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27 Cards in this Set

  • Front
  • Back

Prentice's Rule

Determines the prism induced by viewing through a lens at a location other than the optical center



Induced Prism = d|F|

BI Prism

- Causes the image to appear further away


- Causes pt to diverge


- Pt requires larger NFV to maintain single, comfortable vision

Testing PFV

BO prism or plus lenses

Testing NFV

BI prism or minus lenses

Range Important for Exophoria

PFV

Range Important for Esophoria

NFV

Plus Lenses

- Induce accommodative divergence


- To maintain fusion, PFV must increase

Minus Lenses

- Induce accommodative convergence


- To maintain fusion, NFV must increase

Needed to Calculate Image Jump

- Add power


- Bifocal style

Prism Direction Induced by Add

BD



Image jump occurs from looking above the OC of a plus lens, so base direction is BD

Determine Total Binocular Prism

Horizontal: If both BO or BI, add! If opposite, subtract.



Vertical: If both BO or BI, subtract! If opposite, add.

Uncrossed Deviation

Caused by an eso deviation

Crossed Deviation

Caused by a exo deviation

Meridian of Rotation for Pantoscopic Tilt

180

Meridian of Rotation for Faceform Tilt

90

Pantoscopic Tilt in Minus Cyl

Minus lens: Induces an axis at 180



Plus lens: Induces an axis at 90

Pantoscopic Tilt and PALs

Good because it moves the reading portion of the lens closer to the eye

More on Pantoscopic Tilt

- Increases lens distortions


- Alters cyl effect


- Induced by adjusting temple angle


- Lowers the lens so it is helpful if the OC is too high

Retroscopic Tilt

Top of the lens is closer to the face than the bottom of the lens



Opposite of Pantoscopic Tilt

Solution: Glasses Fall Down Nose

Pull in the temples



Bend down temple tips



Pull in nose pads to tighten fit

Solution: One Lens Feels Closer to Face than the Other Lens

Straighten the temples

Solution: Glasses Touch Cheek

Reduce Pantoscopic Tilt



Narrow bridge or pads to raise frame



Narrow bridge or pads to increase vertex distance

Solution: Glasses Too Close to Face

Narrow the pads



Shrink the bridge



Decrease face form to move lenses away from the face

Solution: Frames Sit Too Low on Face

Narrow the bridge



Add pads



Lower vertical position of pads to move frames up on face

If Seg Appears too High

- Increase Pantoscopic tilt


- Decrease vertex distance


- Spread the pads


- Move pads up by adjusting pad arms


- Stretch the bridge

If Seg Appears Too Low

- Narrow the pads


- Move pads down by adjusting pad arms


- Increase vertex distance


- Reduce Pantoscopic Tilt


- Shrink the bridge

To Lower the Segment

- Increase distance between nose pads


- Raise the vertical portion of the nose pads


- Widen the bridge



Need to lower the frame on the face