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87 Cards in this Set

  • Front
  • Back
The study of lens materials, types, and forms, and how they affect the performance of an ophthalmic lens is...
Ophthalmic Optics
The art and science of prescribing, fitting, and adjusting, or otherwise modifying spectacles and related devices for the correction of ametropias and other disorders of the visual system is...
Ophthalmic Dispensing.
When does opthalmic dispensing begin and end?
Begins with case history.
Ends when the patient picks up specs
What are the 3 criteria for acceptability of a pair of specs?
1. Visual comfort
2. Physical comfort
3. Visual demands met
What are the three roles of specs in optometry?
1. The main reason people visit ODs
2. The major therapeutic device Rxed
3. The major source of income for ODs
Which helium line defines the index of refraction of a material? What is its wavelength?
Yellow helium line, d
587.56 nm
Does a higher index of refraction allows a lens to be thinner or thicker?
thinner
What is the longitudinal chromatic aberration of an optical material called?
Dispersion
What greek letter is used to define dispersion?
omega
What are the wavelengths for the red and blue helium lines?
red, C: 656.27
blue, F: 486.13
What is the name for the reciprocal of the dispersion?
What symbol represents it?
The Abbe number
V
V=1/omega
Abbe Number
Does a higher Abbe number mean more or less dispersion?
Less
What is defined as the ratio of the weight of a given volume of material to the weight of water with the same volume.
Specific gravity
What does specific gravity depend on?
The density of the material
Does a higher specific gravity indicate a heavier or a lighter material?
Heavier
Three descriptors of glass
1. Amorphous
2. Supercooled liquid
3. High viscosity
Is glass crystalline?
No

It's uniform in composition

Its random in molecular structure
What are the basic ingredients of glass?
silica (from quartz sand)
sodium carbonate
calcium oxide
What is different in flint glass?
lead oxide
-increases refractive index
-increases dispersion
What is different about barium crown glass?
barium oxide
- increases refractive index
-less dispersion than flint glass
What is different about high index glass?
titanium oxide
What is different about absorptive glass?
Use different metal oxides in varying combos
What is different about absorptive lenses that absorb non-visible radiation?
Use cerium oxide for UV
Use iron oxide for infrared
What is different about photochromic glass?
Use silver halide crystals
What are the two ways that the impact resistance or strength of a glass lens can be improved?
1. Heat tempering
2. Chemical tempering
Which type of glass is "optically superior and more stable?"

What are the downsides of this glass type?
Crown glass

Thicker and heavier lenses because of low refractive index and high specific gravity.
What are 2 descriptors of plastic?
1. polymeric (organic) material
2. large molecular weight
Plastics are often synthetic materials combining what two types of materials?
organic and inorganic
What are some common organic materials used to make plastic?
cellulose
casein
oil
coal
natural gas
What are some common types of inorganic materials used to make plastic?
carbon
hydrogen
oxygen
nitrogen
chlorine
sulfur
What are the 2 main groups of plastics?
Thermoplastic materials
Thermosetting materials
Which type of plastic will soften when heated and can be stretched, pressed, or molded without changing their chemical structures?
Thermoplastic materials
What are some common thermoplastic materials?
Plexiglas
PMMA
Polycarbonate
Nylons
Vinyls
Polystyrene
Cellulose acetate
Cellulose nitrate
Which type of plastic cannot be softened even at high temps?
Thermosetting materials
How does a material become thermoset?
Polymerization of liquid monomers occurs in the presence of a catalyst and heat.

Then the material is cooled (cured)
What are some common thermosetting materials?
CR-39 (allyl diglycol carbonate)
Epoxies
What is it called when a type of plastic material is made by combining 2 monomers from one group of plastics or 1 monomer from each group?

When are these often used?
Copolymer or hybrid material

When offered exclusively by one company (proprietary material)
What ophthalmic material offers the greatest impact resistance of all?
Polycarbonate
For which types of patients are polycarbonate lenses the standard of care?
Children, athletes, and certain occupations
Put the following lens materials in order of increasing impact resistance:
Polycarbonate
Crown Glass
CR-39
Trivex
Crown Glass
CR-39
Trivex
Polycarbonate
Why is trivex a good option at times?
It has better impact resistance than CR-39 and better optical quality than polycarbonate.
What do ALL plastic lenses need?
scratch-resistant coatings
ON both surfaces
Besides scratch resistant coatings what other coating SHOULD plastic lenses have?
AR
What type of lenses, glass or plastic, are less likely to fog with changes in temperature? Why?
Plastic

Because plastic has less thermal conductivity than glass.
What is the index of refraction of crown glass?
1.523
What is the index of refraction of CR-39?
1.498
What is the index of refraction of polycarbonate?
1.586
What are the two purposes of frames?
1. Hold lenses in the proper position
2. Cosmetic
What does the frame front consist of?
1. 2 Eyewires
2. Bridge (with nose pads)
3. 2 Endpieces
What do the eyewires do?
They give the frame shape and size

They hold the lenses in place
What does the bridge do?
Supports the frame on the nose either directly or via nosepads
What do the endpieces do?
They are the connecting points for the temples via hinges
What does the temple consist of?
1. Shaft
2. Bend
What is the extent of the shaft?
It extends from the hinge to the bend
What does the bend of the temple do?
It provides support and stability at the ear or skull.
What are the 2 general types of frame materials?
Plastic
Metal
What is the nickname for all plastic frames? Why is this strange?
Zyl (short for zylonite which is cellulose nitrate)

Strange because zylonite is banned because of the danger of flammability
What is the name of a traditional plastic that is being used less and less?
Optyl (epoxy resin)
What are the three types of synthetic plastics used for frames that provide superior strength and are significantly lighter in weight?
1. Carbon fiber
2. Polyamide
3. Kevlar
What are the 3 main metal frame materials?
1. Nickel silver
2. TItanium
3. Stainless steel
What is nickel silver an alloy of?

What are some possible problems?
Copper, nickel, zinc

Allergic reactions and corrosion
What are the pros of titanium?

What are the cons?
Pros: light weight, hypoallergenic, no corrosion

Cons: expensive, difficult to adjust, hard to repair
What are the pros of stainless steel?

What are the cons?
lightweight, hypoallergenic, less expensive than titanium.

Cons: can get corrosion if plastic materials are used in combo with steel
All metal frames have nosepads, what are they usually made of?

What can they be made of if there is an allergy problem?
Silicone or cellulose acetate

Gold-plated nickel silver
What do most nosepad allergies result from?
Allergens collecting on the nosepads over time
How often should nosepads be changed?
Once a year
What is a form-fit bridge?
A single solid nosepad that extends over the bridge of the nose.
Is a form-fit bridge adjustable?
Is that good or bad?
No
Bad
What do plastic frames have instead of nosepads?

Is this adjustable?
Extensions of or widenings of material On the nasal portion of each eyewire.

No. Take care when fitting.
How often should the nylon cord be replaced in a rimless mount frame?
Every 2 years
How often should the screws be tightened in a drill mount frame?
Monthly
What size frame is better for higher plus or minus lenses?
Smaller
What size frame is better for PALs?
Larger
Where do most major manufacturers list their frames?
The Frames Book
Where on a pair of glasses can you find information about the manufacturer and frame style?
On the inside of the temple
About how many small niche companies are there that do not list their frames in the Frames Book?

Where do they typically get exposure?
1000

Their own catalogs, word-of-mouth, and expos.
What is important to take into consideration when helping a patient choose frames?
Current fashion, patients face, personality, lifestyle
How can you know what the trends are?
Pay attention to the newest fashions in movies and the in the news.
What is the most common system for describing the dimensions of a frame in the US?
The Boxing System
Which measurement describes the horizontal distance between the nasal and temporal vertical tangents at the lens bevel? Also known as the eye size of the frame?
The A measurement
Which measurement describes the vertical distance between the upper and lower horizontal tangents at the lens bevel?
The B measurement
Which measurement describes the horizontal distance between the two nasal vertical tangents? Also known as the bridge size of the frame?
DBL (Distance between lenses)
What measurement is given by the intersection of the diagonals of the box? It can also be given by the intersection of the perpendicular bisectors of the A and B dimensions.
GC (Geometric Center)
What is the name for the point about which the lens rotates during the edging process?
The Mechanical Center (often used synonymously with GC)
What is the distance between the geometric centers of the eyewires?

How else can you calculate this dimension?
DBC (distance between centers) or frame PD

The A dimension plus the DBL.
If you saw the following on a frame, what would it mean?

52 "box" 19
It means that the A dimension is 52mm

The DBL is 19mm

And therefore the DBC (frame PD) is 52+19 = 71mm