Chapter 1 Flashcards

1
Q

Knapp’s Law

Axial ametropia vs Refractive ametropia (glasses or contacts?)

A

Axial: glasses
Refractive: contacts

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2
Q

Javal’s rule to compensate for lenticular astigmatism

A

Add -.50 ATR (to compensate for lenticular astig in all eyes)

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3
Q

To convert to plus cylinder put on a optical cross and write the most minus first

A

True

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4
Q

When you scope with light vertical you are scoping the 180

A

True

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5
Q

When you scope with the light horizontal you are scoping the 90

A

True

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6
Q

Accommodative demand in diopters is equal to the reciprocal of the working distance

A

True

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7
Q

Barrel distortion occurs with high myopic or hyperopic?

A

Myopic

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8
Q

AC/A ration in CE and CI

A
CE = high AC/A
CI = low AC/A
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9
Q

Basic exophoria

A

about the same phoria at far and near

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10
Q

DE (divergence excess)

A

Too exo at distance

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11
Q

DI

A

Too eso at distance

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12
Q

CE

A

Too eso at near

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13
Q

CI

A

Too exo at near

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14
Q

AC/A equation

A

= PD (cm) + working distance (M)(near phoria-distance phoria) eso is (-) and exo is (+)

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15
Q

Formula for accommodative amplitude for age

A

= 18.5 - (.3)age

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16
Q

Adding plus makes the eyes more eso or exo?

A

Exo

17
Q

Pseudo CI

A

Just need plus lenses. Its an accomm issue not a vergence issue

18
Q

Sheard’s criterion for prism

A

= 2/3 (phoria) - 1/3(vergence)

19
Q

Flipper tests what?

A

Accommodative facility
normal (for age 13-3-) is 8 cycles per minute binocular
and 12 cycles per minute monocular

20
Q

PRA test add minus and it stimulates accommodation and tests ____________

A

divergence (negative fusional vergence)

21
Q

NRA test add plus and it relaxes accommodation and tests _____________

A

convergence (positive fusional vergence)

22
Q

Anytime you have a sudden onset vertical diplopia think of what muscle problem

A

Superior oblique palsy

23
Q

Percival’s criterior

A

Prism = 1/3(greater vergence) - 2/3(lesser vergence)

24
Q

Negative fusional vergence is

A

divergence

25
Q

Positive fusional vergence is

A

convergence

26
Q

Sherrington’s Law

A

For every EOM that is innervated, there is an EOM of the same eye that is inhibited

27
Q

Herring’s Law

A

Equal innervation

28
Q

COWS

A

In healthy person nystagmus is induced by cold opposite, warm same

29
Q

Worth 4 Dot test

A

Sees 4 dots = normal
5 dots = strabismus
2 dots = left eye suppression
3 dots = right eye suppression

30
Q

On Von Grarfe vertical phoria testing how would you write it if the result is 2 BU over left eye?

A

2 prism diopters RHP (the patient has Left hypophoria but you always record the hyperphoria so it’s a right hyperphoria)

31
Q

Negative relative accommodation is adding what lenses to eye for patient to clear?

A

Plus

32
Q

Positive relative accommodation is adding what lenses to the eye for patient to clear?

A

Minus

33
Q

DEM test

A

Developmental eye movement test. Tests saccades.

34
Q

When given NRA and PRA and asked to find the add…

A

…add them and divide by 2