Test Review 5 Flashcards

1
Q

What two design changes might be helpful in centering a high riding myopic lens?

A

Hyperflange lenticular
Prism ballast

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2
Q

Rigid gas permeable lens flexure may be eliminated by:
a) Reducing sagittal vaulting
b) Increasing center thickness
c) Choosing a lower Dk material
d) All of the above

A

d) all of the above

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3
Q

A low riding high plus lens on a 40.00 @ 180 / 40.75 @ 90 cornea could be corrected with:

A

A myoflange lenticular

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4
Q

Mike, a welder whose Rx is -6.00 +2.00 x 180, has been advised to trade his PMMA lenses of 20 years for a
modality that allows more oxygen to the cornea. The first lens of choice would be:
a) Soft spherical lens
b) Low to mid Dk RGP
c) High Dk RGP
d) Aspheric lens

A

b) Low to mid Dk RGP

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5
Q

A technique for correcting a high riding rigid minus lens may be to use a

A

Prism ballasted lens

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6
Q

To increase tear exchange with a rigid gas permeable lens, all of the following should be attempted

A

Reduce the overall lens diameter
Flatten the peripheral curves
Decrease the optic zone

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7
Q

Which of the following polishing compounds should not be used with gas permeable lenses?

A

Silvo

It contains ammonia

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8
Q

To correct a flat fitting rigid gas permeable lens, you should:

A

Enlarge the optical zone

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9
Q

After building up her wearing time, Jennifer returned for an afternoon recheck after eight hours of lens wear.
The lenses moved <0.5 mm and her complaints were minimal, except for late afternoon burning. Which would you
suspect?

A

Tight lens

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10
Q

Which of the following will not increase the movement of a tight fitting rigid gas permeable lens
a) Enlarge the posterior optic zone
b) Decrease the posterior optic zone
c) Decrease the sagittal vaulting
d) None of the above

A

a) Enlarge the posterior optic zone

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11
Q

The average refractive power of the cornea is about

A

+43.00d

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12
Q

concave surface is read at aerial image warpage and toricity recorded at this
image

A

Radiuscope

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13
Q

In keratometer the lower right area is the

A

true image

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14
Q

Average reading between … D

A

42.00D and 45.00D

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15
Q

edge standoff means

A

lens too flat

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16
Q

Dk

A

oxygen permeability

17
Q

Dk/L

A

Oxygen Transmissibility

18
Q

up to … of minus can be
added to the original lens without reordering a new lens

A

1.00D

19
Q

For plus lenses, up to … of power can be added to the original lens.

A

0.50D

20
Q

Stippling:

A

a) Minute air bubbles get trapped under lens
b) Mucous debris under lens
c) Check Fit
d) Clean and Polish lens and review cleaning

21
Q

Punctate staining

A

a) Air bubbles getting trapped under lens
b) Dirty lens
c) Check fit of lens
d) Review cleaning procedures

22
Q

Abrasion

A

a) Fit of lens that is too flat
b) Foreign body gets trapped under lens
c) Eye Patch overnight

23
Q

Dimple veil

A

a) Not a stain but excessive air bubbles trapped under a lens
b) Usually a lens that is too steep or too flat at the edge periphery

24
Q

Arc stain

A

Crescent shaped stain from improper insertion, rough edge of contact lens or improper
recentering of contact lens