National Committee for Research in Ophthalmology and Blindness 1956-1978.
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Biomedical subjects
Publications and source records attributed to A H Keeney.
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We performed low velocity drop-ball tests using 5/8-, 7/8-, and 1-inch diameter steel balls on ophthalmic crown glass lenses chemically tempered by the ion exchange process. Four representative dioptric strengths (+ 2.50 spherical, - 2.50 spherical, -2.50 cylindrical, and plano) were studied with the isolated lenses mounted, convex side up, on the American National Standards Institute Z80 test block. New ion exchange lenses exhibited a 100 to 350% greater capacity for attenuation of energy from low velocity, large size missiles than matched lenses of similar strength prepared by the conventional heat-treating and air-quenching process.
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Protection of the eyes by safety type spectacle, sunglass and goggle lenses has received considerable attention in recent years. Such protection can be enhanced by design of the frame. We report from 476 lenses mounted in 238 frames and subjected to 9,397 impacts. Maximum blows were delivered by a one inch diameter steel ball falling from a height of 122 inches. Results indicated that the force required to fracture lenses in plastic frame mountings was more than twice that required for fracture of identical strength lenses in wire rims. Minus cylindrical lenses were the most frangible. The lowest fracture and posterior dislocation rates were found in industrial plastic frames with a retaining lip. Greater energy attenuation can be induced in a heat tempered glass lens by even edge compression. Good lens and frame design, when properly correlated, should provide impact attenuation distinctly exceeding conventional standards.
Insults from corneal foreigh bodies range from trivial windblown debris through destructive chemicals, penetrating wounds, and severe secondary infection. History and preliminary examination should begin concurrently, particularly in the case of chemically active compounds. Needed auxiliaries are topical anesthetics, oblique light, magnification, sterile sodium fluorescein for diagnostic staining of surface breaks, removal instruments, and topical antibiotics to reduce the potential of secondary infection. A steadied, seated position for the physician, resting posture with hands supported on the face, and an oblique approach tend to reduce the likelihood of unwanted perforations or scars. An irrigating stream of sterile saline delivered through a 25 gauge short needle on a 5 cc syringe will dislodge most recent foreign bodies. The sterile needle is also available as a spud. Corneal thickness varies from slightly above 1 mm in the periphery to less than 0.5 mm centrally. Therefore, it is essential to have clear visualization of the foreign body in relation to corneal depth. Dislodgment into the anterior chamber or incidental perforation of the cornea generally require hospitalization, intensive antibiotics, and steroid therapy.
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