CLEAR - Anatomy and physiology of the anterior eye

Laura E. Downie*, Stefan Bandlitz, Jan P.G. Bergmanson, Jennifer P. Craig, Debarun Dutta, Carole Maldonado-Codina, William Ngo, Jaya Sowjanya Siddireddy, James S. Wolffsohn

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A key element of contact lens practice involves clinical evaluation of anterior eye health, including the cornea and limbus, conjunctiva and sclera, eyelids and eyelashes, lacrimal system and tear film. This report reviews the fundamental anatomy and physiology of these structures, including the vascular supply, venous drainage, lymphatic drainage, sensory innervation, physiology and function. This is the foundation for considering the potential interactions with, and effects of, contact lens wear on the anterior eye. This information is not consistently published as academic research and this report provides a synthesis from all available sources. With respect to terminology, the report aims to promote the consistent use of nomenclature in the field, and generally adopts anatomical terms recommended by the Federative Committee for Anatomical Terminology. Techniques for the examination of the ocular surface are also discussed.

Original languageEnglish
Pages (from-to)132-156
Number of pages25
JournalContact Lens and Anterior Eye
Volume44
Issue number2
Early online date25 Mar 2021
DOIs
Publication statusPublished - Apr 2021

Bibliographical note

© 2021, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

Keywords

  • Blink
  • Conjunctiva
  • Contact lens
  • Contact Lens Evidence-Based Academic Report (CLEAR)
  • Cornea
  • Eyelid
  • Meibomian gland
  • Nerve
  • Ocular surface
  • Tear film

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