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44 Cards in this Set

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  • Back
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The lipid layer is formed by

The Meibomian glands

Oils come from glands

The mucin layer is formed by

The Goblet cells

Mucus is formed by cells

Which slit lamp illumination is best used to observe fluorescene patterns?

Diffuse illumination

Hyperflange

Used to thin the edge of a HIGH MINUS contact lens.

Hyperflanges are not for Hyperopia...

Sclerotic Scatter

Illumination used to detect disturbances in normal corneal transparency.

SCATTERS light thru cornea..

Direct Focal Parallel Piped

Illumination used to detect vertical striae.

Vertical stripes..

Red Free Slit Lamp Filter

Used to observe neovascularization

Blood is red.. this is red free... hmmmm...

Optic Section

Used to observe corneal thickening, thinning, and the depth of scars

Cross section..

Sagittal Value describes..

Lens Vault

The answer is locked in the v___

Anisometropia

A condition where each of the two eyes have unequal refractive errors, but are both hyperopic or myopic.

Condition where one eye is "stronger" than the other.

Antimetropia

A condition where the eyes have refractive errors that differ.

Anti = Opposites

Conventional Slab Off Prism

Base Up in the Most Minus eye

Base Direction?

Reverse Slab Off Prism

Base Down in the Most Plus eye

Base Direction?

True or false. Reverse Slab Off is molded, NOT ground.

True

Reverse

Excessive movement of a soft contact lens can be corrected by

Larger diameter, steeper base curve

Think of 2 ways you could reduce movement

What is the primary cause of spherical aberration?

Incorrect base curve

Why do we use corrected curve theory?

Name for the refractive error when light focuses before the retina

Myopia

If your eyeball is too long, you have the axial form.

Name for the refractive error when light focuses after the retina

Hyperopia

Premature babies often have this error because their eyes are too small and their crystalline lenses are too weak.

In cases of high corneal astigmatism, which type of RIGID lens would probably result in the best fit?

Bitoric

Goes both ways..

Which instrument is the most accurate for measuring the diameter of a contact lens?

Measuring magnifier

You want to measure something small...

What is a Strabismus?

A permanent displacement of the eye, usually caused by a muscle problem.

StrabisMUS

What is the ANSI tolerance in diopters for a contact lens with a power of -5.00?

0.12 diopters

The ANSI tolerance for all spherical contacts under 10.00 diopters is 0.12. Over 10, and that changes to 0.25 diopters.

What would be a patient's chief complaints if a contact lens were fit too tight?

Burning, stinging, and blurred vision.

Their eyes would "feel hot" 👀🔥

What are the two factors that determine lens vault?

Base curve and poz size

What is the minimum blank size formula?

ED +2 (total decentration)

You need the ED and the PD.

Which layer of the tear film changes the corneal surface from hydrophobic surface to a hydrophilic one?

Mucin layer

This is the same layer that is produced by the Goblet cells.

What does a lid recording of -2 indicate?

Eyelid rests 2mm below limbus

It's a LID recording.

What is the rule of thumb when selecting the diameter of a soft contact lens?

2mm larger than the HVID

ANSI tolerance for total diameter of an RGP lens is

0.05 millimeters

It's really really small

Which slit lamp illumination is best used to view the endothelium?

Specular Reflection

The endothelium is at the back of the cornea, so you'll need the light to reflect.

Residual astigmatism can usually be tolerated if the amount is less than

0.75 Diopters

How many Diopters?

Name 2 tools that can be used to check the diameter of a contact lens

Measuring magnifier and V-groove

One slides, one magnifies

3 o'clock, 9 o'clock staining is most often seen in connection with which lens material?

PMMA

4 letters

The size of the corneal cap from which K readings are taken is

3 millimeters

How many letters in cap?

A contact lens fitting method that employs the use of charts is called the

Dyer Monogram method

One chart (Mono,...

A fitting method based on the physical size and shape of the eye is called the

Hartstien Modification

Which instrument can be used to check peripheral curve width?

Hand Magnifier

Peripheral curves are SMALL

What kind of contact lenses should fluorescien dye never be used on?

Silicone Hydrogel

It's okay on RGPs...

The pH level of human tear film is

7.4

Slightly alkaline

What does adding an IPC do to a lens fit?

It loosens it.

Does it tighten, or loosen it?

Which kind of bifocal contact lenses can rotate without affecting vision?

Annular Bifocal Contacts

It's easy as ABC...

Which corneal layer is responsible for keeping the cornea in a state of deturgesence?

The endothelium

It's the layer that does NOT quickly reproduce.

The Fairness to Contact Lens Consumers Act of 2003 was enacted by

the Federal Trade Commission

FTC, fairness to contact

What is the procedure for drop ball testing of safety lenses?

For ANSI standards, a 5/8th inch steel ball is dropped onto the lens from 50 inches up. For OSHA standards, a 7/8th inch steel ball is used.

State the ball size for both ANSI and OSHA