7. Optical prescriptions and spectacle lenses Flashcards
Spherical lenses
DS
Cylindrical lenses
DC with axis
Simple transposition of spheres
add the values together
Simple transposition of cylinder
Sum, sign, axis
o Sum: add the sphere and cylinder together
o Sign: change the sign of the cylinder (keep the value the same)
o Axis: add 90 (if at or less than 90) or subtract (if greater than 90)
Toric lens transposition
Transpose, numerator, BC axis, other DC
o Transpose so that DC has same sign as BC
o Numerator: DS – base curve
o BC axis: axis from (i) add/subtract 90
o Other DC: add DC from (i) to BC
Detection of lens type
view a cross through the lens and move it
Spherical lenses
cause no distortion to the cross, moved from up and down
Convex spherical lens cross test
opposite direction –> AGAINST movement
Concave spherical lens cross test
same direction –> WITH movement
astigmatic lenses cross test
distort the cross (unless axis coincides with lines), with rotation causing a scissor movement
minus astigmatic lens cross test
with cross
plus astigmatic lens cross test
against cross
neutralisation of power
o Once lens nature known via above – strength can be determined
o Using a lens of the opposite type until when superimposed there is no movement of the cross neutralised
o The unknown lens power is therefore the opposite sign
neutralising astigmatic lenses
– each meridian must be done separately
back vs front vertex pwoer
o Ideally need to be done via back vertex power but this can be in-practical
o Can use front vertex power, but more inaccurate
Inaccurate for curved lenses more than +2.0D
Can lead to an error of 0.50D for more power lenses