NRA/PRA/BAF/MAF Flashcards

1
Q

relative accommodation

A

ability to sustain fusion and clarity under varying accommodative conditions

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2
Q

tentative add (using NRA/PRA)

A

FCC + ((NRA +PRA)/2)

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3
Q

Negative Relative Accommodation

A

adding plus (think negative= relaxing accommodation)

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4
Q

Positive Relative accommodation

A

adding minus (think positive=stimulating accommodation)

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5
Q

PRA indirectly measures

A

NFV (divergence)

because accommodation is stimulated and converged eyes must try to diverge to maintain clear single image

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6
Q

NRA indirectly measures

A

PFV (convergence)

because accommodation is relaxed and diverged eyes must try to diverge to maintain clear single image

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7
Q

Is NRA or PRA performed first

A

NRA

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8
Q

when is NRA/PRA performed

A

immediately before minus lens amps (non-presbyopes) OR during add-determination

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9
Q

NRA/PRA purpose

A

to determine accommodative ability under binocular conditions
“range of focusing system”

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10
Q

NRA/PRA starting point

A

habitual rx (non-presbyopes) or tentative add (presbyopes)

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11
Q

NRA/PRA target

A

“read these words letter by letter” or 2 lines above BCVA of poorer seeing eye if not 20/20

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12
Q

why would a patient see a target after a PRA greater than -3.00 D?

A

most likely suppressing (per NBEO)

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13
Q

Expected NRA results

A

+2.00 (+/-0.50) D

+1.50 - +2.50

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14
Q

Expected PRA results

A
  • 2.37 (+/-1.00)D

- 1.37 - -3.37

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15
Q

binocular accommodative facility

A

measures the interaction between accommodation and vergence

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16
Q

monocular accommodative facility

A

measures only accommodative facility

17
Q

accommodative facility

A

to evaluate the stamina and dynamics of the accommodative response when switching between plus and minus lenses
“flexibility of your focusing system”

18
Q

accommodative infacility

A

sluggish or difficult accommodative response to change in stimulus of fixation distance

19
Q

accommodative facility target

A

20/40 single letter rock card at 40 cm, polaroid strips vertical over card for binocular

20
Q

how long do you test accommodative facility for?

21
Q

things to note/record during BAF

A

cycles completed; plus or minus more difficult; any suppression/diplopia
ex: 6 cpm, (-) more difficult

22
Q

1 cycle in BAF/MAF

A

2 boxes (cleared 1 plus and 1 minus)

23
Q

expected adult BAF results

24
Q

expected child BAF results

25
expected adult MAF results
11 cpm
26
expected child MAF results
7 cpm
27
fails BAF & MAF, (+) more difficult
trouble relaxing accommodation
28
fails BAF & MAF, (-) more difficult
trouble stimulating accommodation
29
fails BAF but passes MAF, (+) more difficult
trouble with convergence
30
fails BAF but passes MAF, (-) more difficult
trouble with divergence
31
high NRA vergence problem
eso deviation
32
low NRA vergence problem
exo deviation
33
high PRA vergence problem
exo deviation
34
low PRA vergence problem
eso deviation