocated primarily for extended (overnight) wear although more recently, daily (no overnight) wear silicone hydrogels have been launched.
In a slightly modified molecule, a polar group is added without changing the structure of the silicone hydrogel. This is referred to as the Tanaka monomer because it was invented and patented by Kyoichi Tanaka of Menicon Co. of Japan in 1979. Second-generation silicone hydrogels, such as galyfilcon A (Acuvue Advance, Vistakon) and senofilcon A (Acuvue Oasys, Vistakon), use the Tanaka monomer. Vistakon improved the Tanaka monomer even further and added other molecules, which serves as an internal wetting agent.
Comfilcon A (Biofinity, CooperVision) was the first third-generation polymer. The patent claims that the material uses two siloxy macromers of different sizes that, when used in combination, produce very high oxygen permeability (for a given water content). Enfilcon A (Avaira, CooperVision) is another third-generation material that's naturally wettable. The enfilcon A material is 46% water.
Types of contact lenses
Contact lenses are classified in many different manners.
Functions
Corrective contact lenses
A corrective contact lens is designed to improve vision. In many people, there is a mismatch between the refractive power of the eye and the length of the eye, leading to a refraction error. A contact lens neutralizes this mismatch and allows for correct focusing of light onto the retina. Conditions correctable with contact lenses include myopia (near or short sightedness), hypermetropia (far or long sightedness), astigmatism and presbyopi
Colored Contacts, Non Prescription Color Contact Lenses, Cosmetic ...
Colored Contacts and Cosmetic Contact Lenses in corrective and non prescription powers. Stand out from the crowd. Click or Call 1-866-598-4346
Green Cosmetic Color Contact Lenses
Green Contact Lenses ... Below you will find a selection of our Green Cosmetic Color contacts.
ColorContactLenses.com » Cosmetic Contact Lenses, Decorative ...
Contact lenses in the fashion industry and entertainment, colored contacts, decorative contacts, different types and colors of cosmetic contact lenses
Cosmetic Color Rx |Discount Contact Lenses Online | 1800color.com
This contacts creats the most natural eye color ever for both light and dark eyes. Colors include Honey, Grey, Turquoise, Hazel and Bright Blue will offer better color change on ...
Impressions : Brown Cosmetic Color Contacts :: Impressions Contact ...
IMPRESSIONS LENSES: Bold color with a natural look. They are well suited for light, medium ...
ColorContactLenses.com | Color Contact Lenses at Discount Prices ...
Colored Contact Lenses; Prescription Lenses; Cosmetic Color Lenses; Best Color Contacts ... the final destination to change eye color. We offer a wide variety of color contact lenses ...
Extreme Color Cosmetic Lenses - Contact Lenses that work on all eye ...
Delivery Times UK .. 1 to 2 days Europe .. 2 to 3 days U.S .. 3 to 7 days *delivery times are only estimations and not guaranteed, the information is based on customer research
Freshlook Color | Cosmetic Color Enhancer (no power) |Discount Contact ...
Freshlook Color buy contact lens online with discount. We offers contact lens including disposable colored bifocal and soft contact lenses.
Bella : Platinum Gray Cosmetic Color Contacts :: Bella Contact Lenses ...
COLORMAX LENSES: The most vivid and exciting colors available. They are well suited for light, medium and ...
Amazon.com: Cosmetic Non Perscription Color Contact Lenses 2 Tone ...
Amazon.com: Cosmetic Non Perscription Color Contact Lenses 2 Tone - Turquoise: Health & Personal Care