Dispensing 4 - Occupational lenses Flashcards

1
Q

What is an occupational lens?

A

a lens that is chosen for a specialised viewing situation so not for general wear

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2
Q

what kind of occupations may wear double segment lenses?

A

-plumbers
-electricians
-mechanics
-pharmacists
-librarians

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3
Q

what are double segment/ double d lenses?

A

-occupational lenses that provide intermediate vision when looking up instead of bifocals/trifocals where you have to look down
-they are also known as multifocal lenses

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4
Q

what is a quadrifocal lens?

A

a trifocal lens with upside down segment at the top

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5
Q

how wide are double d style double segment lenses?

A

28mm

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6
Q

Whats the minimum separation of
double round segment lenses

A

4mm?

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7
Q

whats the typical segment separation in double segment lenses?

A

14mm

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8
Q

what kind of people may typical progressive lenses not be good for? What other lenses would also not be appropriate for these people and why?

A

may not be good for those whose visual tasks are predominantly based around near or intermediate work such as:
-office workers
-cooks
-decorators
-people who play card/ board games
-people who read sheet music

other lenses not good for this are:
▪ ordinary reading lenses may not give enough depth of vision
▪ bifocals will miss the intermediate area altogether
▪ trifocals may not have large enough areas

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9
Q

whats the main limitation of varifocal lenses?

A

distance portion lies straight ahead so if the px does lots of intermediate tasks like heavy computer use, the px will keep having to lift their chin up or lift frames to see intermediate which gets tiring doing it all day

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10
Q

whats the difference between a typical degressive lens and a typical progressive lens?

A

in a degressive lens, you take the near as reference and remove plus to get the intermediate while for a typical progressive, you take the distance Rx is the reference and progressively add plus power

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11
Q

What is an example of a degressive lens and what is the fitting like?

A

Essilor Interview of -0.80D or -1.30D degression

fitting is at the lower limbus with respect to HCL

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12
Q

what are restricted distance lenses?

A

Similar to a degressive but with ‘distance’ portion at the very top of lens

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13
Q

Give an example of a restricted distance lens

A

Varilux computer V3:
▪ Semi Distance Zone
▪ Power in the semi-distance zone can correspond to the distance prescription or can be over plussed by 0.25D or 0.50D

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14
Q

How do restricted distance lenses work?

A

allow for a narrow area of distance vision in the very top of the lens, allowing the wearer to see across an office or meeting room, whilst providing a
wider area for near and intermediate vision than a traditional varifocal would give

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15
Q

what are restricted distance lenses for?

A

for providing patients with even more depth of vision than other vocational lenses

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16
Q

what are the negatives of restricted distance lenses?

A

-not suitable for driving
-still require adaptation periods

17
Q

name 11 general considerations when dispensing occupational lenses

A

-task size: level of VA and FOV to achieve
-working distance: ranges of clear vision
-size of occupational addition
-whether task is still or moving
-position of the patient and task
-lighting
-contrast
-tints and colour accuracy
-stereopsis
-possibility of ocular hazards

18
Q

why is it important to consider whether a task is still or moving when dispensing occupational lenses?

A

as narrow optical areas may limit eye movements

19
Q

When dispensing occupational lenses, why is it important to consider lighting?

A

because Inverse square law – double the distance from source = ¼ of light and visual performance in general improves with lighting

20
Q

When dispensing occupational lenses, why is it important to consider contrast?

A

as higher contrast = improved visual performance

21
Q

When dispensing occupational lenses, why is it important to consider tints and colour accuracy?

A

-as colour accuracy is vital in certain occupations like electricians, pilots and police

22
Q

When dispensing occupational lenses, why is it important to consider stereopsis?

A

It’s very important in certain tasks like like threading a needle

23
Q

When dispensing occupational lenses, why is it important to consider possibility of ocular hazards

A

many hazards like chemical, mechanical and radiation exist in workplaces especially for factory workers, farmers, outdoor workers etc.

24
Q

Why cant a patient drive with ocupational lenses?

A

because they may not have distance rx