Introduction To OEP Flashcards
What is an instrument used to make an exploratory examination or tests; used in examination of the visual pattern of a patient are lenses & prisms; can be inhibition or stimulation to convergence or accommodation?
Probe body
These are used for their specific effect upon the accommodative pattern.
Lenses
These are used for their specific effect upon convergence pattern.
Prisms
- Inhibits (relaxes) accommodation.
- The induced change is as if the object moved away from the plane of regard.
- The size change observed is that the target appears larger.
Convex or Plus spherical lens
- Stimulates accommodation.
- The induced change is as if the object is moved closer to the observer.
- The size change observed is that the target appears smaller.
Concave or minus spherical lens
- Inhibit/relax convergence
- The induced change is as if the object is moved away from the plane of regards
- The size change observed is that the target appears to become larger
Base in prism
- Stimulates convergence.
- The induced change is as if the object is moving closer to the observer.
- The size change observed is that the target becomes smaller as it becomes closer.
Base out prism
These are tests that uses lenses, prisms , JCC in relationship between accom & convergence.
Phorometric tests
• VTs: 3, 8 ,9 ,10 ,11 ,12
• Test Target: Snellen chart or any VA chart
• Test Distance: 20ft or 6M
• Test illumination: 20ft candle or room illumination
• PD adjustment: Pd far (vergence knob at the temporal side)
• Lens in place: all far tests subjective finding (Vt 7) except VT # 3 habitual Rx, old Rx or plano
• Auxiliary lens: +0.25D to introduce blur
• Prism: Rotary or Risley
FAR TESTS
• VTs: 13,14,15,16,17,18,19, 20 & 21
• Test Target: all ____ ____ have RSTC except VT # 19 jaeger’s card (J3), 14a&b cross grid
• Test illumination: 40ft candle except Vt 14a&b 2ft candle
• PD adjustment: Pd near (vergence knob towards the medial area)
• Auxiliary device: JCC
* Lens in place: all near test subjective expect Vt # 13A- habitual rx old or plano, except:
* VT 15A- result of vt # 14A
* Vt 14B-result of VT # 14A
* Vt 15B-result of VT 14B
* Presbyopia: TNC
NEAR TESTS