Contact Lens Fitting and Evaluation, Exams of Nursing

This comprehensive review covers contact lens fitting and evaluation, including lens materials, eye anatomy, corneal assessment, tear film analysis, lens design, and fitting principles. It delves into lens parameters and their relation to visual needs and ocular health. The document emphasizes proper lens selection, fitting, and evaluation to ensure optimal vision, comfort, and eye health for contact lens wearers.

Typology: Exams

2024/2025

Available from 10/23/2024

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NCLE REVIEW NAO
Biggest disadvantage of PMMA material is its lack of - Answer-Gas permeability
Layer that makes up 10% of the cornea - Answer-Epithelium
Vertical measurement for palpebral fissure - Answer-15mm
Eyelid muscle responsible for lid closure - Answer-Orbicularis oculi
A dense opacity of the cornea is called a: - Answer-leukoma
Goblet cells that secrete that secrete mucous into tear film are located in which structure - Answer-
Conjunctiva
Transition zone between the bulbar conjunctiva and the palpebral conjunctiva is called - Answer-fornix
Middle layer of the globe is mostly responsible for - Answer-Nutrition
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NCLE REVIEW NAO

Biggest disadvantage of PMMA material is its lack of - Answer-Gas permeability Layer that makes up 10% of the cornea - Answer-Epithelium Vertical measurement for palpebral fissure - Answer-15mm Eyelid muscle responsible for lid closure - Answer-Orbicularis oculi A dense opacity of the cornea is called a: - Answer-leukoma Goblet cells that secrete that secrete mucous into tear film are located in which structure - Answer- Conjunctiva Transition zone between the bulbar conjunctiva and the palpebral conjunctiva is called - Answer-fornix Middle layer of the globe is mostly responsible for - Answer-Nutrition

Pupillary constriction is called - Answer-miosis Bactericidal ingredient found in the precorneal tear film is - Answer-Lysozyme The cornea is clear, and must remain clear, which means it must be ______, and be free from ______. - Answer-avascular, scarring what are tarsal plates? - Answer-two thin, elongated plates of dense connective tissue, about 2.5cm in length. Contributes to it's form and support. what is a prism ballast? - Answer-prismatic shape used in contact lens to stabilize the lens by preventing rotation how does one achieve the rotational control of truncation? - Answer-by making the bottom edge of the lens flat what are principal meridians? - Answer-the meridians of most and least curvature, or greatest and least power on a cylindrical or toric surface what is a bicurve lens? - Answer-lens consisting of two posterior curvatures; one central curve(base curve) and one peripheral curve a soft lens should have a curve and diameter that will allow it to drape the cornea, vault over the limbus, and extend how many mm into the sclera? - Answer-1mm what angle identifies the smallest angle? - Answer-minimum visual angle

Given Rx of -2.50 -2.00 x180 and K readings of 44.50 @180/46.50@90, determine the CPC - Answer-

Given the K's of 42.00@180/43.00@90, a CPC of 42.50, and a Rx of -1.00-1.00x180, what actual lens power would you order? - Answer--1. Given K's 42.00@180/43.00@90 what would be a good CPC - Answer-42. In placing the following Rx on an optical lens cross, identify the powers in the principle meridians -2.50- 1.00x180 - Answer--2.50@180/-3.50@ Formula for Diopters to radius of curvature - Answer-337.5/Diopters Rx of -4.75-2.50x180, and K's of 42.25@180/42.75@90, which of the following lens types would you fit on the patient? - Answer-Front surface toric GP the iris is a thin vascular membrane, averaging about ____mm horizontally and ____mm vertically - Answer-11/12, 9/ you can extend the range up to 61D by placing a ____ trial lens over the aperture closest to the patient. This extends up an additional ____ - Answer-+1.25, 9.00D Given a 4.00D toric power on the back surface of a back surface toric, how much toricity must be ground on the front surface? - Answer-6.00D Given an Rx of -11.00 sph, refracted a vtx.14mm, calculate the compensated power for a GP lens - Answer--11/100=.11x14=-1.54 then add -1.5 to -11 which then becomes -9.

fiven an Rx of +11.00 sph, refracted at Vtx.12mm calculate the compensated power for a GP lens - Answer-11/100=.11x12=1.32 then add 1.32 to 11 which then becomes 12.32=12.38(rounding) if a contact lens power is read with the anterior surface facing the examiner and the posterior surface toward the reticule of the lensometer, the reading is in what vertex power? - Answer-back vertex power a tool that measures the overall diameter of a contact lens - Answer-V-channel, hand measuring magnifier, shadowscope sodium fluorescein is used to evaluate tear - Answer-quality fluorescein temporarily stains tears but will not stain ____ since the fluorescein is a water soluble molecule that doesn't penetrate intact lipid cell membranes - Answer-intact epithelial cells what is a retinoscope used for? - Answer-determines the refractive state of the eye what is a phoropter used for? - Answer-a refractive device combining a large variety of spherical and cylindrical lenses, prisms, and occluders, used to determine the eye's optical correction how is a tetracurve lens designed? - Answer-four posterior curves, a central posterior curve, and three peripheral curves keratometry measures the central ____mm of the cornea - Answer-3mm what is the tolerance for overall diameter of a contact lens? - Answer-+/-.05mm for contact lenses, you need to compensate for vertex distance when the power is over what? - Answer- 4 diopters

what is the central posterior curve? - Answer-posterior radius of curvature desgned to conform to the apical zone of the cornea center thickness of a GP lens is measured with a lens gauge. what is the tolerance? - Answer-+/-. what is the first refracting medium of the eye? - Answer-precorneal tear film scribe marks on soft toric lenses are for? - Answer-to determine if the lens is aligned correctly on the cornea