WEBVTT - First Contact (Lens)

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<v Speaker 1>Get technology with tech Stuff from dot Com. Hey there,

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<v Speaker 1>and welcome to tech Stuff. I am your host, Jonathan Strickland.

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<v Speaker 1>I'm an executive producer here at how Stuff Works and

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<v Speaker 1>all of all things tech. Today, we are going to

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<v Speaker 1>talk about the development of corrective lenses in general, and

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<v Speaker 1>the contact lens in particular. Now, I used to wear

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<v Speaker 1>contact lenses up until a few years ago when I

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<v Speaker 1>got laser eye surgery. Long time listeners of tech Stuff

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<v Speaker 1>probably have recollections of the episode we did where I

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<v Speaker 1>talked about my laser eye surgery and I totally squicked

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<v Speaker 1>Chris Pallette out. He was turning green by the end

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<v Speaker 1>of that episode. It was awesome. Well, by the time

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<v Speaker 1>I was wearing contact lenses, disposable contacts were readily available,

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<v Speaker 1>but it took a long time to get from the

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<v Speaker 1>earliest experiments to the point where you could buy a

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<v Speaker 1>pack of one use contact lenses and where a fresh

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<v Speaker 1>pair every single day. So we're gonna talk about how

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<v Speaker 1>contact lenses work, how corrective lenses work, how vision works,

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<v Speaker 1>how all of this was invented, and the changes that

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<v Speaker 1>have happened since the earliest experiments with corrective lenses. Now,

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<v Speaker 1>before we talk about contact lenses in the renaissance, because

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<v Speaker 1>trust me, that's gonna happen. Let's talk first about how

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<v Speaker 1>vision works. Now, we have to start with light. Vision

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<v Speaker 1>is all about light and how our bodies direct light

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<v Speaker 1>to the retina's. The retina is where are light sensing

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<v Speaker 1>cells are. Those are the rods and cones. Those are

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<v Speaker 1>specific specialized cells in our eyes. More on those in

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<v Speaker 1>just a second. So imagine the retina is kind of

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<v Speaker 1>like a solar cell in a solar panel. It's the

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<v Speaker 1>part that takes light and converts it into an electrical impulse.

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<v Speaker 1>Now in our case, it's not going to feed juice

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<v Speaker 1>to a battery or run a light bulb or something. Instead,

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<v Speaker 1>it's a signal that goes to the brain, which then

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<v Speaker 1>interprets that electrical impulse as vision. The eyes are essentially

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<v Speaker 1>part of the brain, but if we think of them

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<v Speaker 1>as being separate, you could say the brain doesn't really

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<v Speaker 1>deal with light at all. It just accepts those electrical impulses.

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<v Speaker 1>The eyes handle all the light stuff on behalf of

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<v Speaker 1>the brain. So the eye itself has several layers. The

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<v Speaker 1>outermost layers are made of oil, water, and mucus. Yum yum. Now,

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<v Speaker 1>Those layers keep the eye hydrated and they protect the

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<v Speaker 1>eye from foreign bacteria. Collectively, those materials make up what

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<v Speaker 1>is called the tier layer. Under the tier layer is

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<v Speaker 1>the cornea and the sclera. The cornea itself has five layers.

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<v Speaker 1>Outermost is the epithelium, then you have the bowman's layer,

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<v Speaker 1>then the stroma, then decimays membrane, and innermost is the endothelium.

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<v Speaker 1>The cornea's main purpose, besides providing some structure to the eye,

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<v Speaker 1>is to focus the light coming into the eye towards

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<v Speaker 1>the retina. The sclera is the white part of the eyeball.

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<v Speaker 1>It's continuous with the cornea in the front of the

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<v Speaker 1>eyeball through a junction called the limbus, and the sclare

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<v Speaker 1>is really dense connective tissue. Behind the cornea, you have

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<v Speaker 1>the interior chamber, which is filled with a fluid called

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<v Speaker 1>the aqueous humor. This fluid helps nourish the cornea from

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<v Speaker 1>the inside. So you've got fluids on either side of

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<v Speaker 1>the cornea that keep it hydrated, the tier layer on

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<v Speaker 1>one side and the aqueous humor on the other side. Next,

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<v Speaker 1>if we keep going into the eye, which is kind

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<v Speaker 1>of a gross way of saying that is the iris

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<v Speaker 1>and the pupil. The iris is a layer of tissue

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<v Speaker 1>that can adjust the size of the pupil, so I

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<v Speaker 1>can dilate or constrict to allow either more light in

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<v Speaker 1>or less light in. So if it's really bright, the

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<v Speaker 1>iris can constrict and that limits the amount of light

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<v Speaker 1>coming into the eye. And very low light, the iris

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<v Speaker 1>can dilate the pupil and allow what little light there

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<v Speaker 1>maybe to pass through the eye and give some low

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<v Speaker 1>light vision. Behind the iris is a transparent lens which

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<v Speaker 1>has four layers of its own, the capsule, subcapsular epithelium,

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<v Speaker 1>the cortex, and the nucleus. The lens focuses lights so

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<v Speaker 1>that passes through the next section of the eye, called

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<v Speaker 1>the posterior chamber, through a jelly like substance called the

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<v Speaker 1>vitreous humor before the light hits the retina. The retina

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<v Speaker 1>has ten layers with those rod and cone cells I

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<v Speaker 1>mentioned earlier. The rod cells are responsible for vision and

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<v Speaker 1>low light situations, and the cone cells are responsible for

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<v Speaker 1>color vision and for finer details. These cells, when stimulated

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<v Speaker 1>by light, trigger chemical reactions that form a chemical called

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<v Speaker 1>activated rhodopsin, which generates electrical impulses in the optic nerve,

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<v Speaker 1>and that's where we no longer have to worry about light. Now.

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<v Speaker 1>For vision to work, the lens in our eye has

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<v Speaker 1>to be a will to focus the light properly on

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<v Speaker 1>the surface of the retina. If the focal point for

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<v Speaker 1>light is in front of or behind the retina, then

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<v Speaker 1>we're gonna have problems with our visual focus. So if

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<v Speaker 1>your eyeball is too long, the lens will focus the

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<v Speaker 1>light in front of the retina instead of on the retina,

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<v Speaker 1>and you will have what is called myopia, also known

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<v Speaker 1>as near sightedness. This means you'll be able to see

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<v Speaker 1>things in focus if they are relatively close to you,

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<v Speaker 1>but the further away they get from you, the more

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<v Speaker 1>out of focus it appears. If your eyeball is too short,

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<v Speaker 1>then the lens will focus light on the point behind

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<v Speaker 1>your retina, and you'll have hyperopia or far sightedness, meaning

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<v Speaker 1>you can see things further away more clearly than things

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<v Speaker 1>that are closer to you. Corrective lenses change the course

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<v Speaker 1>of light as it passes through the lens before it

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<v Speaker 1>has a chance to hit your eye. The lens you

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<v Speaker 1>wear is making a correction to compensate for your near

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<v Speaker 1>or far sightedness. There are also corrective lenses that can

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<v Speaker 1>correct for other things like a stigmatism, and a stigmatism

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<v Speaker 1>is an uneven curvature of the cornea, which in turn

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<v Speaker 1>can distort vision. And I'll talk all about that a

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<v Speaker 1>little bit later in this episode, but first I want

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<v Speaker 1>to talk about some history of corrective lenses in general,

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<v Speaker 1>because it's really fascinating. I knew a little bit about

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<v Speaker 1>this before I started doing research, but the more research

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<v Speaker 1>I did, the greater appreciation I had for the countless

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<v Speaker 1>number of people who made contributions to our knowledge to

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<v Speaker 1>make corrective lenses of possibility. So the concept of using

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<v Speaker 1>magnification to augment eyesight dates back at least to ancient

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<v Speaker 1>Egypt circa the fifth century before the Common Era. Egyptians

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<v Speaker 1>figured out how to produce a type of magnifying glass,

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<v Speaker 1>and there's some evidence to suggest that this was not

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<v Speaker 1>a new idea even as early as the fifth century

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<v Speaker 1>b c. E h. This knowledge eventually made its way

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<v Speaker 1>to Rome. Seneca the Younger, who was interested in optics,

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<v Speaker 1>lie mirrors, and other such matters, was said to have

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<v Speaker 1>created some special glasses some lenses for the Emperor Nero

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<v Speaker 1>to use to aid his eyesight, though the sources for

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<v Speaker 1>this information may not be the most reliable. As it

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<v Speaker 1>turns out, you get accounts from Rome that were written

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<v Speaker 1>hundreds of years after the events they are describing, and

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<v Speaker 1>it's not always reliable information. But generally the story is

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<v Speaker 1>that Nero was using sunglasses made out of emerald to

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<v Speaker 1>shield his eyes from light and to improve his eyesight somewhat.

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<v Speaker 1>Whether or not that meant emerald as in the precious

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<v Speaker 1>gemstone that we're familiar with, or some other substance has

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<v Speaker 1>been an issue of debate, and frankly, it gets so

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<v Speaker 1>wibbly wobbly that I'm willing to just leave it at that.

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<v Speaker 1>There are other people we can talk about, however, such

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<v Speaker 1>as the Islamic scientist Al Hasin, who advanced human understanding

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<v Speaker 1>of optics and light. He was incredible. He also ended

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<v Speaker 1>up establishing what would later on be adopted as essentially

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<v Speaker 1>the scientific method, although it would be centuries before anyone

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<v Speaker 1>else thought to do this. His works in the eleventh

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<v Speaker 1>century found their way into medieval Europe and were translated

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<v Speaker 1>into other languages, and he was the first recorded scientist

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<v Speaker 1>to offer up a hypothesis on how vision works, and

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<v Speaker 1>at least for the basics, he was pretty much spot

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<v Speaker 1>on the origin of spectacles, as in glasses worn on

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<v Speaker 1>the face in order to correct for vision, has been

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<v Speaker 1>lost to the mists of time. Generally speaking, most experts

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<v Speaker 1>believe that the invention dates to the late thirteenth century

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<v Speaker 1>in Italy, but the history of this hinges and I

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<v Speaker 1>used the term purposefully as a pun upon a single

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<v Speaker 1>pair of Rivet type spectacles that was uncovered in Italy.

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<v Speaker 1>It was discovered in the Veneto region of Italy, which

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<v Speaker 1>is the area where place is like Venice or Padua

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<v Speaker 1>to wed In, Padua or Verona. Those are all in

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<v Speaker 1>that region. Now, there are other areas in Italy that

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<v Speaker 1>sometimes claimed to be the birthplace of spectacles, but evidence

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<v Speaker 1>supporting such claims is difficult to see. Ironically, I think

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<v Speaker 1>there may be a lot of vision based puns in

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<v Speaker 1>this episode. That warning probably arrives a little too late,

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<v Speaker 1>but hey, hindsight is Scholarship on spectacles does date back

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<v Speaker 1>to the late twelve hundreds. The English friar Roger Bacon.

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<v Speaker 1>Fried Bacon wrote a piece titled Opus Magus sometime around

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<v Speaker 1>twelve sixties six Common era. This piece was sort of

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<v Speaker 1>a proposal. Bacon was trying to get support from the

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<v Speaker 1>Pope to provide financial support for a more thorough examination

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<v Speaker 1>on optics and the scientific principles of corrective lenses. Such

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<v Speaker 1>support was not forthcoming, and as far as we know,

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<v Speaker 1>Bacon left it that. Though he may have carried out

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<v Speaker 1>some practical experiments as well using ground crystal, we just

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<v Speaker 1>don't know for sure. There is a report that states

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<v Speaker 1>that a priest named Nicholas Bullet used spectacles when he

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<v Speaker 1>signed official papers, and there's a Venetian government document from

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<v Speaker 1>twelve eighty four that lays out the rules of using

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<v Speaker 1>crystal rather than white glass for the production of lenses

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<v Speaker 1>in order to keep the quality high. By a Dominican

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<v Speaker 1>friar from Italy named Giordano the Revolto wrote a sermon

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<v Speaker 1>in which he referenced the creation of spectacles dating no

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<v Speaker 1>more than twenty years earlier, which would put the creation

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<v Speaker 1>of corrective lenses sometime around twelve eighty five. Whatever the

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<v Speaker 1>actual origins, we know that corrective lenses in the form

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<v Speaker 1>of spectacles preceded telescopes and contact lenses by a few centuries. Now,

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<v Speaker 1>before I transition from glasses to contact lenses, well, let's

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<v Speaker 1>talk for a second about how these lenses actually work.

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<v Speaker 1>The physics remain the same, even though the forms are

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<v Speaker 1>slightly different. First, a lens bends light. Light will bend

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<v Speaker 1>towards the thickest part of a lens. So if you

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<v Speaker 1>make a concave lens, also known as a minus lens,

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<v Speaker 1>you're making one where the center of the lens is

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<v Speaker 1>the thinnest part and the edges are the thicker parts

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<v Speaker 1>of the lens that bends light away from the center.

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<v Speaker 1>And it's tricky to talk about this without visual aids,

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<v Speaker 1>but I'm gonna do my best. Now, imagine we're looking

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<v Speaker 1>at a concave lens from the side. So from the side,

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<v Speaker 1>it looks like it's thick on the on the outer edge,

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<v Speaker 1>and then it bends inward on both sides, so we're

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<v Speaker 1>looking at it kind of in silhouette. Now, imagine that

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<v Speaker 1>parallel beams of light are coming from the left side

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<v Speaker 1>of our view. We're gonna call this the front of

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<v Speaker 1>the lens. When those beams of light hit this concave lens,

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<v Speaker 1>they diverge, They start to point outward toward the various

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<v Speaker 1>thick parts of the lens, the edges, and that continues

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<v Speaker 1>on the right side of our view, which we're gonna

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<v Speaker 1>call the of the lens. The beams of light hitting

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<v Speaker 1>the upper half of our lens bent upward. The ones

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<v Speaker 1>hitting halfway down our lens are bending downward. Now, if

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<v Speaker 1>you were to look at these rays of light on

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<v Speaker 1>the right side, the ones that are now bent going

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<v Speaker 1>up or down, uh at a diagonal from the lens,

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<v Speaker 1>and then you were to take those pathways and extend

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<v Speaker 1>them back toward the left side, the front side of

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<v Speaker 1>the lens, those beams would look like they have converged

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<v Speaker 1>on a point in front of the concave lens. So

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<v Speaker 1>you take those bent rays and you make them straight

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<v Speaker 1>lines onto the front side, they're all going to converge

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<v Speaker 1>at this one point. That's the focal point of the

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<v Speaker 1>concave lens. It's actually in front of the lens, not

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<v Speaker 1>behind it. The distance from the lens to that point

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<v Speaker 1>is called the focal length. The stronger the lens is,

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<v Speaker 1>the further the focal point will be, and therefore the

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<v Speaker 1>greater the focal length will be. Now, with convex lens

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<v Speaker 1>is it's quite different. Let's imagine again we're looking at

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<v Speaker 1>a lens from the side. This time the lens bulges

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<v Speaker 1>outward toward the middle, and it's thinner at its edges,

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<v Speaker 1>the opposite of the concave lens. So parallel beams of

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<v Speaker 1>light are coming from the left side the front of

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<v Speaker 1>the lens. When they hit the lens, those beams are

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<v Speaker 1>bent inward towards the center. The beams continue out through

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<v Speaker 1>the back of the lens and they converge on a

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<v Speaker 1>point behind the lens, and technically they keep going after converging,

0:13:29.559 --> 0:13:31.800
<v Speaker 1>continuing in a straight line. But never mind that for now.

0:13:32.280 --> 0:13:35.080
<v Speaker 1>That point of convergence is the focal point for the

0:13:35.120 --> 0:13:39.520
<v Speaker 1>convex lens, so that focal point happens behind the lens,

0:13:39.760 --> 0:13:43.320
<v Speaker 1>and the stronger the lens, the shorter the focal length is.

0:13:43.360 --> 0:13:45.720
<v Speaker 1>In other words, the closer the focal point is to

0:13:45.800 --> 0:13:49.000
<v Speaker 1>the lens itself. So a concave lens has the focal

0:13:49.040 --> 0:13:52.640
<v Speaker 1>point in front the convex lens as the focal point behind.

0:13:53.280 --> 0:13:55.320
<v Speaker 1>Using the right type of lens at the right strength

0:13:55.360 --> 0:13:59.440
<v Speaker 1>can compensate for conditions like myopia or hyperopia. We measure

0:13:59.480 --> 0:14:02.920
<v Speaker 1>the strength of a lens in a unit called diopters.

0:14:03.080 --> 0:14:05.520
<v Speaker 1>It's a measurement of how much how much the light

0:14:05.640 --> 0:14:09.400
<v Speaker 1>is actually bent within the lens itself. The higher the diopter,

0:14:09.840 --> 0:14:12.959
<v Speaker 1>the stronger the lens, the more light is bent as

0:14:13.000 --> 0:14:16.160
<v Speaker 1>it passes through, and we use plus or minus to

0:14:16.200 --> 0:14:21.040
<v Speaker 1>indicate the type of lens convex versus concave in this case.

0:14:21.280 --> 0:14:23.160
<v Speaker 1>I'll talk more about this a bit later when we

0:14:23.200 --> 0:14:27.120
<v Speaker 1>talk about prescriptions, which were developed in the nineteenth century,

0:14:27.400 --> 0:14:30.040
<v Speaker 1>but a basic understanding of how Lee's lenses could be

0:14:30.120 --> 0:14:33.240
<v Speaker 1>fine tuned to correct vision dates back at least to

0:14:33.400 --> 0:14:38.560
<v Speaker 1>sixteen o four Common Era, when Johannes Kepler described what

0:14:38.640 --> 0:14:42.160
<v Speaker 1>the retina does and proved that a concave lens could

0:14:42.160 --> 0:14:47.360
<v Speaker 1>correct myopia and a convex lens could correct hyperopia. All right, now,

0:14:47.400 --> 0:14:50.920
<v Speaker 1>I'm ready to finally talk about contact lenses. But first

0:14:51.040 --> 0:15:01.800
<v Speaker 1>let's take a quick break to thank our sponsor. All Right,

0:15:02.000 --> 0:15:03.880
<v Speaker 1>I said I was gonna talk about contact lenses in

0:15:03.920 --> 0:15:07.960
<v Speaker 1>the Renaissance. Let's do it. In the early sixteenth century

0:15:08.040 --> 0:15:11.760
<v Speaker 1>the hundreds, there was a dude who is synonymous with

0:15:11.800 --> 0:15:16.480
<v Speaker 1>the Renaissance, who made some observations that frequently are cited

0:15:16.520 --> 0:15:20.000
<v Speaker 1>as the origins for contact lenses, and that dude was

0:15:20.080 --> 0:15:24.880
<v Speaker 1>Maestro Leonardo da Vinci. He theorized that water had the

0:15:24.920 --> 0:15:28.360
<v Speaker 1>ability to change the direction of light and therefore alter vision,

0:15:28.840 --> 0:15:33.000
<v Speaker 1>and did some experiments with dunking people's faces and water

0:15:33.080 --> 0:15:35.760
<v Speaker 1>and looking at things, and then said, hey, you know what,

0:15:35.880 --> 0:15:39.480
<v Speaker 1>maybe if you used a water filled glass that you

0:15:39.520 --> 0:15:42.760
<v Speaker 1>could dunk your eye into while it's you know, still

0:15:42.800 --> 0:15:45.680
<v Speaker 1>in your head, you could bend light and perhaps even

0:15:45.720 --> 0:15:48.400
<v Speaker 1>correct for failing vision. He wrote up his ideas in

0:15:48.440 --> 0:15:52.120
<v Speaker 1>a fifteen o eight publication, and he titled it Codex

0:15:52.240 --> 0:15:56.800
<v Speaker 1>of the Eye Manual d Because the dude wrote a lot.

0:15:57.240 --> 0:16:00.920
<v Speaker 1>Da Vinci drew up a few sketches that illustrated his ideas. Now,

0:16:00.920 --> 0:16:04.360
<v Speaker 1>the problem was that his solution lacked practicality, because you

0:16:04.400 --> 0:16:07.240
<v Speaker 1>could fill up two glasses with water, and you could

0:16:07.240 --> 0:16:10.680
<v Speaker 1>hold those two glasses up against your eyeballs, but obviously

0:16:10.760 --> 0:16:13.440
<v Speaker 1>water would start to leak out. It just wasn't sustainable.

0:16:13.800 --> 0:16:16.800
<v Speaker 1>Da Vinci apparently toyed with the idea of an invention

0:16:16.960 --> 0:16:19.640
<v Speaker 1>that would include a funnel so that you could refill

0:16:19.680 --> 0:16:22.240
<v Speaker 1>the glasses as they ran out of water, but again

0:16:22.280 --> 0:16:25.520
<v Speaker 1>it wasn't really a practical solution. A bit More than

0:16:25.560 --> 0:16:30.480
<v Speaker 1>a century later, the philosopher Rene Descartes, who, as Monty

0:16:30.480 --> 0:16:34.440
<v Speaker 1>Python would explain, said I drink, therefore I am tried

0:16:34.480 --> 0:16:37.920
<v Speaker 1>to build onto da Vinci's work. In sixteen thirty six,

0:16:38.200 --> 0:16:41.600
<v Speaker 1>Descartes published a paper in which he proposed a lens

0:16:41.680 --> 0:16:46.760
<v Speaker 1>that could be placed directly against the eye, a contact lens,

0:16:46.840 --> 0:16:50.840
<v Speaker 1>in other words, to correct for vision. So this wasn't

0:16:50.840 --> 0:16:53.720
<v Speaker 1>a corrective lens all by itself. It wasn't like the

0:16:53.800 --> 0:16:56.480
<v Speaker 1>lens had been ground down so that it had the

0:16:56.480 --> 0:16:59.960
<v Speaker 1>exact shape it needed. It actually was to be attached

0:17:00.160 --> 0:17:02.880
<v Speaker 1>to a long tube that you would then fill with

0:17:03.320 --> 0:17:06.520
<v Speaker 1>you guessed it water. The water would provide the light

0:17:06.600 --> 0:17:09.600
<v Speaker 1>bending properties needed to correct for vision. But this would

0:17:09.640 --> 0:17:11.440
<v Speaker 1>mean you'd end up looking like a character from a

0:17:11.520 --> 0:17:14.720
<v Speaker 1>text avery cartoon, with the tubes bulging out from your eyes.

0:17:15.200 --> 0:17:18.000
<v Speaker 1>And it would also mean you'd be completely unable to blink.

0:17:18.400 --> 0:17:20.600
<v Speaker 1>And while people who wear contacts are willing to put

0:17:20.680 --> 0:17:24.120
<v Speaker 1>up with some discomfort at times, it's asking a bit

0:17:24.200 --> 0:17:26.639
<v Speaker 1>much even for them. To be fair, both da Vinci

0:17:26.680 --> 0:17:30.480
<v Speaker 1>and Descartes were talking about ideas rather than practical solutions.

0:17:30.720 --> 0:17:33.600
<v Speaker 1>They saw the potential for a solution further in the future,

0:17:33.640 --> 0:17:36.080
<v Speaker 1>but it was one that they themselves could not attain,

0:17:36.560 --> 0:17:38.800
<v Speaker 1>and it would take a couple more centuries to get there.

0:17:39.040 --> 0:17:41.520
<v Speaker 1>Now why is that, Well, largely it was because our

0:17:41.560 --> 0:17:44.800
<v Speaker 1>ability to create lenses that can conform to the shape

0:17:44.800 --> 0:17:48.320
<v Speaker 1>of the eye was a relatively late development. In the

0:17:48.440 --> 0:17:51.880
<v Speaker 1>nineteenth century, some folks toyed with the idea again. One

0:17:51.880 --> 0:17:56.080
<v Speaker 1>of them was an English scientist named Thomas Young. Young

0:17:56.160 --> 0:17:59.320
<v Speaker 1>thought Descartes was really onto something, so he built a

0:17:59.320 --> 0:18:02.920
<v Speaker 1>prototype of a contact lens based off that tube lens

0:18:03.000 --> 0:18:07.680
<v Speaker 1>description Descartes had proposed. He attached these water filled lenses

0:18:07.920 --> 0:18:12.400
<v Speaker 1>to his eyes. He used wax to do it. This

0:18:12.440 --> 0:18:15.280
<v Speaker 1>was in eighteen o one, so I assume he stopped

0:18:15.320 --> 0:18:18.359
<v Speaker 1>screaming sometime in eighteen o two. I should point out

0:18:18.400 --> 0:18:21.159
<v Speaker 1>I'm joking about the screaming. He was using a soft

0:18:21.200 --> 0:18:24.240
<v Speaker 1>wax to create a seal. It wasn't hot wax or

0:18:24.280 --> 0:18:26.840
<v Speaker 1>anything like that. I had to do the research to

0:18:26.840 --> 0:18:30.320
<v Speaker 1>make absolutely sure. Thomas Young would go on to map

0:18:30.400 --> 0:18:33.760
<v Speaker 1>the normal visual field for the average person, which would

0:18:33.760 --> 0:18:38.200
<v Speaker 1>become one of the foundations for modern optometry. In eighty seven,

0:18:38.560 --> 0:18:42.160
<v Speaker 1>Sir John Herschel, who is just plain old John Herschel.

0:18:42.240 --> 0:18:44.639
<v Speaker 1>At that time he had not yet been knighted, wrote

0:18:44.640 --> 0:18:48.359
<v Speaker 1>about grinding a lens so that would conform precisely to

0:18:48.440 --> 0:18:51.680
<v Speaker 1>the shape of the eye. To do so, he suggested

0:18:51.760 --> 0:18:56.359
<v Speaker 1>making a mold of a person's eye, using quote transparent

0:18:56.680 --> 0:19:01.000
<v Speaker 1>animal jelly end quote. There are no records over whether

0:19:01.040 --> 0:19:04.879
<v Speaker 1>he ever tried to make such a mold, but I

0:19:05.480 --> 0:19:10.520
<v Speaker 1>will have nightmares for my natural life involving transparent animal

0:19:10.600 --> 0:19:16.520
<v Speaker 1>jelly in my eyes. Thanks decades later, a Swiss physicist

0:19:16.680 --> 0:19:20.439
<v Speaker 1>named A. E. Thick made a spherical glass structure to

0:19:20.520 --> 0:19:24.160
<v Speaker 1>correct refractive errors for a person's eyes, and that same

0:19:24.240 --> 0:19:28.480
<v Speaker 1>year Edward Kelt, who was a French optician, made fitted

0:19:28.600 --> 0:19:32.720
<v Speaker 1>glass lenses, and a German medical student named August Mueller

0:19:33.200 --> 0:19:36.679
<v Speaker 1>was using glass discs fitted against his own eyes to

0:19:36.760 --> 0:19:40.840
<v Speaker 1>attempt to treat his myopia. These contacts were all rigid

0:19:40.960 --> 0:19:43.960
<v Speaker 1>and were unpleasant to wear. For one thing, they fit

0:19:44.000 --> 0:19:47.520
<v Speaker 1>around not just the cornea, but over the sclera, over

0:19:47.600 --> 0:19:51.720
<v Speaker 1>the white outer layer of the eyeball. Covering the sclera

0:19:51.880 --> 0:19:56.119
<v Speaker 1>deprives the cornea of oxygen. Glass is impermeable to oxygen.

0:19:56.160 --> 0:19:59.960
<v Speaker 1>Oxygen cannot pass through it, so if you wore the lenses.

0:20:00.119 --> 0:20:02.639
<v Speaker 1>You would not only tire out your eyes because the

0:20:02.760 --> 0:20:05.760
<v Speaker 1>lenses were heavy, but it would become painful to wear

0:20:05.840 --> 0:20:09.359
<v Speaker 1>them after a short while, like half an hour or so,

0:20:09.359 --> 0:20:12.720
<v Speaker 1>so these were not an ideal alternative to spectacles. Most

0:20:12.840 --> 0:20:16.320
<v Speaker 1>estimations say that very few people ever wore those early

0:20:16.400 --> 0:20:21.480
<v Speaker 1>glass contact lenses, perhaps five people total, and you couldn't

0:20:21.520 --> 0:20:25.439
<v Speaker 1>go for more than four hours tops, because those lenses

0:20:25.440 --> 0:20:28.439
<v Speaker 1>were cutting off that sweet supply of oxygen that eyes need,

0:20:28.480 --> 0:20:31.480
<v Speaker 1>and you would just be suffering intense amounts of pain.

0:20:31.760 --> 0:20:35.399
<v Speaker 1>The first contact lenses made of plastic date from nineteen

0:20:35.560 --> 0:20:39.880
<v Speaker 1>thirty eight when THEO. O. Brig and John Mullen introduced them.

0:20:40.080 --> 0:20:44.800
<v Speaker 1>They used polymethyl methac relate, also known as p M

0:20:45.000 --> 0:20:48.400
<v Speaker 1>m A. It had originally been used as a binder

0:20:48.400 --> 0:20:52.000
<v Speaker 1>for paint, so clearly you should shove that into your eyes.

0:20:52.800 --> 0:20:55.960
<v Speaker 1>These early contact lenses still had glass as well, so

0:20:56.040 --> 0:20:59.640
<v Speaker 1>they were a hybrid of glass and plastic. It wouldn't

0:20:59.640 --> 0:21:03.400
<v Speaker 1>be an till nineteen forty, when Heinrich Vulk started using

0:21:03.480 --> 0:21:07.240
<v Speaker 1>all plastic lenses that this trend would begin to change.

0:21:07.320 --> 0:21:10.520
<v Speaker 1>Even so, the lenses still covered the entire surface of

0:21:10.560 --> 0:21:15.280
<v Speaker 1>the eyeball, not just the cornea. In ninety eight, an

0:21:15.280 --> 0:21:19.720
<v Speaker 1>optical technician named Kevin Toohey was awarded a patent for

0:21:19.800 --> 0:21:23.159
<v Speaker 1>his big discovery when he realized you could use smaller

0:21:23.200 --> 0:21:26.159
<v Speaker 1>contacts that did not cover the whites of the eyes.

0:21:26.720 --> 0:21:29.760
<v Speaker 1>This resulted in a slightly more comfortable contact lens that

0:21:29.800 --> 0:21:33.320
<v Speaker 1>could be worn for longer periods of time. Towey actually

0:21:33.359 --> 0:21:35.919
<v Speaker 1>discovered this totally by accident. He had been working on

0:21:36.119 --> 0:21:38.640
<v Speaker 1>creating a full contact for the eye, one that would

0:21:38.640 --> 0:21:40.960
<v Speaker 1>cover the sclera, and it was gonna be made of

0:21:41.000 --> 0:21:44.000
<v Speaker 1>a new type of transparent plastic. But the part that

0:21:44.119 --> 0:21:47.320
<v Speaker 1>would have covered the sclera broke off while he was

0:21:47.560 --> 0:21:51.520
<v Speaker 1>trying to make it, and he thought, well, what would

0:21:51.520 --> 0:21:53.639
<v Speaker 1>happen if I just used this part of a lens,

0:21:53.720 --> 0:21:56.320
<v Speaker 1>the part that would fit over the cornea but not

0:21:56.480 --> 0:21:59.040
<v Speaker 1>the sclera. Would it still work? So he tried it

0:21:59.080 --> 0:22:03.240
<v Speaker 1>out and he discovered that it would stay in place

0:22:03.320 --> 0:22:07.800
<v Speaker 1>even after he was blinking. So that was a revolutionary change.

0:22:07.800 --> 0:22:10.399
<v Speaker 1>It meant that no longer did they have to build

0:22:10.680 --> 0:22:13.439
<v Speaker 1>contact lenses that would go over the entire exposed part

0:22:13.480 --> 0:22:15.800
<v Speaker 1>of the eyeball. It could just go over the cornea.

0:22:16.000 --> 0:22:19.680
<v Speaker 1>Even so, these lenses were still hard lenses, and they

0:22:19.680 --> 0:22:22.200
<v Speaker 1>were not the most comfortable thing to wear. They also

0:22:22.240 --> 0:22:24.520
<v Speaker 1>had a small lip on them, which would make it

0:22:24.560 --> 0:22:28.120
<v Speaker 1>easier to insert and remove the lens, but also meant

0:22:28.160 --> 0:22:31.240
<v Speaker 1>that sometimes your eyelid might catch on it, or you

0:22:31.280 --> 0:22:32.840
<v Speaker 1>might rub your eye in such a way that the

0:22:32.920 --> 0:22:36.040
<v Speaker 1>lens would just pop out. And thus you have the

0:22:36.119 --> 0:22:39.960
<v Speaker 1>birth of the classic physical comedy gag of a character

0:22:40.040 --> 0:22:42.920
<v Speaker 1>suddenly exclaiming that he or she has lost a contact

0:22:42.960 --> 0:22:45.960
<v Speaker 1>lens and that everyone must stop everything they are doing

0:22:46.000 --> 0:22:51.879
<v Speaker 1>and help track it down. Kennedy Otto. Victorrell also made

0:22:52.160 --> 0:22:56.320
<v Speaker 1>an incredible contribution to contact lenses. He created the first

0:22:56.480 --> 0:23:00.080
<v Speaker 1>soft contact lens. He used a cross linked hydra of

0:23:00.119 --> 0:23:05.240
<v Speaker 1>Fhilick material and I'm gonna try and say it, but

0:23:05.440 --> 0:23:08.520
<v Speaker 1>this might take a few attempts he called it. Or

0:23:08.600 --> 0:23:13.960
<v Speaker 1>actually the material itself is called hydroxy ethel methacrolate. Hey,

0:23:14.000 --> 0:23:18.040
<v Speaker 1>I got the first try. It's easier. Name is hima

0:23:18.320 --> 0:23:21.560
<v Speaker 1>h E m A. And he discovered this in nineteen

0:23:21.640 --> 0:23:25.679
<v Speaker 1>fifty two. He noted that this material, which he was

0:23:25.720 --> 0:23:29.000
<v Speaker 1>not making specifically for contact lenses, he was just working

0:23:29.000 --> 0:23:32.280
<v Speaker 1>with plastics. He noted that it could retain moisture, it

0:23:32.280 --> 0:23:36.480
<v Speaker 1>could absorb, and when it did absorb moisture, it became flexible,

0:23:36.920 --> 0:23:40.000
<v Speaker 1>but it would also snap back to its original shape,

0:23:40.240 --> 0:23:43.280
<v Speaker 1>so while you could bend it, if you let go,

0:23:43.520 --> 0:23:45.600
<v Speaker 1>it would go back to the way it was supposed

0:23:45.640 --> 0:23:48.040
<v Speaker 1>to be. And he figured this could be a good

0:23:48.080 --> 0:23:51.520
<v Speaker 1>material for contact lenses, since even the plastic ones that

0:23:51.560 --> 0:23:54.359
<v Speaker 1>have been made up to that point still at disadvantages.

0:23:54.680 --> 0:23:57.840
<v Speaker 1>They were still impermeable to air. So he began working

0:23:57.880 --> 0:23:59.959
<v Speaker 1>on this project for his employer, which at the time

0:24:00.000 --> 0:24:04.440
<v Speaker 1>time was the Institute of macro Molecular Research in Czechoslovakia

0:24:04.640 --> 0:24:08.080
<v Speaker 1>or what was then Czechoslovakia. But his bosses were not

0:24:08.160 --> 0:24:10.960
<v Speaker 1>convinced that this was worthwhile research, so they told him

0:24:11.000 --> 0:24:13.359
<v Speaker 1>to knock it off and get to work on other stuff. So,

0:24:13.480 --> 0:24:16.640
<v Speaker 1>rather than abandoned this idea completely, he moved his work

0:24:16.760 --> 0:24:20.680
<v Speaker 1>to his home and he used a jerry rigged system

0:24:20.800 --> 0:24:25.280
<v Speaker 1>to start making these contact lenses. That system consisted of

0:24:25.280 --> 0:24:29.000
<v Speaker 1>a gramophone, in other words, the predecessor to a record player.

0:24:29.480 --> 0:24:32.640
<v Speaker 1>He used that to create a spinning motion and an erector,

0:24:32.760 --> 0:24:36.240
<v Speaker 1>set a mechanical kit for kids to work with, and

0:24:36.320 --> 0:24:41.360
<v Speaker 1>together he used these to make a spin casting machine. Now,

0:24:41.400 --> 0:24:44.480
<v Speaker 1>spin casting is a technique that has been used for

0:24:44.600 --> 0:24:48.440
<v Speaker 1>lots of different stuff, not just contact lenses. In this

0:24:48.480 --> 0:24:52.040
<v Speaker 1>particular case, it was making a soft, breathable contact lens,

0:24:52.080 --> 0:24:54.520
<v Speaker 1>but spin casting can be used for lots of different things.

0:24:54.520 --> 0:24:58.679
<v Speaker 1>So what exactly is it. Well, let's stick with contact

0:24:58.760 --> 0:25:01.800
<v Speaker 1>lenses for the explanation, and since that's the subject at hand,

0:25:01.840 --> 0:25:04.760
<v Speaker 1>the conventional way to make contact lenses up to that

0:25:04.840 --> 0:25:10.000
<v Speaker 1>point was to use a cast molding process and a press.

0:25:10.040 --> 0:25:12.840
<v Speaker 1>So you would create a mold of the shape that

0:25:12.880 --> 0:25:16.520
<v Speaker 1>you want your contact lens to be, and you would

0:25:16.600 --> 0:25:18.920
<v Speaker 1>put some plastic in that, and then you would use

0:25:18.960 --> 0:25:22.200
<v Speaker 1>a press to press down into the mold and form

0:25:22.320 --> 0:25:25.879
<v Speaker 1>the plastic into the correct shape. But this method had disadvantages.

0:25:26.480 --> 0:25:30.240
<v Speaker 1>When the press would withdraw, sometimes it would leave scars

0:25:30.280 --> 0:25:33.359
<v Speaker 1>and aberrations upon the lens itself. And this is the

0:25:33.400 --> 0:25:36.240
<v Speaker 1>inside of the lens, the part that would go against

0:25:36.320 --> 0:25:40.520
<v Speaker 1>your eye, so it could potentially create damages that could

0:25:40.880 --> 0:25:44.159
<v Speaker 1>in turn hurt your eyes. The edges of these contact

0:25:44.240 --> 0:25:48.080
<v Speaker 1>lenses were also prone to defects and unevenness, so it

0:25:48.119 --> 0:25:51.159
<v Speaker 1>can make the contact lens less accurate and more uncomfortable

0:25:51.200 --> 0:25:55.440
<v Speaker 1>to wear. The spin cast method works differently. You put

0:25:55.440 --> 0:25:59.159
<v Speaker 1>a small amount of liquefied plastic and you drip that

0:25:59.280 --> 0:26:02.520
<v Speaker 1>into the old, and the mold then is spun in

0:26:02.560 --> 0:26:05.920
<v Speaker 1>a circle. This creates the force necessary to draw out

0:26:06.040 --> 0:26:09.480
<v Speaker 1>that plastic to spread it evenly over the mold. There's

0:26:09.520 --> 0:26:12.760
<v Speaker 1>no press that makes physical contact with the lens, so

0:26:12.840 --> 0:26:15.359
<v Speaker 1>there's nothing to leave behind those marks or scars or

0:26:15.359 --> 0:26:18.919
<v Speaker 1>to create uneven edges. Now he secured a patent for

0:26:19.000 --> 0:26:23.160
<v Speaker 1>his contact lens production method, and then Bauschan Loam swooped

0:26:23.160 --> 0:26:25.480
<v Speaker 1>in to purchase the patent to put it into use.

0:26:25.840 --> 0:26:29.359
<v Speaker 1>In nineteen seventy two, their soft contact lenses were ready

0:26:29.440 --> 0:26:32.960
<v Speaker 1>for the market. In between his first experiments and Balsh

0:26:33.000 --> 0:26:36.439
<v Speaker 1>and Loam's introduction of those contact lenses, the US Food

0:26:36.520 --> 0:26:40.800
<v Speaker 1>and Drug Administration decided to classify soft contact lenses as

0:26:40.840 --> 0:26:45.080
<v Speaker 1>a drug. Now, that might sound strange to you, because

0:26:45.119 --> 0:26:47.240
<v Speaker 1>these are contact lenses you wear in your eyes. They're

0:26:47.240 --> 0:26:50.400
<v Speaker 1>not something you ingest, they're not something you inject in yourself.

0:26:50.400 --> 0:26:53.600
<v Speaker 1>You don't absorb them. But you have to remember there

0:26:53.680 --> 0:26:55.840
<v Speaker 1>was a lot of development in the field at the time.

0:26:55.920 --> 0:26:59.800
<v Speaker 1>Tons of companies and inventors were all rushing to experiment

0:26:59.840 --> 0:27:03.439
<v Speaker 1>with different materials to create better contact lenses. The f

0:27:03.560 --> 0:27:06.280
<v Speaker 1>d A wanted to create protections to put in place

0:27:06.320 --> 0:27:10.000
<v Speaker 1>to make sure those materials passed numerous tests before they

0:27:10.000 --> 0:27:12.760
<v Speaker 1>were ever marketed to consumers to make sure they were

0:27:12.800 --> 0:27:14.879
<v Speaker 1>safe to use, because you wouldn't want to find out

0:27:15.119 --> 0:27:18.800
<v Speaker 1>that your brand new contact lenses were actually toxic after

0:27:18.880 --> 0:27:23.200
<v Speaker 1>they hit store shelves. Thus the necessity to classify them

0:27:23.200 --> 0:27:25.680
<v Speaker 1>as a drug so they could pass all these numerous

0:27:25.760 --> 0:27:30.280
<v Speaker 1>check marks before they could hit stores. Now more improvements

0:27:30.280 --> 0:27:32.960
<v Speaker 1>have come along, mostly in the materials that we've used

0:27:33.000 --> 0:27:38.800
<v Speaker 1>to create contact lenses. In Dr Michael bay Uh, He's,

0:27:39.000 --> 0:27:41.000
<v Speaker 1>as far as I know, not related to the Hollywood

0:27:41.040 --> 0:27:46.000
<v Speaker 1>director who makes things blow up, created a disposable contact lens.

0:27:46.040 --> 0:27:49.800
<v Speaker 1>So until two, when you've got a pair of contact lenses,

0:27:49.840 --> 0:27:53.480
<v Speaker 1>you're meant to use those indefinitely. You would only replace

0:27:53.560 --> 0:27:56.280
<v Speaker 1>them if you had lost one or damaged one, or

0:27:56.320 --> 0:27:59.320
<v Speaker 1>if your eyesight had changed and a new prescription was needed,

0:27:59.720 --> 0:28:04.920
<v Speaker 1>but that also presented a hygienic issue. Contact lenses can

0:28:04.960 --> 0:28:07.680
<v Speaker 1>develop what is called protein build up, and if you've

0:28:07.680 --> 0:28:10.359
<v Speaker 1>ever seen a contact lens that has white or cloudy

0:28:10.440 --> 0:28:13.280
<v Speaker 1>marks on it, that's likely protein build up, and if

0:28:13.280 --> 0:28:15.159
<v Speaker 1>you were to put those lenses in your eyes, you

0:28:15.200 --> 0:28:17.760
<v Speaker 1>might feel some discomfort, your vision might not be all

0:28:17.800 --> 0:28:21.840
<v Speaker 1>that great. Worse, if your contact lenses get damaged, they

0:28:21.880 --> 0:28:26.160
<v Speaker 1>could in turn scratch your corneas, which not only can hurt,

0:28:26.280 --> 0:28:28.480
<v Speaker 1>but can make you sensitive to light or even lead

0:28:28.480 --> 0:28:31.919
<v Speaker 1>to a corneal us ulcer, which can potentially damage your

0:28:32.000 --> 0:28:36.399
<v Speaker 1>vision permanently. And lenses can also carry bacteria and germs,

0:28:36.400 --> 0:28:40.560
<v Speaker 1>which can lead to infections like conjunctivitis and karatitis. So

0:28:40.640 --> 0:28:44.080
<v Speaker 1>disposable contacts reduce those risks. Because you're not using the

0:28:44.120 --> 0:28:47.600
<v Speaker 1>same pair of lenses indefinitely, there are fewer opportunities to

0:28:47.600 --> 0:28:50.600
<v Speaker 1>shove gunk in your eyes. In other words, Also, if

0:28:50.600 --> 0:28:53.040
<v Speaker 1>you ever have contact lenses that have protein build up,

0:28:53.040 --> 0:28:55.880
<v Speaker 1>it's the one time where you're actually supposed to kind

0:28:55.880 --> 0:28:58.360
<v Speaker 1>of scrub them with your solutions that you can clean

0:28:58.400 --> 0:29:01.200
<v Speaker 1>them off, because just washing them in solution is not

0:29:01.240 --> 0:29:03.840
<v Speaker 1>going to remove that protein build up. In general, you're

0:29:03.840 --> 0:29:06.680
<v Speaker 1>not supposed to scrub contact lenses at all. They're very

0:29:06.720 --> 0:29:10.000
<v Speaker 1>easily damaged, but that's one case where you are supposed

0:29:10.000 --> 0:29:12.520
<v Speaker 1>to do it. Although I would argue at this stage,

0:29:12.720 --> 0:29:15.240
<v Speaker 1>just go out and buy new context because you don't

0:29:15.240 --> 0:29:17.800
<v Speaker 1>want to mess with that stuff. The first disposable content

0:29:17.920 --> 0:29:19.760
<v Speaker 1>lenses were meant to be warned for a couple of

0:29:19.760 --> 0:29:22.960
<v Speaker 1>weeks before you replace them. Dr Bay named them m

0:29:22.960 --> 0:29:26.800
<v Speaker 1>I A lenses MIA not missing an action that m

0:29:26.840 --> 0:29:29.680
<v Speaker 1>I A was the actual Those were the first initials

0:29:30.120 --> 0:29:32.480
<v Speaker 1>of his name, his wife's name, and his daughter's name,

0:29:32.560 --> 0:29:35.800
<v Speaker 1>So it's Michael Inga and Annette. In case you ever

0:29:35.880 --> 0:29:39.400
<v Speaker 1>have pub trivia and you're asked, what did the initials

0:29:39.480 --> 0:29:42.160
<v Speaker 1>M I A stand for? As far as contact lenses,

0:29:42.480 --> 0:29:45.640
<v Speaker 1>Michael Inga and a net. His design was purchased by

0:29:45.640 --> 0:29:49.760
<v Speaker 1>a company called Johnson and Johnson, famous company. They tweaked

0:29:49.800 --> 0:29:53.680
<v Speaker 1>and rebranded the technology to create their own disposable contacts,

0:29:53.880 --> 0:29:56.560
<v Speaker 1>and they launched that brand in nineteen eight seven under

0:29:56.640 --> 0:30:02.120
<v Speaker 1>the name AC View in eight CIBA I assume that's

0:30:02.120 --> 0:30:04.920
<v Speaker 1>how we pronounced the name of the company. C I

0:30:05.040 --> 0:30:09.040
<v Speaker 1>B A created contact lenses using silicone hydrogels. Now, the

0:30:09.040 --> 0:30:11.480
<v Speaker 1>big advantage of the hydrogel material was that it was

0:30:11.520 --> 0:30:16.000
<v Speaker 1>particularly permeable to oxygen, so it can allow oxygen to

0:30:16.040 --> 0:30:19.040
<v Speaker 1>pass through the contact lens and allow the cornea to

0:30:19.080 --> 0:30:22.640
<v Speaker 1>get that sweet sweet oxygen. It craves so dearly. The

0:30:22.680 --> 0:30:27.720
<v Speaker 1>first daily disposable lenses would debut in n Ron Hamilton's,

0:30:27.760 --> 0:30:30.959
<v Speaker 1>who was an inventor in Scotland, gets credit for creating

0:30:31.000 --> 0:30:35.240
<v Speaker 1>the first example, which he called the Premier Award Lens.

0:30:35.840 --> 0:30:39.280
<v Speaker 1>Balsha and Loam would purchase Hamilton's company and rebranded the

0:30:39.360 --> 0:30:43.760
<v Speaker 1>lens the Soft Lens One or the Soft Lens One Day.

0:30:43.960 --> 0:30:46.640
<v Speaker 1>Hamilton's would go on to launch a different company called

0:30:46.720 --> 0:30:49.960
<v Speaker 1>provis Now. There have been numerous improvements in materials and

0:30:50.080 --> 0:30:53.240
<v Speaker 1>processes to contact lenses over the years, but the basic

0:30:53.280 --> 0:30:56.400
<v Speaker 1>principles remained the same. Contact lenses bend light so that

0:30:56.480 --> 0:30:59.680
<v Speaker 1>eyes can focus, which is a little reductive because there

0:30:59.680 --> 0:31:02.360
<v Speaker 1>are contact lenses that are meant to protect eyes that

0:31:02.400 --> 0:31:05.200
<v Speaker 1>have been damaged through injury or illness. There are some

0:31:05.280 --> 0:31:08.560
<v Speaker 1>that are meant to treat diseases, not just a problem

0:31:08.600 --> 0:31:11.920
<v Speaker 1>with vision, but actual diseases of the eye. There's also

0:31:12.000 --> 0:31:15.640
<v Speaker 1>cosmetic contact lenses that don't have any corrective nature to

0:31:15.680 --> 0:31:18.360
<v Speaker 1>them as well. But I'm going to focus pun intended

0:31:18.600 --> 0:31:21.960
<v Speaker 1>un corrective contact lenses since that's such a common use

0:31:22.000 --> 0:31:23.600
<v Speaker 1>for them, and that brings us to a couple of

0:31:23.680 --> 0:31:27.760
<v Speaker 1>questions like, how does an optometrists determine what prescription you

0:31:27.800 --> 0:31:30.760
<v Speaker 1>need when you go to get glasses or a contact?

0:31:30.800 --> 0:31:34.720
<v Speaker 1>And where did that whole thing come from? Anyway, Well,

0:31:35.200 --> 0:31:38.600
<v Speaker 1>in the next segment, I'll tell you, but first let's

0:31:38.640 --> 0:31:48.400
<v Speaker 1>take another quick break to thank our sponsor. All right,

0:31:48.480 --> 0:31:52.480
<v Speaker 1>So where did the concept of prescriptions come from? And

0:31:52.520 --> 0:31:55.320
<v Speaker 1>how do I doctors determine what a person needs? So,

0:31:55.600 --> 0:31:59.320
<v Speaker 1>like most innovations, the story is way more complicated than

0:31:59.640 --> 0:32:02.720
<v Speaker 1>some really smart dude came up with it and changed everything.

0:32:03.080 --> 0:32:06.440
<v Speaker 1>In reality, the journey to optometry was a long one

0:32:06.600 --> 0:32:10.920
<v Speaker 1>and many different philosophers, physicians, and inventors contributed to our

0:32:11.000 --> 0:32:15.720
<v Speaker 1>understanding of vision and optics. So, for example, Benjamin Franklin

0:32:16.040 --> 0:32:20.440
<v Speaker 1>famously invented bifocal lenses for spectacles in seventeen eighty four.

0:32:21.000 --> 0:32:24.240
<v Speaker 1>A decade later or so, John Dalton first described the

0:32:24.280 --> 0:32:28.360
<v Speaker 1>condition of color blindness. As I mentioned earlier in this episode,

0:32:28.360 --> 0:32:32.040
<v Speaker 1>Thomas Young mapped out the normal human visual field in

0:32:32.160 --> 0:32:36.120
<v Speaker 1>eighteen o one. There was a physician an inventor named

0:32:36.200 --> 0:32:40.000
<v Speaker 1>Herman von Helmholtz which might be the best name ever,

0:32:40.560 --> 0:32:44.040
<v Speaker 1>who invented the opthalmoscope in eighteen fifty one. Now that's

0:32:44.080 --> 0:32:47.320
<v Speaker 1>an instrument that gives the physician the ability to see

0:32:47.320 --> 0:32:51.000
<v Speaker 1>into the interior of a living eye without you know,

0:32:51.120 --> 0:32:55.280
<v Speaker 1>having to cut into it. So this would be the

0:32:55.320 --> 0:32:57.520
<v Speaker 1>instrument that shines a light in your eye when the

0:32:57.520 --> 0:32:59.360
<v Speaker 1>eye doctor is taking a look to make sure that

0:32:59.400 --> 0:33:03.160
<v Speaker 1>everything look good. The use of that was while allowed

0:33:03.200 --> 0:33:07.280
<v Speaker 1>doctors to slowly catalog what a healthy human eye should

0:33:07.360 --> 0:33:10.800
<v Speaker 1>look like and what the various signs of diseases or

0:33:10.920 --> 0:33:14.160
<v Speaker 1>conditions that can affect the eyes looks like. So it

0:33:14.240 --> 0:33:17.400
<v Speaker 1>helped catalog all of that stuff because now they had

0:33:17.440 --> 0:33:20.080
<v Speaker 1>a tool where they could actually see it in living people.

0:33:20.360 --> 0:33:23.840
<v Speaker 1>Helmholtz did not stop there. In eighteen fifty six, he

0:33:23.920 --> 0:33:28.680
<v Speaker 1>published an enormous work in three volumes. The English title

0:33:28.880 --> 0:33:33.600
<v Speaker 1>for his work is Handbook of Physiological Optics. Six years later,

0:33:33.840 --> 0:33:37.080
<v Speaker 1>in eighteen sixty two, there was a fellow named Herman

0:33:37.360 --> 0:33:40.600
<v Speaker 1>Snellen who created a series of tests to help determine

0:33:40.600 --> 0:33:45.440
<v Speaker 1>a person's visual acuity, including an eye chart. Probably seen

0:33:45.480 --> 0:33:48.520
<v Speaker 1>examples of the kind of eye chart he created. Now,

0:33:48.600 --> 0:33:52.200
<v Speaker 1>to be clear, pun intended. Many physicians were using ie

0:33:52.320 --> 0:33:56.400
<v Speaker 1>charts at that point, but Snellen's became a standardized approach,

0:33:56.760 --> 0:33:59.600
<v Speaker 1>which had a benefit of working across regions and making

0:33:59.680 --> 0:34:02.800
<v Speaker 1>it easier to determine what type and strength of lens

0:34:02.920 --> 0:34:05.240
<v Speaker 1>a patient would need in order to correct their vision.

0:34:05.480 --> 0:34:07.239
<v Speaker 1>And this is kind of where we get to the

0:34:07.280 --> 0:34:11.520
<v Speaker 1>concept of twenty twenty vision. If you have twenty twenty vision,

0:34:11.920 --> 0:34:14.120
<v Speaker 1>it means you can see the same detail at a

0:34:14.120 --> 0:34:17.719
<v Speaker 1>distance of twenty feet or six meters as someone who

0:34:17.760 --> 0:34:21.160
<v Speaker 1>has what we consider to be normal vision. It also

0:34:21.239 --> 0:34:24.279
<v Speaker 1>can be called six six vision for meters. Now, if

0:34:24.320 --> 0:34:28.359
<v Speaker 1>you had twenty forty vision, it would mean that when

0:34:28.360 --> 0:34:31.200
<v Speaker 1>you stand twenty feet away from an eye chart, that

0:34:31.320 --> 0:34:33.919
<v Speaker 1>i chart would look to you as if it were

0:34:34.040 --> 0:34:37.160
<v Speaker 1>forty feet away for someone with normal vision. In other words,

0:34:37.280 --> 0:34:39.920
<v Speaker 1>you would see the same amount of clarity that a

0:34:40.040 --> 0:34:42.440
<v Speaker 1>person with normal vision would see at forty feet, but

0:34:42.520 --> 0:34:44.959
<v Speaker 1>you would be twenty feet away, so you would see

0:34:45.000 --> 0:34:49.200
<v Speaker 1>things less clearly than the average person. If you had

0:34:49.600 --> 0:34:52.560
<v Speaker 1>vision that was at twenty four hundred, that means your

0:34:52.600 --> 0:34:55.839
<v Speaker 1>vision is pretty bad that you would see a chart

0:34:55.880 --> 0:34:59.120
<v Speaker 1>at twenty ft away with the same amount of clarity

0:34:59.280 --> 0:35:02.200
<v Speaker 1>as a normal person looking at that same chart, but

0:35:02.280 --> 0:35:05.600
<v Speaker 1>there are four feet away, So you see how that

0:35:05.840 --> 0:35:10.280
<v Speaker 1>scale quickly changes things. You can have better than normal vision.

0:35:10.400 --> 0:35:13.520
<v Speaker 1>Of course, if you have twenty ten vision, it means

0:35:13.560 --> 0:35:15.839
<v Speaker 1>that you can see the same level of detail at

0:35:15.880 --> 0:35:18.919
<v Speaker 1>twenty feet that someone with normal vision would be able

0:35:18.920 --> 0:35:21.439
<v Speaker 1>to make out from ten feet away, so they would

0:35:21.480 --> 0:35:23.880
<v Speaker 1>have to be twice as close to the chart to

0:35:23.960 --> 0:35:26.440
<v Speaker 1>see the same level of detail that you see. So

0:35:26.480 --> 0:35:29.640
<v Speaker 1>that would mean you have a more keen eyesight than

0:35:29.680 --> 0:35:34.239
<v Speaker 1>the average person. I technically had that shortly after I

0:35:34.320 --> 0:35:39.320
<v Speaker 1>had laser eye surgery. My vision was somewhere around twelve,

0:35:39.440 --> 0:35:43.600
<v Speaker 1>meaning that I could see better than the average person

0:35:44.040 --> 0:35:46.480
<v Speaker 1>for these sort of eye charts. But don't get too

0:35:46.520 --> 0:35:49.960
<v Speaker 1>excited about it. For one, eyesight does tend to deteriorate

0:35:50.080 --> 0:35:52.960
<v Speaker 1>over time, so you're not guaranteed to have that amazing

0:35:53.000 --> 0:35:54.920
<v Speaker 1>eye sight through the rest of your life. My eyesight

0:35:55.040 --> 0:35:58.560
<v Speaker 1>slowly deteriorates even after I've had the laser surgery. Also,

0:35:58.600 --> 0:36:01.440
<v Speaker 1>there are animals that visualuity that are closer to like

0:36:01.800 --> 0:36:06.279
<v Speaker 1>twenty three, so let's not get too excited by this.

0:36:06.960 --> 0:36:10.359
<v Speaker 1>Visual acuity is just one element of vision. By the way,

0:36:10.480 --> 0:36:14.719
<v Speaker 1>there are other considerations such as peripheral awareness or eye

0:36:14.760 --> 0:36:18.840
<v Speaker 1>coordination or depth perception, color vision, and the ability to

0:36:18.880 --> 0:36:22.640
<v Speaker 1>focus on points near or far from your eyes. But

0:36:22.680 --> 0:36:26.480
<v Speaker 1>the eye chart definitely helped move things towards a standard.

0:36:26.560 --> 0:36:30.080
<v Speaker 1>In eighteen sixty four, FC. Donders, who actually worked with

0:36:30.160 --> 0:36:32.800
<v Speaker 1>Snell and the guy who created the eye charts, published

0:36:32.840 --> 0:36:36.920
<v Speaker 1>Anomalies of Accommodation and Refraction of the Eye. So in

0:36:36.920 --> 0:36:39.360
<v Speaker 1>that work he laid out the principles that would become

0:36:39.400 --> 0:36:42.920
<v Speaker 1>the basis for prescriptions. So let's take a quick moment

0:36:42.960 --> 0:36:46.200
<v Speaker 1>to talk about the form prescriptions take and what that

0:36:46.320 --> 0:36:52.120
<v Speaker 1>actually means. Now, a full prescription, one that someone with

0:36:52.600 --> 0:36:56.120
<v Speaker 1>you know, eyesight where they might need bifocals, typically has

0:36:56.200 --> 0:36:58.080
<v Speaker 1>four parts to it, and I'm going to use a

0:36:58.160 --> 0:37:02.160
<v Speaker 1>hypothetical prescription in order to give an example. So let's

0:37:02.160 --> 0:37:04.799
<v Speaker 1>say that you've got a shorthand prescription written out for

0:37:04.880 --> 0:37:07.720
<v Speaker 1>you and it reads like this two point to five

0:37:08.600 --> 0:37:14.640
<v Speaker 1>minus one point five zero times plus two point zero zero.

0:37:14.680 --> 0:37:16.960
<v Speaker 1>Now that is not a math problem. Those pluses and

0:37:17.000 --> 0:37:21.880
<v Speaker 1>minuses give you indications for the power of the various lenses.

0:37:22.280 --> 0:37:25.600
<v Speaker 1>So let's take this piece by piece. That first number

0:37:25.920 --> 0:37:29.800
<v Speaker 1>two point to five that represents the base strength or

0:37:29.920 --> 0:37:34.200
<v Speaker 1>spherical strength and type of lens. Spherical lenses correct for

0:37:34.320 --> 0:37:38.799
<v Speaker 1>myopia or hyperopia, so near sightedness and far sightedness. In

0:37:38.880 --> 0:37:43.680
<v Speaker 1>our example, the two point to five gives us this information.

0:37:43.760 --> 0:37:47.360
<v Speaker 1>It's two point to five diopters, remember the units that

0:37:47.400 --> 0:37:51.920
<v Speaker 1>tell us how much the lens bends light. And because

0:37:51.960 --> 0:37:54.920
<v Speaker 1>it lacks a negative sign, it means it's a plus

0:37:54.960 --> 0:37:58.359
<v Speaker 1>type of lens, which means this is a prescription that

0:37:58.560 --> 0:38:01.640
<v Speaker 1>is meant to correct for hyper opia or far sightedness.

0:38:01.800 --> 0:38:05.560
<v Speaker 1>The next number, minus one point five zero refers to

0:38:05.600 --> 0:38:09.600
<v Speaker 1>a cylindrical lens. These lenses would look kind of like

0:38:09.680 --> 0:38:13.440
<v Speaker 1>a a pipe cut lengthwise and they fit within the

0:38:13.520 --> 0:38:16.480
<v Speaker 1>overall glasses or contact lens, and they correct for a

0:38:16.480 --> 0:38:21.800
<v Speaker 1>stigmatism and the axis of the lens matches the abnormality

0:38:22.120 --> 0:38:25.560
<v Speaker 1>of the cornea, So that minus one point five zero

0:38:25.600 --> 0:38:28.560
<v Speaker 1>tells us it's a minus lens at one point five

0:38:28.600 --> 0:38:31.839
<v Speaker 1>oh diopters. Actually it's not quite that simple, but I'll

0:38:31.880 --> 0:38:34.040
<v Speaker 1>get to that in a little bit. The third number

0:38:34.200 --> 0:38:38.720
<v Speaker 1>one is the orientation of that cylindrical lens. It tells

0:38:38.800 --> 0:38:42.600
<v Speaker 1>us the cylindrical lens is oriented at a D seven degrees.

0:38:43.040 --> 0:38:46.880
<v Speaker 1>The fourth number two point zero zero is a bifocal

0:38:47.000 --> 0:38:49.840
<v Speaker 1>segment at plus two diopters, and it's always going to

0:38:49.880 --> 0:38:52.920
<v Speaker 1>be positive for bifocals. If you don't need bifocals, you

0:38:52.920 --> 0:38:54.719
<v Speaker 1>wouldn't have a number like this trailing at the end

0:38:54.760 --> 0:38:57.360
<v Speaker 1>of your prescription. What's more, you might see the letters

0:38:57.440 --> 0:39:00.239
<v Speaker 1>O D or O S on the prescriptions, So what

0:39:00.280 --> 0:39:03.880
<v Speaker 1>the heck did those mean? The O D means oculus dexter,

0:39:04.239 --> 0:39:08.399
<v Speaker 1>and os is oculus sinister. That is Latin for right

0:39:08.520 --> 0:39:12.960
<v Speaker 1>eye and left eye. So dexter and sinister mean right

0:39:13.040 --> 0:39:15.720
<v Speaker 1>and left. So if you happen to be left handed

0:39:16.040 --> 0:39:20.959
<v Speaker 1>like me, you're of a sinister persuasion. Insert evil laugh here.

0:39:21.520 --> 0:39:28.120
<v Speaker 1>Oh wait uh. Prescriptions can become more complicated than the

0:39:28.200 --> 0:39:31.000
<v Speaker 1>example I gave you. I should add there are other

0:39:31.080 --> 0:39:33.680
<v Speaker 1>factors that could be included, and they account for things

0:39:33.680 --> 0:39:38.160
<v Speaker 1>such as correction for eye alignment problems and other such issues. Also,

0:39:38.239 --> 0:39:42.879
<v Speaker 1>eyeglass prescriptions and contact lens prescriptions are not always the

0:39:42.960 --> 0:39:47.239
<v Speaker 1>same thing. Contact lens prescriptions need additional information such as

0:39:47.560 --> 0:39:50.240
<v Speaker 1>what the curve of the back surface of the contact

0:39:50.320 --> 0:39:52.800
<v Speaker 1>lens should be. That's the part that touches your eye.

0:39:53.160 --> 0:39:56.320
<v Speaker 1>It also includes stuff like the diameter of the lens,

0:39:56.719 --> 0:39:59.400
<v Speaker 1>and because eyeglasses are worn in front of the eyes

0:39:59.600 --> 0:40:03.080
<v Speaker 1>at a sense of around twelve millimeters from your eye,

0:40:03.160 --> 0:40:06.720
<v Speaker 1>and contact lenses are worn on the eyes, the power

0:40:06.719 --> 0:40:09.360
<v Speaker 1>of the prescription tends to be different to produce the

0:40:09.440 --> 0:40:13.839
<v Speaker 1>ideal result. In the Federal Trade Commission ruled that all

0:40:13.960 --> 0:40:18.680
<v Speaker 1>eye doctors, both optometrists and ophthalmologists, must provide a copy

0:40:18.760 --> 0:40:21.800
<v Speaker 1>of a patient's prescription upon the end of an eye exam.

0:40:22.080 --> 0:40:24.279
<v Speaker 1>That way, the patient can choose the vendor he or

0:40:24.320 --> 0:40:29.080
<v Speaker 1>she prefers when buying the actual glasses. Now I'm wrapping

0:40:29.160 --> 0:40:31.320
<v Speaker 1>up here. There's a whole lot more I could talk about,

0:40:31.400 --> 0:40:34.440
<v Speaker 1>including the way you take lens blanks and grind them

0:40:34.440 --> 0:40:37.080
<v Speaker 1>down in order to make the proper lens, but that

0:40:37.120 --> 0:40:40.359
<v Speaker 1>would almost require a second episode. And before I sign off,

0:40:40.400 --> 0:40:43.200
<v Speaker 1>I think I should also explain what the differences between

0:40:43.239 --> 0:40:48.279
<v Speaker 1>optometrists and ophthalmologists, and also what are opticians. So, an

0:40:48.320 --> 0:40:53.400
<v Speaker 1>ophthalmologist is a medical or osteopathic doctor, someone who actually

0:40:53.480 --> 0:40:57.320
<v Speaker 1>has a medical degree. They have extensive training in medicine

0:40:57.480 --> 0:41:00.840
<v Speaker 1>and they specialize in eye and vision care. They have

0:41:00.880 --> 0:41:03.920
<v Speaker 1>a license to practice medicine and surgery, so they treat

0:41:03.960 --> 0:41:08.040
<v Speaker 1>eye diseases and conditions. They perform surgical procedures, and they

0:41:08.080 --> 0:41:12.440
<v Speaker 1>can also prescribe and fit eyeglasses and contact lenses. They

0:41:12.480 --> 0:41:15.600
<v Speaker 1>may also conduct research to gain further understanding into eye

0:41:15.600 --> 0:41:18.719
<v Speaker 1>disorders and diseases. And there's some disagreement about whether or

0:41:18.760 --> 0:41:21.640
<v Speaker 1>not an ophthalmologist or an optometrist is the best person

0:41:21.680 --> 0:41:24.239
<v Speaker 1>to go when you are trying to get glasses or

0:41:24.280 --> 0:41:28.040
<v Speaker 1>contact lenses, and the fights can get pretty nasty because

0:41:28.080 --> 0:41:32.360
<v Speaker 1>they tend to involve ophthalmologists and optometrists calling each other things.

0:41:32.640 --> 0:41:34.360
<v Speaker 1>So I'm not going to get into that here. But

0:41:34.440 --> 0:41:36.880
<v Speaker 1>what is an optometrist. Well, that's a health care professional,

0:41:37.200 --> 0:41:39.760
<v Speaker 1>but they are not a doctor, not a medical doctor

0:41:39.800 --> 0:41:42.600
<v Speaker 1>at any rate. They must receive a Doctor of Optometry.

0:41:42.640 --> 0:41:45.400
<v Speaker 1>That's an o d Degree, but it's not a medical degree.

0:41:45.840 --> 0:41:48.440
<v Speaker 1>This is a four year degree from an optometry school,

0:41:48.760 --> 0:41:51.560
<v Speaker 1>and that's after they've conducted at least three years of

0:41:51.680 --> 0:41:54.799
<v Speaker 1>college education. So they do hold a doctorate, but they

0:41:54.800 --> 0:41:57.399
<v Speaker 1>are not a medical doctor. Their licensed to conduct eye

0:41:57.400 --> 0:42:01.239
<v Speaker 1>exams and prescribe glasses or contact lenses, and they can

0:42:01.280 --> 0:42:05.360
<v Speaker 1>also generally prescribe some medications for certain types of eye diseases.

0:42:05.960 --> 0:42:08.440
<v Speaker 1>And then you have opticians. Now these are technicians that

0:42:08.480 --> 0:42:11.920
<v Speaker 1>are trained to design, to verify, and to fit eyeglass

0:42:12.000 --> 0:42:15.440
<v Speaker 1>lenses and frames as well as contact lenses. They do

0:42:15.520 --> 0:42:19.680
<v Speaker 1>not make prescriptions themselves, so they cannot prescribe the glasses,

0:42:19.680 --> 0:42:22.840
<v Speaker 1>but they can take a prescription and make the glasses

0:42:22.920 --> 0:42:25.560
<v Speaker 1>or contact lenses or fit them to you. They're allowed

0:42:25.600 --> 0:42:28.400
<v Speaker 1>to do that. They are not licensed to diagnose or

0:42:28.440 --> 0:42:32.759
<v Speaker 1>treat eye diseases or disorders. And there's also another weird

0:42:32.800 --> 0:42:36.799
<v Speaker 1>difference between optometrists and ophthalmologists that I discovered as I

0:42:36.840 --> 0:42:41.680
<v Speaker 1>was researching this episode, and that's how they write out prescriptions. Specifically,

0:42:41.880 --> 0:42:45.840
<v Speaker 1>that second number I referenced, that's the difference. So remember

0:42:45.840 --> 0:42:50.120
<v Speaker 1>our hypothetical prescription was two point to five minus one

0:42:50.120 --> 0:42:55.600
<v Speaker 1>point five times one plus two point zero zero. Well,

0:42:55.600 --> 0:42:58.480
<v Speaker 1>that minus one point five zero doesn't just tell us

0:42:58.520 --> 0:43:01.640
<v Speaker 1>the lens power of the cylindrical lens that was meant

0:43:01.640 --> 0:43:04.680
<v Speaker 1>to correct an a stigmatism. It also tells us that

0:43:04.719 --> 0:43:07.880
<v Speaker 1>the person conducting that hypothetical I exam had to be

0:43:07.920 --> 0:43:11.680
<v Speaker 1>an optometrist because it was a negative value. If it

0:43:11.680 --> 0:43:15.319
<v Speaker 1>had read one point five zero instead of minus one

0:43:15.400 --> 0:43:19.480
<v Speaker 1>point five zero, the actual effect in the finished glasses

0:43:19.560 --> 0:43:22.239
<v Speaker 1>would be exactly the same. It would just mean that

0:43:22.320 --> 0:43:26.560
<v Speaker 1>an ophthalmologist had written the prescription. Optometrists always have a

0:43:26.600 --> 0:43:30.799
<v Speaker 1>negative value for cylindrical lens and ophthalmologists always have a

0:43:30.840 --> 0:43:35.000
<v Speaker 1>positive value. Now this does change the value for that

0:43:35.239 --> 0:43:39.160
<v Speaker 1>axis figure as well, so there is a slight other

0:43:39.239 --> 0:43:42.840
<v Speaker 1>difference between an optometrist and an ophthalmologist prescription. But it

0:43:42.920 --> 0:43:46.520
<v Speaker 1>really boils down to the fact that optometrists use negative

0:43:46.560 --> 0:43:52.400
<v Speaker 1>cylindrical lens designation an ophthalmologists use positive cylindrical lens designation,

0:43:52.440 --> 0:43:57.040
<v Speaker 1>even though they both do the exact same thing. So wacky, right,

0:43:57.480 --> 0:44:01.120
<v Speaker 1>I learned something new today, well, guy, That wraps up

0:44:01.200 --> 0:44:04.080
<v Speaker 1>this overview of where contact lenses came from and how

0:44:04.120 --> 0:44:07.360
<v Speaker 1>we all got to the point of staring at these charts,

0:44:07.440 --> 0:44:13.080
<v Speaker 1>and also answering the immortal question better like this or

0:44:13.160 --> 0:44:20.920
<v Speaker 1>better like this A or B one or two? Man,

0:44:21.640 --> 0:44:23.360
<v Speaker 1>I'm so glad I don't have to do that anymore.

0:44:23.880 --> 0:44:27.080
<v Speaker 1>Laser eye surgery rules. If you guys have suggestions for

0:44:27.160 --> 0:44:29.759
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0:44:29.800 --> 0:44:32.200
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0:44:32.360 --> 0:44:36.200
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0:44:36.200 --> 0:44:38.360
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0:44:38.400 --> 0:44:41.080
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0:44:41.760 --> 0:44:44.440
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0:44:44.480 --> 0:44:46.360
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0:44:49.160 --> 0:44:52.440
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0:44:52.680 --> 0:44:55.200
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0:44:55.320 --> 0:44:58.880
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0:44:58.960 --> 0:45:02.000
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0:45:02.040 --> 0:45:04.880
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0:45:04.880 --> 0:45:07.719
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0:45:07.719 --> 0:45:09.440
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0:45:09.480 --> 0:45:18.200
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0:45:18.239 --> 0:45:21.000
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0:45:21.000 --> 0:45:31.200
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