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178 Pages·1991·3.41 MB·English
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Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium Pamela Ebert Flattau, Editor; Working Group on Contact Lens Use Under Adverse Conditions, Committee on Vision, National Research Council ISBN: 0-309-57221-5, 178 pages, 6 x 9, (1991) This PDF is available from the National Academies Press at: http://www.nap.edu/catalog/1773.html Visit the National Academies Press online, the authoritative source for all books from the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council: • Download hundreds of free books in PDF • Read thousands of books online for free • Explore our innovative research tools – try the “Research Dashboard” now! • Sign up to be notified when new books are published • Purchase printed books and selected PDF files Thank you for downloading this PDF. If you have comments, questions or just want more information about the books published by the National Academies Press, you may contact our customer service department toll- free at 888-624-8373, visit us online, or send an email to [email protected]. This book plus thousands more are available at http://www.nap.edu. Copyright © National Academy of Sciences. All rights reserved. Unless otherwise indicated, all materials in this PDF File are copyrighted by the National Academy of Sciences. Distribution, posting, or copying is strictly prohibited without written permission of the National Academies Press. Request reprint permission for this book. Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium http://www.nap.edu/catalog/1773.html i ald, ne gin he orie retai ginal paper book, not from tmatting, however, cannot bative version for attribution. CCuoonnnCdtsaoiedcnret dA rLiatdeitovnioensnr sUsse sine e oric forhorit om thpecifie aut mposed from XML files created frng styles, and other typesetting-snt version of this publication as th PPraomceeelda iEnbges rot fF ala Sttyamu, pEodsiituomr en recos, headie the pri eks bau as brese n of the original work hnal; line lengths, word dentally inserted. Plea Working Group on CoCnoKtamecnmtn eLitthete nPeso ioUsnes, eVC Uhisaniirodner Adverse Conditions epresentatioe to the origive been acci Commission on BNehaatvioionraal lR aensde aSrocchi aCl oSucniecnilces and Education s new digital rbreaks are truerrors may ha ut this PDF file: Thisetting files. Page some typographic National Academy Press Abotypeand Washington, D.C. 1991 Copyright © National Academy of Sciences. All rights reserved. Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium http://www.nap.edu/catalog/1773.html ii ald, ne gin he orie retai NNaOtiToInCaEl :R Tesheea prcrohj Cecotu tnhcaitl ,i sw thheo sseu bmjeecmt boefr sth aisre r edpraowrt nw faros map tphreo vceodu nbcyi ltsh oef G thoev eNrantiinogn aBlo Aarcda doefm thye ginal paper book, not from tmatting, however, cannot bative version for attribution. otfaegegehonpnrfuraear cpciS l nseearc chgots poTTeiae,ovepm dnhhdtvenrh dei modetcsse o rp etc N iben rshNrtiecytmait,oe ap ha ttblaeitehotnaoeyi neroroRr n tbts etln N aeh hosaoealppelaga nnlaAo os ty CgAni srn ocbatccaosc anegeinRniadeaebe.dgdenelndl revemtt A eiormi ifenfseyc iotsvywc a hs ori dice aeonftCeiinw hf erSm1 ode nEeuc8m ytdrtsni6ieee efmgo3bcnpi ifcfh,ycoin o tEnt eraetarhtesinne cet egwrdgiha isrA icenle oen oa rgcmnguee n,apgeep asdacrnri itnoiienhstevnemettdorhagirea snstyet,rlee hg. ir a nw,nh eD nto ng ahefdIrfoso aln. r f mtnrnesaFah pts trreeitmhereathm ouaeI.nea nriftUbk nrecisa te d hpts,uPori ap,ottssrf tuhede en eoMtoclse efftitsrd-h ahes otpiiel hadcsf ae tceia acr Mcpo trpucNieremnetoeedqhatersd puuotd.tiiieodairciortint eieentitngnynhsnae t gecltio . oot eAffsT fstu opto hc rhtcar ahetaeoinhd eed mcdece tveNy rhmewadi aamsonuyiretftcrti b h eooeetde hrsfn riro eseasSf tgl f icosnaeifcr-d-di-- e oric forhorit AcadTemhey N oaf tSiocnieanl cAecs.ademy of Engineering was established in 1964, under the charter of the om thpecifie aut Nina ittiso nadalm Ainciasdtreamtioyn o af nSdc iienn tchees ,s ealse ac tpioanra ollfe ilt so rmgaenmizbaetriso,n s hoaf roinugts twanitdhi nthge e Nngatiinoenearls .A Itc aisd eamutyo noofm Socui-s mposed from XML files created frng styles, and other typesetting-snt version of this publication as th earostNmSaieneelsnfasarsegcs cmstoetonu hei ka poctrusesTT nreie npae cato Nhhrnalohthtt wheelednaOea, e A i,tslINatr .nie onhu senocTidarseepsndnasgtth rpogi adib veoriteonl ereue i tnnnao cmAorctiagsn eeato ilcisyti sdds gbhno aR onooipeefcdalwe iffeordieMhz stermmveSnyeeeismein csaaimysifdd girlnioti etcienh onuihrcnphtng efen iicar toan niECo etdsttfoethyugsivn o fvetm prwig hbuo eastefieynhefai,mner n m cestisdpeigoos itceeeuIlb s r inarstrib ewehdciaiatslrnnmaoeletcias igbccn nh sgtefoe..lu tgieo dio iefTtsdarfv ervheayahnege esetpo erdra ismdapmnf s niI tl sromeMneii eougznnncseepeeo aethtt1nisrdsvlidnti 9 nt ueaoico.ob7gc trthffFlyeei0n o annme u mgtaprebannhtceyrtyeegceoitd rn osit wft iniN tthnecou.oei saeaatnnTe shl ltbidrN iihn cneosoteegha.a ennr a r teeD saNinite dn ohlA, ria s a nne.Arat ,cd a eRi crtceaovlsheco andneiAsoesdbceaap reeceomerldor cmarxuA antyhdtar nosy'Mc,aems ic agma btoeph.dinei fn yuleWeswd iaS r mt ofetpyiecheitdfyod ohidi guet Ssun eoeingcec vcr foacseiaaie steenfEtloni i sneoppgnof crt niroognofanee luvi.l as sin t 1recD niphettdr9yhodoeerne1 e.lrm-ni6ir-nt- atgto- en recos, headie the pri cNthiaeets ig odonevateelr rAnmmcianedenedtm, btyhy e ot hpfe uS bAcliicecan,d caeenmsd ay tn,h dteh teshc eCi eNonuatintficiocinl aahnla dAs ebcnaegdcioenmmeeyer itonhfge E pcnorgimnincmeipeuarnilni otgipe iesn.r aTptrihonevg C iadoginuegnn ccsiyel roivsfi cabedosmt htio nthise- beakus tered jointly by both Academies and the Institute of Medicine. Dr. Frank Press and Dr. Robert M. as brese White are chairman and vice chairman, respectively, of the National Research Council. epresentation of the original work he to the original; line lengths, word ve been accidentally inserted. 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Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium http://www.nap.edu/catalog/1773.html iii ald, ne gin he orie retai WORKING GROUP ON CONTACT LENS USE UNDER ginal paper book, not from tmatting, however, cannot bative version for attribution. 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Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium http://www.nap.edu/catalog/1773.html iv ald, ne gin he orie retai COMMITTEE ON VISION e original paper book, not from tc formatting, however, cannot bhoritative version for attribution. SLRMDUYUAEZNSVRFOUASNITrDEnpNaO itCLn viNNccOLeLsEi r s,O.Cs cLUiMPLotGEynEYCUEiRvDK Ye,E DErDTs EEFiOet VLypN( aOCAo,r fthMLm WaCO,ie arCiIn)llS,itmo f ,oSol elfrmeDr n gPiieetasOph y,oa p-cBKfrhht eOmteohrtlkpeatoletnlegomltweym oy,eo elClfotl r ogyEPli,ucsy Uamyelc nbhRiiIvoaneel ssUoretsgiantiyurtiycv teh eao, rn fsFd iJHot oyuoPhnunhdssyat sotiiHnoolonop,g kSicianansl mposed from XML files created from thng styles, and other typesetting-specifint version of this publication as the aut DJGPLKAPJOAEAOEONOAMTMNUNDREUUNETIDARESRnnNS LEOL ii SEALvvAWLDNIee E.LA A rr E HNEssBVCLSBii.ONtt. 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Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium http://www.nap.edu/catalog/1773.html CONTRIBUTORS v ald, ne gin ginal paper book, not from the orimatting, however, cannot be retaiative version for attribution. MATHEA R. ALLACNSOMITNHT, DRepIarBtmUent TofO ImRmuSnology, Eye Research om the oripecific fore authorit ISLncEshtOiot ouGlte. ,C BAoRstNoEn,Y M, Casosl.l,e gane do fD Oeppatortmmeetnryt ,o Of hOiop hStthaatelm Uonloivgeyr,s iHtyarvard Medical mposed from XML files created frng styles, and other typesetting-snt version of this publication as th RBRBJnJSMAOeTOIrrOlCooMSElB ooRHHUPEkkERHAUnssSR IiERAAA vSTTNeD ii .ErrrR P sJD.FFi. E.JJt oo.y.NO LG rrKccAKSDReeLET IEEYBBNPTNEaaCHSINssNME,See ,ID,,, OO SLTTJe,NRR oeep,xx.EuaU ,..Tr i,s.t USomiJar..R enoSn.anA., t t SioAUort, fi a.O rStFT e.noFh UtroAeacornrercirim,oeev ,tey Sirc ScsaAihcltho eyaroo noEold myl oeAeo fdCfp i pecAAlnaielete rerdoRro sMseppsaeaecccaeher c ahMMn icLeesdda,iib ccCoiinonraere--,, en recos, headie the pri tGoEryR, AFoLrDt R Eu.c LkOerW, ATlHa.ER, School of Optometry, Medical Center, University of eks Alabama, Birmingham bau as brese ROBERT B. MANDELL, School of Optometry, University of California, n of the original work hnal; line lengths, word dentally inserted. Plea BAAGsMieoENeErrnOkDoL oesRVRlpfeG EIaJyNcoEWeh R W nMs. .oeAO nMd.' i N&cEaER MlJA oTIAnLhZsnR,,t siKADtounOretme pVV,as PIritsTrtemoiSonnens,g na PctA Dorooelfeadr pC,ou aFmclrilttnea,m id.Icnieaccnla. t)lR , ReJosaeefcs akerascOorhcnp,hv hV iLtlhilsaeatb,la moFkrlooaanlt.oo Igrnyyc,, . W(aNr idagivhvati--l epresentatioe to the origive been acci PMoOfaL ItOGtIeVpUrhsEEotRhnLa AlDFmi..r o RSFloECogFrHycO,eE HJIBONaa,r,s vEeWa,y rOdeil hmMRioeeersd eiEacryacelh S IIcnnhssottiiottuluttee,, JBoohsntso nH, oMpaksisn.s, aHnods pDietapla, rtBmaeltni-t s new digital rbreaks are truerrors may ha mJJOAoHMreNE, MSP .Fd S.. CSOHCOKESSS, ALElcRo,n C Loalbleograet oorfi Oesp, tIonmc.e, tFryo,r tO Whioor Stht,a tTee Ux.niversity ut this PDF file: Thisetting files. Page some typographic Abotypeand Copyright © National Academy of Sciences. All rights reserved. Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium http://www.nap.edu/catalog/1773.html CONTRIBUTORS vi ald, ne gin he orie retai ginal paper book, not from tmatting, however, cannot bative version for attribution. e oric forhorit om thpecifie aut mposed from XML files created frng styles, and other typesetting-snt version of this publication as th en recos, headie the pri eks bau as brese n of the original work hnal; line lengths, word dentally inserted. Plea epresentatioe to the origive been acci s new digital rbreaks are truerrors may ha ut this PDF file: Thisetting files. Page some typographic Abotypeand Copyright © National Academy of Sciences. All rights reserved. Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium http://www.nap.edu/catalog/1773.html FOREWORD vii ald, ne gin ginal paper book, not from the orimatting, however, cannot be retaiative version for attribution. The Committee on VFisiOonR isE aW staOndRingD committee of the National om the oripecific fore authorit Rtaipoepnsle.i aeTrdc hhpe rCocoboulmenmcmisli' tsti enCev oomplrvmoinvisgids ievosin s iaoonnna .lB yIestih saa vlasinood ra alta tadenmvdipc Sets o octinoa l ssStcicimeienuntlicafetiecs atihnssedu Eefusd rutahcneadr- mposed from XML files created frng styles, and other typesetting-snt version of this publication as th daclreTrioteopxoeyhlgnvppma eimwelet cimemlraeIieodtntldsinhep t tttma msofoaetncrhle rbeod iode eeenms c efrnttpaufrsu tpeh lidoaaocspfy yfotrtfls sws i rirq,c tv c oehiaueiadtsnisthenlspeiu seog v ooatw niriinlpnsaco ositoenonoiserfecgmsck n rst eiti,stom,ehn h ,a no gonacinacts fetotndge euenmd s rertrtoc raoea ecieunmpysetlapodein htnip a mtynwiiorptscvfcoereeiiiohacon arrlr ,feltnpv fyoo soiree crgno cfn mhcyde vogvao,nii n innidsgnispteg teauiesisnns cnaey eattlrtcrf e e oioolhdnrre flroaiigtoen snhcpt, rosgh etuhee.ra e mydsfaunWif senrsaed irednccoe is ntsdcx.roei,k l pvfq ifiw pneeuoncrleiirhgoytcpr i ina,ctsmcg htleeha irepe to dcii ntnrutibid t so p,aflrcr enassapeinm ,ipwsh coseley ifesialnn s sairtivae onhcoirsindnhe---. en recos, headie the pri extremThei se nrveiproonrtm seunmtsm. arizes present understanding of the scientific, clinical, eks and technological issues surrounding the use of contact lenses. Symposium par- bau as brese ticipants discussed the special occupational conditions experienced by military n of the original work hnal; line lengths, word dentally inserted. Plea pcwisnaoeivfrnlesolt toalsyTvnce etharn vdneelee dli n nraihsnes ees t htstauhh lelsteet hhs dba oemeauosrslafioidg tsst n tepofh roarois csrf s ie fhnc usoe oyrtunhtnmhlvetdeaip r prcono rtdson iiveltmue labinmtebeesne e tsursw east hctaieiltandolo td.n r bg .sTt eihbhv oyeeo s ptrfehi r seorpee cwa setrpooetoi drctknhiuniselniga bgqsrl uegoei rfnfso otttueihropr eeno. s scotyc fmu twpopa hotteishotiohunsemaerl epresentatioe to the origive been acci SCUOZMAMNINTET EMEC OKNE EV,I CSIHOANIR s new digital rbreaks are truerrors may ha ut this PDF file: Thisetting files. Page some typographic Abotypeand Copyright © National Academy of Sciences. All rights reserved. Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium http://www.nap.edu/catalog/1773.html FOREWORD viii ald, ne gin he orie retai ginal paper book, not from tmatting, however, cannot bative version for attribution. e oric forhorit om thpecifie aut mposed from XML files created frng styles, and other typesetting-snt version of this publication as th en recos, headie the pri eks bau as brese n of the original work hnal; line lengths, word dentally inserted. Plea epresentatioe to the origive been acci s new digital rbreaks are truerrors may ha ut this PDF file: Thisetting files. Page some typographic Abotypeand Copyright © National Academy of Sciences. All rights reserved. Considerations in Contact Lens Use Under Adverse Conditions: Proceedings of a Symposium http://www.nap.edu/catalog/1773.html PREFACE ix ald, ne gin ginal paper book, not from the orimatting, however, cannot be retaiative version for attribution. In response to a request fProRm EtheF TArisCervEice Aeromedical Research Panel om the oripecific fore authorit (LsTuemAnsRm PUar)si, zete h Uec unCrdroeemrn tmA sdcitivteeenert sioefin cC ,V ocilnsidnioiitcniao len,s sat.an bTdl hitseehc ehwdno otrhlkoeign iWgc aogl rrikosisunupge swG ianros t uhapes kuoesnde Cotoof n:c to(an1c-)t mposed from XML files created frng styles, and other typesetting-snt version of this publication as th ttibrStvBaniieyiovprcvts ooneetuUi o ce salta.i.wkTeol Sac sn olc Tp. t w s oehAsmweamyuehsciei cnra,lcpun hitto(Fth stoa2biymeaospr)y- s ry hpfok icri Tsylfpnevei sA swveoeciBhr iwocRaes assnsowtnP,psht n gea e eaain,citcnsnb vhetiSe d oeaela la. unl edgineot nsoo tn ptsotpAasghee l titersnsinhfan, ,t r edetogaoite en ohnumrasinedsi ion efag ,wog( lt no h3Tr ormfem)aee r nlqkxiaeedfduialtnin e esipsufnrg,leoo esdt isiemsrgsnf i iyr ttoenoicwo nof toufe hotnc npsxe o oj otd uorncpcnaenoftrt yme ocintmtmshtmviei ceoie ipea lennnuiotln tr e sraNvwyfaderai,r y oir coytao vthof ponec pscermmtoyhshornm stebenhtton oeatpanfatr caola cnbmtls1l teel li 9ocl leum eto8lnmaronn8eeskgs ed leeeatyastions---t., en recos, headie the pri ivnigde odf at htuet oTrriiasle orvni creec Aenetr doemveedloicpaml eRnetsse ianr cthhe P daenseigl.n P aanrdti cuispea notfs c eosnsteanctti alellnys epsr.o- eks The two-day symposium was organized around scientific and clinical con- bau as brese siderations in the use of contact lenses. Following a series of briefings by mili- epresentation of the original work he to the original; line lengths, word ve been accidentally inserted. Plea tthitraeahsaadnutlrtiddr myerydero e,ifp ta dpfshenceisaertocdeynsltrdi o.esan mnl Tle i onesaehenesxlfce u flph ,etcse loacmoeosnptc nrseioeort.cmea gdnaTlcr dlabpath t eprpeealerh edassfvnpyn ieoftse,etno fclha t wt citnsopvhoe dcaeeano un rsmfbfle,ii a idlreoircsen acotrrc shneisulseduetrkams deecsssii,ntin c orvgsaleniue llr tnacowhathsniese vmp rpaeeeeese f ct nafrotefistsn oack lfrletoe esmncdf c os aot ctinnfdooo dce nnlaieso,ttd. iiaw goidcnTnn rtfoe ,sh l lsxaieaensym nn cgfedsmloenu utnvwader itiaterianhoroang nnrcd .p,mhb aelTlaeinomnnhnewkde--l s new digital rbreaks are truerrors may ha ut this PDF file: Thisetting files. Page some typographic Abotypeand Copyright © National Academy of Sciences. All rights reserved.

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This book summarizes current understanding of the scientific, clinical, and technical issues surrounding the use of contact lenses. It discusses the special occupational conditions experienced by military personnel, particularly in extreme environments, that give rise to the question of whether or n
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