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NCLE > Revision > Flashcards

Revision Flashcards

1
Q

SOAP

A

Subjective(questions) Observe, Assessment, Plan

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2
Q

this Pt requires more frequent follow ups

A

first time extended wear/GP users

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3
Q

symptoms: excessive tearing, red in cunjunctiva, swollen eyelids, photophobia, blurry vision

A

corneal ulcer

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4
Q

Pt sleeps w/ CL or not caring for CL like instructed

A

corneal ulceer

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5
Q

small, whitish “blobs”
are a collection of white blood cells
early sign something is wrong with cornea

A

corneal infiltrate

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6
Q

blepheritis, chemical sensitivity from lens soluction

A

“causes” of corneal infiltrate

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7
Q

inflamation of the eyelids

A

blepheritis

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8
Q

symptoms: foreign body sensation, photophobia, red eyes, excessive tearing

A

corneal infiltrate

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9
Q

improper use of tap/distilled water to clean lens
Wearing Cl when swimming, showering/bathing, or in hot tub

A

Acanthamoeba keratitis

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10
Q

symptoms: severe eye pain, redness, excessive tearing, blurred vision, photophobia, foreign body sensation

A

acanthamoeba keratitis

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11
Q

symptoms: eyes feel scratchy, and dry, Cl are not comfortable, visible redness on horizontal areas

A

9 and 3 o’clock staining

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12
Q

surface scratches caused when foreign debris is trapped on cornea beneath a CL

A

foreign body staining

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13
Q

symptoms: gritty, sandy, burning, scratchy sensations on eye(s). Conjunctiva may be red or irritated

A

dry eye

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14
Q

papillae on underside of eyelid are enlarged and red

A

giant papillary conjunctivitus

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15
Q

mechanical rubbing of palpebral conjunctiva(due to CL wear is too long/ wearing longer than prescribed/ wearing dirty/poorly cleaned CL)
some solutions due to chemical composition

A

causes of GPC

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16
Q

symptoms: itching, mattering, foreign body sensation, conjunctival injection, dryness

A

GPC

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17
Q

Pt is myopic(-) in one eye and hyperopic(+) in the other

A

antimetropia

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18
Q

image in one eye is seen significantly larger in one eye than the other

A

aniseikonia

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19
Q

eyes have unequal refractive powers

A

anisometropia

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20
Q

serious condition specifically for infants and young children as it can lead to amblyopia

A

anisometropia

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21
Q

uncorrectable loss of vision in eye that appears to be normal
this can be due to suppression by the brain

A

amblyopia

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22
Q

1-2 week, 3-6 month follow ups

A

new daily wear Pts

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23
Q

1 day, 3 day, 1 week, 1 month, 3-6 month follow ups

A

new extended wear soft CL Pts

24
Q

annual follow up

A

existing daily wear Pts

25
Q

2-3 times a year follow ups

A

existing extended wear Pts

26
Q

symptoms: discomfort on lens insertion, excessive movement, edge lift, lag on upward gaze

A

loose/flat soft CL

27
Q

mires are clear, blurry when blink, then become clear again

A

loose/flat soft CL

28
Q

symptoms: discomfort on lens insertion, decreased vision, excessive movement
there may be no symptoms

A

everted(inside out) lens

29
Q

symptoms: lens awareness/discomfort
excessive movement, lens lag, edge bubbles, lens rides high attaches to upper lid then drops

A

loose/flat GP lens

30
Q

symptoms: discomfort on lens insertion, burning, redness, eye itching

A

irritation from solution

31
Q

symptoms: eye redness, excessive tearing, blurred vision, photophobia, severe pain, eye discharge

A

microbial keratitis

32
Q

discomfort after a period of wear, scleral indentation, burning/stinging, fluctuating vision, redness

A

tight/steep soft lens

33
Q

mires are blurry, are clear after blink, become blurry again

A

tigh/steep soft lens

34
Q

if corneal cylinder is >2.5D

A

GP bitoric lens

35
Q

corneal astigmatism is <2.5D and refractive astigmatism is not the same amount as corneal astigmatism

A

GP front toric lens

36
Q

taco test

A

determines if lens is correct orientation or if it’s everted(inside out)

37
Q

replace cases every

A

1-3 months

38
Q

replace solutions every

A

30 days

39
Q

corneal layer responsible for maintaining proper hydration level

A

endothelium

40
Q

disinfectant chemical safe to use with soft contact lens

A

polyquatermium 1

41
Q

when soft contact lens wearer reports difficulty with near vision, but is fine with distance

A

over corrected

42
Q

Pt’s health history as a temporary contraindiction to use of contact lenses

A

acute conjunctivitis

43
Q

during long periods of non-use; rigid lenses should be stored in

A

a dry state

44
Q

this instrument can simultaneously measure/evaluate diameter, optic zone diameter, and surface condition of GP lens

A

measuring magnifier

45
Q

this lens tint changes color of light irises but doesn’t impact dark irises

A

enhancement tint(s)

46
Q

V-channel/slot gauge measures

A

GP lens diameter

47
Q

soft multifocal contact lens design where there is a gradual power change from center to edge of optic zone

A

aspheric design

48
Q

decreasing overall diameter and flatten BC will

A

effectively loosen/flatten CL fit

49
Q

increasing overall diameter and steepening BC will

A

effectively tighten/steepen CL fit

50
Q

“Dominate eye” is fit for distance and “non-dominate eye” is fit for near

A

monovision

51
Q

surface, wing, basal

A

cell types found in epithelium

52
Q

characterized by puffy lid margins and dandruff like scales

A

blepharitis

53
Q

higher power =

A

steeper curve

54
Q

lower power =

A

flatter curve

55
Q

separate areas for distance and near

A

concentric design

56
Q

lenses move to use distance or near

A

translating/alternating design

57
Q

look like a bifocal lens on cornea

A

translating/alternating design

NCLE (3 decks)

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