Journal article

CLEAR-Anatomy and physiology of the anterior eye

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



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 aim..

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University of Melbourne Researchers


Funding Acknowledgements

The CLEAR initiative was facilitated by the BCLA, with financial support by way of Educational Grants for collaboration, publication and dissemination provided by Alcon and CooperVision. Medical illustrations by Joanna Culley BA (Hons) MMAA, RIP ; . Dr Stuti Misra BOptom PhD, The University of Auckland, New Zealand, provided the in vivo confocal microscopy images in Fig. 3.