2 - Optics of CLs Flashcards

1
Q

Why do we have to convert from spec rx to ocular rx

A

Bceause the BVD goes from 12mm to 0mm

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2
Q

How to calculate ocular Rx

A
  • if above 4Ds then use table
  • if there is a cyl, calculate the difference between the 2 sph values and that is the new cyl power
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3
Q

when convertimg, always prescribe the

A

least negative

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4
Q

where is refractive astigmatism located?

A
  • cornea
    or
  • crystalline lens
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5
Q

how is corneal astigmatism calculated

A

from keratometry or typography
(instruments used to determien shape of cornea)

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6
Q

what does keratometry measure

A

the curvature along the 2 principle meridians of cornea over 3-4mm

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7
Q

what does it mean when the CA is a bigger number?

A
  • circle is bigger
  • the curvature is flatter
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8
Q

what does it mean when the number is smaller

A
  • circle is smaller
  • curvature is steeper
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9
Q

0.05mm difference between 2 principle meridians means

A

there is 0.25D of corneal astigmatisn

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9
Q

0.05mm difference between 2 principle meridians means

A

there is 0.25D of corneal astigmatisn

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10
Q

calculate the CA wtih 7.50mm and 7.30mm

A

7.50 - 7.30 = 0.20mm
= 1.00 CA

0.20 / 0.05 = 4
4 X 0.25 = 1

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11
Q

CA when its 8.00mm and 7.60mm & what is sign

A

0.4mm difference
0.4 / 0.05 = 7
8 x 0.25 = 2 CA

negative cyl = flattest k = bigger circle

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12
Q

WTR astigmatism

A

verically steeper ( so smaller radius)

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13
Q

ATR astigmatism

A

horizontally steeper

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14
Q

if all astigmatism is located cornea it means…

A

px is excellent candidate for RGP

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15
Q

Air/tear layer interface calculations

A

F = (1-n) /r

16
Q

RGP CL choice for astigmatism

A
  • spherical CL if CA up to 2.50D
  • back surface toric if >2.50
  • front surface toric for any remaining (i.e. lenticular astigmatism)
17
Q

SCL choice for astigmatism

A

-toric to correct 0.75 and over
- needs to be stabilised to avoid rotation

18
Q

what do you do if cyl is >0.75 SCL

A

meann spherical equivalent: add half the cyl to the sphere

19
Q

7.60mm & 7.80mm
ocular rx: -3.75/-2.00 x 90

cl choice

A

CA= 1.00 ATR because steeper meridian is horizontal

order RGP front surface toric to correct ocular sphere
plus lenticular astigmatism (-3.75/-1.00 x 90)

20
Q

spec rx is -2.75/-1.00 x 90

7.60mm and 8.00mm
lenticular astigmatism is?

A