Janet Approved Flashcards

1
Q

Simple Hyperopic Astigmatism

A

After minus or plus transposition: Plano +

Parallel rays of light
come to two line foci,
one falling on the retina
and the other falling
behind the retina

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2
Q

Simple Myopic Astigmatism

A

After minus or plus transposition: Plano -

Parallel rays of light
come to two line foci,
one falling on the
retina and the other
falling in front of the
retina

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3
Q

Compound Hyperopic Astigmatism

A

After minus or plus transposition: + +
Both parallel light rays fall
behind the retina
* Both major meridian powers
indicate hyperopia

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4
Q

Compound Myopic Astigmatism

A

After minus or plus transposition: - -

Both parallel light rays come
to two line foci in front of
retina
* Both major meridian powers
indicate the refraction is
myopic

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5
Q

Mixed astigmatism

A

After minus or plus transposition: + -

Parallel light rays come to two-line foci,
one falling in front of the retina and the
other falling behind the retina
* One major meridian indicates the
refraction is hyperopic and the other
meridian indicates the refraction is
myopic

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6
Q

Dk/L

A

refers to the amount of oxygen which pass
through a lens material of specified thickness

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7
Q

Myoflange design

A

an increase in edge thickness to aid in better centering lenses that position low on the cornea.
Extra edge thickness creates greater lid interaction.

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8
Q

Hyperflange design

A

a decrease in edge thickness is indicated in many high minus power lens designs to limit
lid interaction, allowing the lens to position more centrally
on the cornea.

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9
Q

Vertex Distance

A

the distance between the back vertex of
the correcting lens, and the front surface of the eye

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10
Q

Wetting angle

A

the spreadability of water over a lens
surface. The lower the angle, the more wettable the
surface.

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11
Q

Lescometer

A

An attachment that holds
the calibration balls for
the keratometer

Also contains a lens
holder which enables the
keratometer to be used
to measure the base
curve of a rigid contact
lens

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12
Q

when you can’t locate the kertometric mires

A

The instrument and/or patients is not aligned properly

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13
Q

Keratometer has transient mire clarity

A

ask the patient to blink and measure quickly

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14
Q

Transient mire focus in keratometer

A

ensure patient’s forehead is against the headrest

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15
Q

Unstable patient gaze in keratometer

A

close the other eye

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16
Q

H and v mires cannot be measured concurrently in keratometer

A

irregular astigmatism

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17
Q

Only 1 minus sign is visible in the keratometer

A

patient’s eyelid is drooping

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18
Q

Only 1 plus sign is visible in the keratometer

A

occluder is in the way

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19
Q

The modulus of a lens material is the measurement of the
material’s resistance to deformation under tension. In
practical terms, the ____ the lens material, the _____ the
lens modulus

A

stiffer
higher

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20
Q

Visibility tint

A

blue or light green

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21
Q

Spin casting

A

this process, the liquid polymer mix is introduced into a spinning, open top, concave mold that will determine the
front surface configuration of the lens.
The back surface of the lens is formed in air.

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22
Q

Lathe Cutting

A
  • have exhibited the greatest consistency from lens to lens,
    based on the ability to very closely control surface
    curvatures.
  • In this process the polymerized plastic, in a dehydrated,
    rigid state, is formed into lens blanks, mounted in a base
    curve lathe, and the posterior curves
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23
Q

Cast Molding

A
  • In overcoming the previous inconsistency and quality
    disadvantages. The result has been the increasing
    availability of improved quality products at lower costs.
  • Hydrogel lenses produced in a molding process may be
    formed in the rigid, dehydrated state, resulting in a finished
    product that will subsequently be immersed in saline and
    hydrated to the specified degree
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24
Q

3-point touch

A

for soft lenses

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25
Who much astigmatism induced by back surface toric
40%
26
WIth LARS each minute is....
6 degrees
27
With LARS 5 minutes is...
30 degrees
28
purposes for cleaning the lens
Clean the lens that is exposed to sebaceous secretions * Clear the collected protein and debris * Lower the bacterial count before the disinfection process
29
Protein removers
Enzymatic cleaner pancreatin enzyme subtilisin and subtilisin-a Papin
30
Surfactant cleaners
without use of surfactant cleaner- inadequate disinfection can occur reduces build-up used immediately after lens removal
31
Solution sensitivities and incompatibilities
Sensitives normally come from preservatives: BAK, Chlorhexidine, Chlorobutanol, polyquad, dymed, PHMB, potassium sorbate
32
chemical disinfection
marked multi-purpose solutions and no-rub contain cleaner, disinfectant, enzyme cleaner, and lubricant
33
Hydrogen peroxide
Use highly purified 3% hydrogen peroxide perservative free cannot be placed directly in eye
34
Three borate buffers in this system produce a trace amount of hydrogen peroxide that protects the solution from pathogens while remaining non-toxic to the patient. The buffering agents keep the pH level stable
Antimicrobial Buffer System (ABS)
35
It has wide antifungal and antibacterial effectiveness. a tendency to bind corneal protein, which may produce superficial punctate keratitis in soft lens patients.
benzalkonium chloride (bak)
36
chlorhexidine
this preservative has limited effectiveness against yeast and fungus organisms, it is often mixed with other solutions for increased strength. Can cause binding of proteins that could cause corneal sensitivity.
37
chlorobutanol
This preservative reacts slowly in killing bacteria and fungus. It is only used in conjunction with other preservatives like benzalkonium chloride.
38
polyquad, dymed and phmb
low concentration preservatives, and are used as disinfecting agents in multi-purpose solutions.
39
This preservative was first used as a replacement for thimerosal It also has a tendency to bind to organic deposits on the lens surface and can cause discoloration of certain contact lens materials.
Potassium Sorbate
40
Used primarily as a substitute for thimerosal in soft lens solutions, this preservative has limited antimicrobial effect on the yeast and fungus groups.
sorbic acid
41
thimerosal
Many patients have shown adverse sensitivity to solutions containing thimerosal. Thimerosal and another mercurial, phenylmercuric nitrate, are not as effective against gram negative organisms as some other preservatives. Thimerosal is rarely used in care systems in the United States.
42
... Instructions must be provided on insertion, removal, re-centering, solutions, storage, wearing time signs and symptoms of possible complications as well as wearing schedules.
written
43
Rigid lenses that are not worn for long periods of time should be stored ...
dry
44
rigid lens wear: sharp pain upon instertion or suddenly
foreign body, damaged lens
45
Soft lens wear: pain after several hours of wear
poor fit
46
rigid lens wear: pain after several hours of wear
lens rubs the cornea, either centrally due to flat lens/ cornea relationship, or peripherally due to poor edge.
47
corneal tomography
produces high-resolution imaging of the cornea,iris, and anterior chamber (eye ultrasound)
48
burning upon insertion
reaction to solution
49
Soft lens wear: burning after several hours of wear
Tight lens, improper blinking
50
Rigid lens wear: burning after several hours of wear
improper blinking, tight fit, poor lens movement
51
Soft lens wear: excessive blinking
Lens awareness, lens damage
52
Rigid lens wear: excessive blinking
lens awareness
53
Rigid lens wear: excessive tearing
damaged or dirty lens
54
Soft lens wear: excessive tearing
lens damage
55
Soft lens wear: itching
allergic reaction to solutions, lens deposits, or material
56
Rigid lens wear: itching
allergic reaction to solutions, environment, or material
57
Rigid lens wear: scratchy feeling
foreign body,lens damage, improper edge design
58
Soft lens wear: scratchy feeling
foreign body,lens damage, lens deposits, edge standoff
59
Rigid lens wear: photophobia
edema, dirty lens, corneal abrasion
60
Soft lens wear: photophobia
edema, dirty lens
61
poor visual acuity
dirty lens, switched lenses, corneal changes
62
Rigid lens wear: foggy or smokey vision
edema, dirty lens
63
Soft lens wear: foggy or smokey vision
edema
64
Rigid lens wear only: flare
too small optical zone, decentration, large pupil
65
Rigid lens wear: ghost images
residual astigmatism, warped lens
66
Soft lens wear: ghost images
residual astigmatism, oily film on lens
67
headaches
wrong power, edema
68
problems reading
wrong power, onset of presbyopia
69
Every ____mm of radius equals approximately ____diopters.
0.05 0.25
70
Slit lamp filter that enhances the view of fluorescein dye in the eye's tear film. Typically used for fluorescein staining and Goldmann tonometry
Cobalt blue Symbol: Blue filled Circle
71
Slit lamp filter used to enhance the view of blood vessels and hemorrhages
Red free Symbol: green filled circle
72
Slit lamp filter that decreases maximum brightness for photosensitive patients
neutral density Symbol: Circle with hashed lines
73
Slit lamp filter that decreases patient discomfort
Head absorbing Built in to slit lamp
74
Slit lamp filter that decreases maximum brightness for photosensitive patients
Grey Symbol: Circle with thick line
75
Slit lamp filter good for contrast enhancement when using fluorescein and cobalt blue filter.
Yellow filter Symbol: Yellow filled circle located in the observation system
76
Slit lamp filter used for general overall observations of the eye and adnexa
Diffuser Symbol: May be a flip-up filter placed on the illumination source
77
A ... in the optic zone flattens the fit by enlarging the peripheral curve.
decrease
78
A decrease in sagittal vaulting creates a ... lens to cornea relationship.
flatter
79
Decreasing the overall lens diameter also ... the sagittal depth.
decreases
80
When classic keratometry is performed by having the patient sight on the mirrored image of their eye, alignment of what is accomplished
The optical axis with the visual axis
81
Inadequate limbal coverage change diameter
Mess with diameter
82
Sam and fap is swapped when
Effective power is used Fam and sap