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March 21, 2026American journal of optometry and physiological optics0 citations

Effect of Fenestrating Soft Contact Lenses on Corneal Oxygen Availability

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NEN EfronLCLeo G. Carney

Key Points

  • The study aims to assess whether fenestrating hydrogel lenses can enhance corneal oxygen availability.
  • Eight subjects wore hydrogel lenses with 0.8 mm and 1.8 mm fenestrations.
  • Equivalent oxygen percentage (EOP) was measured at the cornea.
  • Comparison of EOP beneath standard thickness and ultrathin lenses.
  • The mean EOP increased by 1.7 ± 1.3% O2 with four 1.8-mm fenestrations.
  • Comfortable lenses with 0.8-mm fenestrations did not significantly increase EOP.
  • No significant change in EOP was noted under either standard or ultrathin lenses with smaller fenestrations.

Abstract

ABSTRACT Recent clinical and experimental evidence suggests that a better physiological response to hydrogel lens wear can be obtained with fenestrations. To determine whether those observations could be attributed to increased comeal oxygenation, the equivalent oxygen percentage (EOP) was measured at the cornea of eight subjects wearing hydrogel contact lenses which had multiple fenestrations of 0.8 and 1.8 mm. It was possible to increase the mean EOP by 1.7 ± 1.3% O 2 (p 0.1 for four fenestrations, and +0.2 ± 1.2% O 2 , p > 0.1 for eight fenestrations) or ultrathin lenses (–0.1 ± 1.3% O 2 , p > 0.1 for four fenestrations). It is concluded that fenestrations do not provide a clinically efficient means of in‐creasing the oxygen tension beneath hydrogel contact lenses.

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Cite This Study

Efron et al. (1983) studied this question.

synapsesocial.com/papers/69be36416e48c4981c675114https://doi.org/10.1002/j.2330-9512.1983.tb00532.x
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