Ii Flashcards
what are possible errors in a prescription
out of date rx
rx with >+/- 4.00D with no BVD
options name/signature missing
one eye is in plus cyl form and other is in minus cyl form
prism BU on both eyes
what is aniesekonia
significant difference in the perceived size of images
what is aniesemetropiaa
significant difference in refractive error between the meridians in both eyes of more than 1.00D
what are the types of anisometropia
1) simple - one eye is affected while the other eye has no rx- eye can b emyopic/hyperopic
2_ composite - Bothe eyes have rx although difference is over 2D which causes one eye to see blurrier image
3) mixed both eyes heavy etc
1 eye myopic+ 1 eye hyperopic
what causes unwanted prismatic effects
- inappropriate position of the OCS leading to decentration
-prismatic effect and relative prismatic effect between the 2 eyes
-vertical FR 2-4 Dip= amount of prim that can be placed before niocular vision breaks down and diplopia occurs.
vertical FR is small -so small amounts of unpresctivrrf relative vertical prism - cause asthenia/blurring/dip
- prismatic effects should be below 1 dip
why is prismatic effect induced in bifocals
bif segment positioned I’m periphery
px will experience prismatic effect
px forced to look away from the oc to read
why does a px experience diploma when reading and not in the distance with bif
- vertical differential prim not issue in SV lenses and px can move head to look through OC
= NO PRISMATIC EFFECR
vertical differential proms considered in MF lenses where rex had to look away from oc of the lenses
as the NVP does not coincide with oc
sol to anisemetropia
1)separate spex- correctly centred - inoncvienient
2) Franklin split bif distance portion+near potion in frame
3) different segment sizes - larger segment size is placed in front of more positive power lens
- uses round down curve set- larger set produces more BD
4) slab off done one one lease- more negative less
when minus lenses are slabbed off BD prism is removed
when positive lenses are slabbed off BU prism is offed
5) CL- NO PE
anieskonia