Optics/Specs/CLs Flashcards
Another name for neutralizing power
Front vertex power
Approximate power of lens at birth
45 D
Basic unit to measure retinal illumination
Trolands
What has a unit of lumens
Luminous power
Which purkinje image is the largest? The smallest?
3 (optoprep)
4 is the smallest
What type of higher order aberration is most common after a decentered keratorefractive ablation?
Coma
- 3rd order aberration
(When peripheral light rays from one side of cornea are focused in front of the retina while peripheral rays from the other side of the cornea are focused behind the retina)
What has a higher Abbe value: CR-39 or Trivex?
CR-39
(58 while Trivex is 30)
Which chromosome contains M and L cones? S cones? rods?
M and L - X chromosome
S - chromosome 7
Rods - chromosome 3
Unit of radiant power
Watts
Radiometry vs Photometry
Radiometry - actual physical energy produced by EMR
Photometry - how the visual system responds to EMR
Which type of color vision deficiency is the Ishihara plates test specifically designed for
Red-green
What age does pupillary light reaction occur? Lid closure response to bright light?
Both at 30 weeks gestation
What notation is used to record vision in low vision patients
Metric notation
(A 1 M letter subtends 5 min of arc at 1 meter)
If a patient were able to read the 3 M line at 25 cm, what is their VA in metric notation?
0.25/3
Taller patients generally need their near segments set …
Lower
(They move their eyes lower when reading)
Which condition would have the most decrease in vision as illumination increases?
A. Macular degeneration
B. Congenital achromatopsia
C. End stage glaucoma
D. Cataracts
B
(Congenital achromatopsia means that patients primarily rely on rods for vision. Rods are readily saturated at LOW levels of light so an increase in brightness will decrease their function)
Average refractive error for following age ranges:
- premature infants
- full term infants
- one year olds
- three year olds
- premature -> -0.50
- full term -> +2.00
- one years -> +1.00
- three years -> +0.95
What is the secondary action of the superior rectus?
Intorsion
Unit for luminance
Foot-lamberts
Unit for illuminance
Foot-candles
(Candles illuminate the space)
An emmetropic patient has an amp of accommodation of 3 D. What power reading glasses should give a comfortable working distance of 20 cm?
3.5 D
(1/2 of the patient’s total accommodation should be held in reserve. 3 x 1/2 = 1.5
Working distance of 20 cm = 5 D
5 D - 1.5 D = 3.5 D)
What does a keratometer directly measure?
Reflecting power
Will a 510 nm light or a 620 nm light appear brighter to you under dim illumination?
510 nm
(bc rods are most sensitive at around 507nm in dim illumination)
Which monocular depth cue explains why closer objects appear to move faster than distant objects?
motion parallax
Which tint for sunglasses will work best for a rod monochromat?
Red tint
(bc red has the least energy so it will saturate the rods least)
How does the potential acuity meter work? What is it used for? What other test is it similar to?
projects a Snellen chart through a tiny aperture ; used to assess BCVA if cataract surgery is performed ; similar to laser interferometry
What angle is this
Frontal
What is a treatment option for patients intolerant to atropine/patching
Bangerter foil
What does a radiuscope measure
base curve of contact lens
A contact lens that moves too much is said to be too…
flat
Formula for angular magnification
D/4
A low vision patient needs a +10 D add for reading. What type of prism would you build into the specs?
24 BI
Ideal pinhole size
1.2 mm
ANSI standards
+/- 6.50 sphere power allowed +/-0.13 D
>6.50 D the tolerance is 2%
Cyl power:
- 0.25 cyl -> 14*
- 0.50 cyl -> 7*
- 0.75 cyl -> 5*
- 1.00-1.50 -> 3*
- 1.75+ cyl -> 2*
What is typically modified in high plus readers to assist in potential diplopia
decentering the optical centers nasally to induce BI prism
The classic waterfall illusion is an example of which visual phenomenon?
motion after-effect
What is the neutral point of a protanope
492
(so use this wavelength and another one to distinguish if a person is a protanope)
What is the most common fit for a hard contact lens
lid attached (lens fits under the upper eyelid)