Optics Flashcards

1
Q

Prentice position

A

back surface perpendicular to the visual axis; max bending

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2
Q

image jump

image displacement

A

image displacement more bothersome
Round top only good for hyperopia for displacement
Flat top good for jump and myopia for displacement

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3
Q

energy for different color of light

A

ROYGBIV (lower to higher)

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4
Q

SAM

FAP

A

Steep add Minus (if RGP steep than cornea then tear lens is plus lens, then power of RGP need to add more minus)
Flat add Plus

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5
Q

Transverse mag of lens

A

M=U/V=i/o

MUV in and out

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6
Q

ultrasound move faster in lens or aqueous

A

lens

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7
Q
? prescribe glasses
hyperopia of low level
hyperopia and eso
myopia
astigmatism
amblyopia
A

hyperopia of lower level: no need

the rest: yes

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8
Q

laser

A

stimulated emission

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9
Q

lens material most common

A

CR-39

Trevix good optic also shatter-resistant

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10
Q

OCT

A

base on Michelson interferometer

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11
Q

positive angle kappa

A

visual axis slight temporal to pupillary axis (fovea slightly temporal)

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12
Q

far point of eye

A

1/sphere of lens + vertex distance

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13
Q

cold mirror

A

reflect all visible light but infrared

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14
Q

index of reflection is defined

A

at 589nm line of sodium light

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15
Q

reduced schematic eye

A
cornea to nodal point 5.6 mm
nodal point to retina 17 mm
total length of eye 22.5 mm
index of refraction 1.33
total power is 60D
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16
Q

fit soft CL

A

3 touch method: limbus on each side and cornea apex

17
Q

lensmaker’s equation

A

p=(n1-n2)/r

18
Q

normal AC/A ratio

A

3:1 to 5:1

19
Q

excimer laser length
Femtosecond laser
Yag
Rhodopsin

A
Excimer laser: 193nm; argon-fluoride laser; UV laser; 6.4 eV per photon. (laser need 4 eV to breaker C-C or C-N bond); low tissue penetration; photoablation
Femtosecond laser (eg. intralase): 1053nm infrared range; photodisruption
Yag: 1064nm; photodisruption
Rhodopsin most sensitive to green light 510nm
20
Q

minimize meridonal mag

A
  • lower the cylinder
  • grind cylinder to the back surface
  • change axis more closer to 90 or 180 degree
  • decrease vertex distance
21
Q

with-the-rule astigmatism

against-the-rule

A

WTR: steep at 90 degree/vertical meridian; correcting plus lens placed at 90 degree
ATR: steep 180/horizontal; correcting with plus lens placed at 180/horizontal

22
Q

correct vertical prism effect of glasses

A
  • slab-off: grind more minus or less plus to create base-up prism over reading area
  • reverse slab-off: add base-down to more plus lens
23
Q

Adjusting to new vertex

A

D2=D1+S(D1)^2

s=difference in vertex (in meter)

24
Q

Toric soft CL

A

adjusting for soft toric CL rotation

LARS (left add, right substract)

25
Q

error in post-refractive myopia surgery

A

hyperopic surprise

  • radius error
  • keratometer index error
  • formula error ( 3rd gen Holladay 1, Hoffer Q, SRK/T using A and K to estimate ELP; 4th gen Haigis, Haigis-L do not use K)
26
Q

index of refraction

A

cornea 1.376

aqueous 1.336

27
Q

duochrome test

A

+0.50D between red and green
RAM-GAP
good for color blind patients

28
Q

fitting hard CL

A

0.5D steeper than lower K-reading

29
Q

Photometer

Radiometer

A

P measure eye response to light, unit is lumen
R measures energy or power, unit is power
eye more sensitive to yellow light

30
Q

To make a CL tighter

A

decrease radius/base curve

increase diameter

31
Q

20/20 E is ~9 mm

so how much 20/60

A

9x(60/20)=9x3=~27mm
60 arcmin is 1 degree
20/20 is 5 arc at 20feet

32
Q

newborn

A

3D hyperopia, then 1 year old , 1D

then 1st decade eye longer/myopic change, cornea power decrease/hyperopic change, lens power increase/myopic change