astigmatism Flashcards

1
Q

mixed astigmatism

A

occurs when one image focuses in front of the retina and the other image focuses behind the retina. will appear as a + in one meridian and a - in the other on a power cross

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2
Q

astigmatism

A

present in an optical system when the light rays entering the eye are bent unequally due to a non-spherical surface, with the max and min powers (principle meridians) usually 90 degrees apart (regular astigmatism). this causes a point object to be focused as two line images. the separation of these two line images is called the interval of sturm

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3
Q

simple astigmatism

A

one lime image focuses on the retina, and the other line image focuses in front of the retina (simply myopic astigmatism) or behind the retina (simple hyperopic astigmatism). Plano sphere power and some mag of cal

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4
Q

compound astigmatism

A

both lime images focus either in front (myopic compound astigmatism) of or behind the retina (hyperopic compound astigmatism). The powers on the power cross will have the same sign

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5
Q

irregular astigmatism

A

the principle meridians are NOT 090 degrees apart, resulting in a distorted image that CANNOT be corrected with a standard spherocylindrical lens. Occurs as a result of an irregular or distorted cornea (kones)

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6
Q

WTR astigmatism

A

the vertical meridian of the eye has the most plus power and the horizontal meridian of the eye has the least plus power. WTR is corrected by a minus cyl lens with an axis of 180 +/-30

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7
Q

ATR astigmatism

A

the horizontal meridian of the eye has the most plus power, and the vertical meridian of the eye has the least plus power. ATR astigmatism is corrected by a mini Syl lens with an axis 90 +/- 30

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8
Q

oblique astigmatism

A

the most plus power of the eye is between the horizontal and vertical meridians. Corrected by a minus cyl lens with an axis between 30-60 degrees or 120-150 degrees

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9
Q

order of types of astigmatism and the amount of blur they cause from greatest to least

A

oblique
ATR
WTR

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10
Q

Javal’s rule

A

A(RX)=1.25Ac + 0.50 ATR astigmatism

ARX is the refractive astigmatism
Ac is the astigmatism measured on Ks
-0.50DC x 090 is the estimated internal astigmatism

used to predict the amount of astigmatism anticipated in the glasses RX based on the K readings

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11
Q

if someones Ks show -5.00x 090 astigmatism, what is the predicted amount of astigmatism in the prescription

A

A(RX)=1.25Ac + -0.50 WTR astigmatism

1.25(-5.00) + 0.50 ATR=-6.75 x 090

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12
Q

K readings with more plus power in the 090 meridian corresponds to ____ astigmatism

A

WTR

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13
Q

K readings with more plus power in the 180 meridian corresponds to ____ astigmatism

A

ATR

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14
Q
  1. 50D of cyl power is cut from he OD refraction in the patient’s final specRX in order to improve adaptation, what is the final specRX that will maintain the spherical equivalent of the refraction OD?
    ref: +2.00 -5.00 x 090
A

+1.25 - 3.50 x 090

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15
Q

COLC

A

dioptrically located halfway between the two line images formed by the principle meridians

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16
Q

spherical equivalent

A

sphere + half of cyl

17
Q

what is the original refraction in plus form

+2.00 -5.00 x 090

A

-3.00 +5.00 x 180

18
Q

for the patients left eye, a lens rack was used for retinoscopy bc the patient was no longer cooperating. Ret yielded +3.00 in the 180 meridian and a -2.00 in the 90 meridian. assuming the working distance has already been subtracted out, what is the RX OS in minus form?

A

+3.00 -5.00 x 180

19
Q

what is an example of a Jackson cross cylinder

A

+1.00 -2.00 x 090

spherical equivalent of 0