rgp_lenses_flashcards

1
Q

What are some reasons for fitting RGP lenses?

A

RGP lenses are fitted for reasons such as aphakia, corneas with high DC, keratoconus, post-graft surgery, and for better vision with high prescriptions.

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2
Q

Why are RGP lenses beneficial for patients with high prescriptions?

A

RGP lenses provide better vision with high prescriptions and are more durable, with wear times of up to 1 year.

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3
Q

What are the advantages of RGP lenses in terms of eye health?

A

RGP lenses offer high oxygen permeability, don’t dry out the tear film due to their 0% water content, and are resistant to protein deposits.

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4
Q

How is the total diameter (TD) of an RGP lens determined?

A

The total diameter (TD) is related to the horizontal visible iris diameter (HVID), typically HVID - 2mm.

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5
Q

What is BOZR in relation to RGP lenses, and how is it fitted?

A

BOZR refers to the base curve radius of the RGP lens and is usually fitted based on K-readings, with most lenses fitted to the flattest K.

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6
Q

What does BOZD refer to in RGP lenses?

A

BOZD is the diameter of the optic zone in RGP lenses and is related to the maximum pupil size.

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7
Q

What is an acceptable level of movement on blink (MOB) for RGP lenses?

A

An acceptable MOB for RGP lenses is 1-2mm with no limbal excursion.

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8
Q

What are the characteristics of Fluoro-Silicone Acrylates in RGP materials?

A

Fluoro-Silicone Acrylates have a Dk of 40-100, offer better wetting and less deposits, but are susceptible to lipids, mucus, scratching, and lens flexure.

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9
Q

What does HDS stand for, and how does it improve RGP lens performance?

A

HDS stands for Hyper-purified Delivery System. It removes inefficient silicone molecules, leading to higher oxygen permeability and improved surface wettability.

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10
Q

What is the Dk value of ML210 material for RGP lenses, and what are its benefits?

A

ML210 has a Dk value of 210. It offers high oxygen delivery and good resistance to protein deposits.

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11
Q

What are the characteristics of Boston EO material for RGP lenses?

A

Boston EO has a Dk of 58, offers excellent wetting and deposit resistance, and is made from Fluorosilicone Acrylate.

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12
Q

How does the design of RGP lenses relate to the aspheric nature of the cornea?

A

The cornea is aspheric, with central steeping and flattening towards the periphery, and RGP lenses are designed to fit this shape.

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13
Q

What happens if an RGP lens is fitted too steep?

A

If an RGP lens is fitted too steep, it leads to central pooling, minimal movement on blink, good centration, but potential air bubbles.

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14
Q

What happens if an RGP lens is fitted too flat?

A

If an RGP lens is fitted too flat, it results in central touch, excessive movement, discomfort, and unstable vision.

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15
Q

What is the main function of Poloxamine in Boston Simplus Multi-Action Solution?

A

Poloxamine removes lipids and environmental debris from the lens surface.

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16
Q

What does Hydroxyalkyl phosphonate do in Boston Simplus solution?

A

Hydroxyalkyl phosphonate removes protein deposits from the lens surface.

17
Q

What is the role of Sodium Borate in Boston Simplus solution?

A

Sodium Borate balances the pH to match the tear film (6.6 – 7.8) and acts as an antifungal agent.

18
Q

What are the key steps for using Boston Simplus Multi-Action Solution?

A

Rub both sides of the lens for 20 seconds, soak for 4 hours or overnight, rinse with solution, and insert the lenses. Discard solution after 90 days.

19
Q

What is the role of Alkyl ether sulfate in the Boston Advance Cleaner (Step 1)?

A

Alkyl ether sulfate is a surfactant that removes contaminants from the lens surface in the Boston Advance Cleaner (Step 1).

20
Q

How does Ethoxylated alkyl phenol function in the Boston Advance Cleaner (Step 1)?

A

Ethoxylated alkyl phenol is an alcohol that removes bacteria from the lens surface in the Boston Advance Cleaner (Step 1).

21
Q

What are the key ingredients in the Boston Advance Conditioning Solution (Step 2)?

A

Boston Advance Conditioning Solution (Step 2) contains cellulosic viscosifier, polyvinyl alcohol, polyethylene glycol, and preservatives like Chlorhexidine Gluconate and Polyaminopropyl biguanide.

22
Q

What are the key steps for using the Boston 2-Step Cleaning and Conditioning System?

A

Wash hands, rub lenses with cleaner for 20 seconds, rinse with saline, soak for 4 hours with conditioning solution, and insert lenses with extra cushioning drops. Clean the lens case after use.