2500L Flashcards

1
Q

When contact lenses are being fit the slit lamp is indispensable for determining?

A

Whether the fit of the lens is acceptable, too tight, or too loose.

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2
Q

The lens/cornea relationship is observed with the aid of?

A

Sodium fluorescein

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3
Q

Sodium fluorescein is?

A

A fluorescent diagnostic solution

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4
Q

Fluorescein patterns show?

A

If a lens is steep or flat if corneal astigmatism is present and if so if the astigmatism with the rule or against the rule

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5
Q

What does the slit lamp do?

A

Show problems with the cornea, conjunctiva, lids, and lashes

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6
Q

What are the two main parts to a biomicroscope?

A

A light source and a binocular microscope

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7
Q

What type of magnification is used at first when using the biomicroscope?

A

Low magnification usually 6x or 10x.

This provides a greater depth of field and a larger field of view

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8
Q

Most slit lamp illumination procedures will b done with an angle of?

A

45-50 degrees between the beam and the microscope

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9
Q

The most common slit lamp illuminations used to evaluate the physical fit of a contact lens are?

A

Direct (focal)

Diffuse

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10
Q

The illuminations used to evaluate contact lens related problems are?

A

Indirect
Retro
Sclerotic scatter

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11
Q

The beam of the light and the microscope are focused directly on the area being examined

A

Direct illumination

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12
Q

The light is spread out over the cornea

A

Diffuse illumination

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13
Q

The normal cornea transparent due to a pumping action which creates a proper fluid balance. Which layer of the cornea is responsible for maintaining this function

A

Endothelium

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14
Q

The distance between the upper and lower eyelid Margins is called the

A

Palpebral fissure

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15
Q

A normal tear break up time is

A

12-15 seconds

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16
Q

What are contraindications to soft contact lenses?

A

Severe conjunctivitis
Acute inflammation of the anterior segment of the eye
Insufficient lacrimal function

17
Q

Fluorescein which has been instilled into the eye best illuminated by

A

Cobalt light

18
Q

Squamous similar to scalp dandruff lashes partially covered by scales
Ulcerative; bacteria infection usually by staphylococci. Lids red tender and sore w/ bleeding ulcers

A

Blepharitis

19
Q

The distance between the upper and lower eyelid margins is called the

A

Palpebral fissure

20
Q

A chronic inflammation of one of the meibomian glands of the tarsal plates (blockage)
The gland swells w/ a mixture of granulation cells & secretions there is no bacterial infection

A

Chalazion

21
Q

An acute inflammation of a sebaceous glands caused by a bacterial infection
It appears as a reddish boil like elevation which developed a yellowish white top

A

Hordeolum or stye

22
Q

An outward turning of the eyelid

A

Ectropian

23
Q

When recording lower lid position on a record form a -2 mm notation indicates

A

The lower lid margins is 2mm below the lower limbus

24
Q

An inward turning of the gelid so that the margin rests against the eye

A

Entropian

25
Q

Which medication may contribute to an insufficient tear film?

A

Antihistamines

26
Q

Inversion of the eyelashes resulting in impingement on the eyeball

A

Trichiasis

27
Q

A blew filled with clear or milky fluid. They vary in size from pinhead to several millimeters
Usually caused by chronic irritation of the conjunctiva or blockage of a gland of Krauss duct

A

Conjunctiva cyst

28
Q

Nevi or moles are benign epithelial tumors
A congenital discoloration due to pigmentation
Note size and location

A

Nevis

29
Q

The loose attachment of The conjunctiva to the sclera allow blood from the broken vessel to spread between the two layers
Usually caused by local trauma but can also be caused by systemic vascular disease such as a hypertension

A

Subconjunctiva hemorrhage

30
Q

A yellowish triangular thickening of the bulbar conjunctiva

Located nasal or temporal to the cornea

A

Pinguecula

31
Q

Triangular Fold of growing membrane that may extend over the cornea from the Sclera

A

Pterygium

32
Q

Reduced function of lacrimal glands
Excessive evaporation of tears
Mucin deficiency

A

Keratitis sicca

33
Q

An opaque white ring near the corneal periphery

Seen an older person due to fat deposits

A

Arcus Senilis

34
Q

A Progressive conical thinning of the central area of the cornea. Myopia and irregular astigmatism increase as the condition progresses
Rigid contact lenses will correct the irregular astigmatism
May require a corneal transplant

A

Keratoconus

35
Q

The most severe form of corneal Edema
Involve all layers of the cornea
Results from a diseased endothelium
Therapeutic soft contact lens used to manage pain

A

Bullous Keratopathy

36
Q

A pathological loss of substance of the surface of the cornea due to a progressive erosion of tissue

A

Ulcer

37
Q

A lack of oxygen which is indicated by various changes in the cornea

A

Cornel hypoxia