Week 10: Eye Protection & Anisometropic Patient Flashcards

1
Q

Who Requires Eye Protection?

A

Mechanical Hazard:
- Sports player
- Motorcyclist
- Occupations such as; handyman

Chemical Hazard:
- Dealing with chemical solutions

Thermal/Infra-Red Hazard:
- Firefighter
- People dealing with molten metal

Radiation Hazard:
- Welding
- Laser

Microbiological Hazard:
- Preventing from a virus
- People in high risk environment/jobs (e.g. nurse)

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2
Q

How does lens fail due to stress?

A
  • Elasticity is a measure of capability of stretching or deformation in response to a force, such that it will return to its original shape or size when the force is released
  • Stress is a measure of force put on an object/area
  • Strain is change in length of an object, original length or dimension of the object
  • If strain of object increases, elastic limit of object will permanently deform or fracture
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3
Q

Describe Hooke’s Law

A
  • For small deformations, object returns to original shape when force is removed
    F = k△L, where △L: change in length
    Smaller the k, easier it is to stretch an object
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4
Q

Describe Tensile stress

A

Rod is stretched a length △L when a force is applied parallel to its length

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5
Q

Describe Compressive stress

A

Same rod is compressed by forces with the same magnitude in opposite direction

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6
Q

Describe Elastic region

A
  • Zone in which a material bends under strain and is able to return to its original shape when the force is released
  • Beyond the elastic region, additional strain will result in material failing via fracture
  • Charted using a stress strain curve
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7
Q

Describe the different Hoop Stress

A
  1. Tensile stress
    - Focus per unit area which pushes the molecules apart
  2. Compressive stress
    - Force per unit area which pushes molecules together
  3. Lens failure
    - Compressive stress greater than tensile stress will occur in lens cracking
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8
Q

Flex Induced Back Surface Initiated typically occurs for;

A
  • Moderate velocity particles
  • Moderate mass objects
  • More of an issue for minus lenses
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9
Q

Flex Induced Flattening Of Lens typically occurs for;

A
  • Large mass objects
  • Slow moving objects
  • More of an issue for positive lenses
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10
Q

Flex Induced Flattening Of Lens typically occurs for;

A
  • Large mass objects
  • Slow moving objects
  • More of an issue for positive lenses
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11
Q

How does Shock affect lens failure?

A
  • Fracture will start at a peripheral flaw
  • Flaw usually a poor quality bevel
  • Large mass object
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12
Q

How does Plastic Permanent Deformation occur?

A
  • Typically occurs if a lens is too thin
  • It can go through the lens
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13
Q

How can glass be strengthened with Thermally Tempered Glass?

A

Production process:
1. Oven to raise to just below softening point (650o)
2. Time depends on volume (weight)
3. Air quenching so surface cools rapidly & sets hard
4. Internal body will cool more slowing & contract
5. A reinforced structure – in order to break the glass, the compressive stress skin must be neutralised

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14
Q

How can glass be strengthened with Chemically Tempered Glass?

A
  1. Glass is an Na+ in Si matrix
  2. Immerse in a K+ salt bath at temperature > 400oC by osmosis Na+ diffusion in
  3. Ask K+ is a larger ion than Na+, this results in compressive stresses over entire surface & edge of the lenses
  4. A reinforced structure – in order to break the glass, the compressive stress skin must be neutralised
  5. Used when heat tempering cannot be used
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15
Q

How can glass be strengthened with Laminated Glass?

A

Layer glass sheets with interlayers of plastic that holds the fragments together

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16
Q

What frame materials protect from mechanical hazards?

A
  1. Acrylic Frames (plastic)
    - Nylon, cellulose acetate, polycarbonate
    - One piece moulded with lenses
    - Frame separate to lenses
  2. Metal Frames
    - Electric hazard – not recommended for people who work with electricity
    - Screws work loose
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17
Q

What are the labelling requirements for Mechanical Eye Protection?

A

I = passes medium velocity IMPACT projectiles
- It must include lateral (side protection)

V = passes high VELOCITY impact projectiles
- It must be a face shield

D = provides DUST protection
- It must include a seal between the face & eye protector

18
Q

What are the labelling requirements for Chemical Protection?

A

C = SPLASH proof
G = GAS tight

19
Q

What are the labelling requirements for Thermal Protection?

A

H = rated for HIGH temperature protection
M = provides protection from MOLTEN metal & hot solids

20
Q

What are some options for prescription wearers when eye protections are required and describe briefly?

A
  1. Fit Over = must ensure that the eye protector is larger & can fully encase the spectacles
  2. Prescription Insert = prescription fits behind eye protector
  3. Prescription Eye Protector Spectacles = conventional spectacles are only suitable for low impact protection
21
Q

What are the advantages vs disadvantages of fit over?

A

Advantages:
- Relatively low cost
- People who need to regularly replace eye protectors to damage
- People who only require occasional eye protection
- Wider cross-section across the brow that prevents the eye protector from contacting the prescription lens
- Preventing scratching of rx lens

Disadvantages:
- Wearing eye protector over own spectacles may be uncomfortable
- Only a limited range designs available
- Vision may be poorer introducing increased reflections or aberrations

22
Q

What are the advantages vs disadvantages of Prescription Insert?

A

Advantages:
- Better fit across bridge of nose & behind ears compared to fit over
- Insert can be fitted with different lens types
- Damage will be sustained to the eye protector
- Less expensive to replace than rx lenses

Disadvantages:
- Cost is higher than fit over
- Only a limited range designs available
- Some rx lenses may not fit in the insert due to thickness
- Dirt may come between insert & eye protector
- Vision might be poorer looking through two sets of lenses
- Combined weight of insert & eye protector may be higher than rx spectacles

23
Q

What does welding eye protection protects against?

A

Protects against:
- High intensity visible light
- Ultra-radiation
- Infrared radiation

24
Q

Explain Welding Personal Protective Equipment (PPE)

A
  • Require other PPE against molten, metal, gas, dust
  • Whole body requires protection
  • Different shade numbers
    Shade n.o. 3 (not very dark – used for gas welding)
    Shade n.o. 14 (very dark – used for plasma arc welding)
24
Q

Explain Welding Personal Protective Equipment (PPE)

A
  • Require other PPE against molten, metal, gas, dust
  • Whole body requires protection
  • Different shade numbers
    Shade n.o. 3 (not very dark – used for gas welding)
    Shade n.o. 14 (very dark – used for plasma arc welding)
25
Q

Describe Monovision

A
  • One emmetropic eye and one myopic eye is a case of natural monovision
  • Monovision is when patient’s use one eye for distance viewing and one eye for near viewing
  • Patient’s have to learn to supress the blurry image from the eye which is not focussed
26
Q

Describe Amblyopia

A

In children, during the critical period of visual development, the visual system can maladapt to blur, learn to suppress image from one eye, resulting in amblyopia

27
Q

Describe Differential Prismatic effects

A
  • Different powers will result in different prismatic effects for the same distance from the optic centre (typically at Near Visual Point)
  • The brain must work harder to try and fuse the images
28
Q

Describe Spectacle magnification

A

Different powers will result in different magnifications of objects imaged, so the brain must work harder to fuse the images

29
Q

Failure of fusion results in either;

A
  • DIPLOPIA (double vision) or
  • SUPPRESSION (seeing only the percept of one eye)
30
Q

When to Correct Vertical Differential Prism?

A
  • Consider for correcting vertical meridian difference > 1.50D difference
  • Must for correcting vertical meridian difference > 2-3D difference
31
Q

What happens with Special Case of Anisometropia?

A
  • When an anisometrope looks away from the OC of the lens in any direction, they experience different prismatic effects (differential prism) caused by the different lens powers
  • You must be able to calculate the differential prism
32
Q

What is the solution for single vision anisometropes?

A
  • Encourage anisometropes to look through the OCs
  • Decrease the vertex distance as this will mean that for the same visual angle, they will be looking through a part of the lens which is closer to the OC than if they had a farther vertex distance
  • For single vision near spectacles, align the OCs with the line of sight when viewing at near
33
Q

What does Slab-off provide?

A
  • Provides base up prism
  • Will always be applied to lower part of the lens that is naturally inducing the most base down, or least base up prism when viewing through a position below the distance OC
  • Hence, most minus or least plus
34
Q

What does Reverse slab provide?

A
  • Will always be applied to lower part of the lens that is naturally inducing most base up, or least base down prism when viewing through a position below distance OC
  • Hence, most plus or lease minus
35
Q

Describe Different Sized Segments

A
  • Different sized segments with equal seg heights will result in more base down prism than the other at the near visual point
  • Consider whether this is cosmetically desirable to have two differently sized segment diameters
36
Q

What is Fresnel Press-On Prism?

A

Are made of soft, thin plastic which consists of successive and adjacent small prisms

37
Q

How do you fit Fresnel Press-On Prism?

A

How to Fit:
- Cut it down (using scissors) to the shape of the segment & attach it to segment with base down prism required
- Stick on to the back surface and this effectively simulates slab-off

38
Q

Disadvantages of Fresnel Press-On Prism?

A
  • Clarity is poor through the Fresnel prism
  • Cosmetically unappealing
  • Can come loose – temporary solution or trial before ordering permanent slab-off
39
Q

What is Franklin Split Bifocals?

A

Total prism control in the distance and near zones

40
Q

Pros of Separate Pairs in anisometropes

A
  • Total prism control in the two pairs but decreased convenience switching between pairs
  • To use this solution, centre the readers so that patient views directly through the OCs when reading
41
Q

Anisometropes and PALs

A
  • Try a shorter progressive corridor when reading with the progressive
  • Try Slab Off for PALs