Paedriatic Dispensing Flashcards

1
Q

What should we consider more important than the colour and style of frame?

A

how well the frame fits

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2
Q

what is an example of a measurement we check when gls on child’s face?

A

Length to bend

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3
Q

when do we adjust the frame for the child?

A

at the time of dispense (collection if new frame)

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4
Q

give some examples of specialist frame suppliers for kids?

A

Tomato frames, Erin’s world, centrostyle, miraflex, zoobug and swiss flex

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5
Q

what type of side is specially made for children?

A

curled sides

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6
Q

what factors do we consider when taking measurements of a child?

A

be on the same level as the child, keep talking with them/keep them engaged, use tricks, praise them, say their name

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7
Q

what don’t we do in a paedriatic dispense?

A

rush, only talk to/ involve parent, not be on same level as child or appear ‘authoritative’

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8
Q

what strategies do we use when dispensing a child who of the age: newborn to 12 months?

A

use a ‘sing song’ voice and exaggerated facial expressions

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9
Q

what strategies do we use when dispensing a child of the ages between 3-6 yrs?

A

can talk about their past experiences

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10
Q

what strategies do we use when dispensing a child of the ages between 12-18 yrs?

A

be patient- avoid impatience and disagreement

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11
Q

what are the different ways to take pd’s for kids?

A

inner to outer canthus, inner limbus to outer limbus, corneal bulge to corneal bulge (babies)

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12
Q

what type of seg do we dispense a child and where to we place the seg?

A

D-seg,, set at lower pupil margin

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13
Q

do we also give older children bifocals?

A

No- try give them progressives

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14
Q

what are the lens materials we dispense paeds with?

A

CR39, Trivex, polycarb, tribrid (this is a 1.6)

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15
Q

what lens material do we NEVER dispense kids

A

glass

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16
Q

what is the formula for MSU

A

MSU= Boxed centre distance- PD+ED+2

17
Q

How much anisometropia puts a child at risk of amblyopia at 12-30months?

A

+2.50ds

18
Q

How much anisometropia puts a child at risk of amblyopia at 31-48 months?

A

+2.00ds

19
Q

How much anisometropia puts a child at risk of amblyopia at >49months?

A

+1.50ds

20
Q

what extra measurements can we do wehn we have an anisometropic/aneisokonic rx?

A

pds, hts, vertex distance

21
Q

what is the spec mag formula for aneisokonia?

A

1/1-dFV x 1/1- (t/n)f1
Power factor x shape factor

22
Q

what is the general tolerance allowance for spec mag and aneisokonia?

A

5% Difference

23
Q

what are solutions for high rxs?

A

aspheric lenses, high index lenses, flatten base curve, iseikonic lenses?

24
Q

how do iseikonic lenses work?

A

steepen base curve to increase mag, increase thickness to increase mag

25
Q

what are the key things we check on collection of spx

A

frame fit, head wdith, length to bend, angle of drop, inwardangle of drop, nose pads, adviseon care of spx, explain NHS replacement scheme