Add determination Flashcards
FCC/NRA &PRA/tentative add
lead
over-accommodating (more than the stimulus) - focusing in front of the target
lag
under-accommodating (less than the stimulus demands) - focusing behind the target
normal accommodative posture
+0.50 lag
FCC
fused crossed cylinder test - test performed to measure accommodative posture AND determine tentative add
FCC procedure
target at 40 cm, +/- 0.50 D auxillary lenses, vertical lines or horizontal lines darker
FCC horizontal lines darker
Add +0.25 until reversal (binocular)
FCC vertical lines darker
Add -0.25 until reversal (binocular) - stop after -1.00
positive FCC value
LAG
negative FCC value
LEAD
expected non-presbyope FCC
+0.50
expected presbyope FCC
approximately the patient ADD POWER
Relative Accommodation
evaluation of ability to maintain a clear and single image when changing accommodative demand
NRA
negative relative accommodation - adding plus - relaxing accommodation
PRA
positive relative accommodation - adding minus - stimulating accommodation
expected NRA values for non-presbyopes
+2.00 +/- 0.50 D