Static Retinoscopy Flashcards
the objective determination of the pt’s refractive state by locating the far point (PR) of the pt’s eye with the retinoscope and using lenses to move the PR to the examiner’s entrance pupil
retinoscopy
what does the clnician examine the light reflecting from
the external limiting membrane of the pt’s retina
the purpose of retinoscopy is the objective measurement of the …..
rx the pt needs for distance
a flat mirror with a hole in the center, mounted on a handle used w/ an external light source (candle)
spot retinoscope
the earliest
pt fixates on a distant target w/ accommodation realxed and the distance rx is determined
static
pt fixates on a near target and the status of his accommodation is evaluated
dynamic
the point in space conjugate to the pt’s retina when accommodation is relaxed
far point or punctum remotum
2 corresopnding and reversible optical locations
conjugate points
PR located at infinity
emmetropia
PR located “beyond infinity”
hyperopia
PR located at a real point in space in front of the pt’s eye
myopia
PR is a conoid w/ 2 line foci
astigmatism
begins at the bulb of the retinoscope and ends at the external limiting membrane of the pt’s eye
illumination system
begins at the pts external limiting membrane and ends at the clinicians retina
observation system
sleeve down-divering light
plane mirror
parallel light
para-stop
converging light that focuses behind the pt
long concave mirror
sleeve all the way up-converging light that focuses btwn the clinician and the pt
short concave mirror
motion of light on the pt’s fundus i the SAME as the motion of streak on the pts face, but OPPOSITE to the motion S’
plane mirror
para-stop position
long concave mirror position
motion of light on the pt’s fundus is the OPPOSITE of the motion of the streak on the pt’s face, and OPPOSITE to the motion of S’
short concave mirror
sleeve down
diverging light leaves retinoscope and
light on pts fundus moves in SAME direction as intercept
plane mirror
sleeve up
converging light leaves retscope and
light on pts fundus moves in OPPOSITE direction as intercept
short concave mirror
what is seen at the plane of the pt’s pupil
the reflex
vergence of light rays observed during retinoscopy depends on
- refractive error
- status of accommodation
- lenses we place in front of the pt’s eye
- sum of these elements dtermines the location of the focal point of the pt’s eye