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Flashcards in B14 Deck (26):
1

FCC is a subjective method to evaluate the accuracy of the ______

Accommodative response

2

What 2 things can FCC determine?

The patients bino near point and a tentative near add power for the patient

3

How should the illumination be for the FCC test?

Room lighting should be DIM and the stand light should NOT be directed at the target

4

When doing FCC and the patient says initially that the vertical lines are clear, is this a lag or lead of accommodation?

Lead

5

When doing FCC and the patient says initially that the horizontal lines are clear, is this a lag or lead of accommodation?

Lag

6

If doing the FCC to determine a tentative add for a presbyope, if the patient is over the age of 50, what should you add before asking the patient which lines appear sharper or clearer?

+1.00

7

If the patient says what the horizontal lines are clearer during FCC, what should you do?

Add +0.25 one click at a time until they say that the vertical lines are darker/sharper

8

If the patient says what the vertical lines are clearer during FCC, what should you do?

Initially check lighting, flip the JCC axes so that the red dots are along the horizontal meridian. Then ask if the horizontal or vertical lines are clearer

If horizontal now, switch back and add minus one click at a time

If still vertical, patient has vertical preference (probably not reliable)

9

What is the endpoint for JCC?

Where the vertical and horizontal are equal or where horizontal (first) is the sharpest/darkest

10

What is the expected JCC range for non presbyopes?

+.50 (+ or - 0.50)

11

Determines the change in accommodative convergence that occurs when the patient accommodates or relaxes accommodation by a given amount

AC/A ratio

12

What is the expected AC/A ratio?

3-5 prism/D

13

What are the two ways to determine AC/A ratio?

-gradient AC/A
-Calculated AC/A

14

Why is the calculated AC/A greater than the gradient?

Due to the effect of proximal convergence and lag of accommodation

15

Someone with high AC/A ratios will have a significant change in accommodative convergence with small changes in spherical lenses and ___ changes in the phoria

Large

16

What does a high AC/A ratio mean?

There is an excess convergence with accommodation

17

Someone with low AC/A ratios will have an insignificant change in accommodative convergence and a ___ change in the phoria

Small

18

What does a low AC/A ratio mean?

There is a low convergence with accommodation

19

A patient with a PD of 64 mm has a 3 Δ esophoria at distance and 9 Δ esophoria at 40 cm. What is his AC/A ratio? High, low, or normal AC/A?

8.8 (high AC/A)

20

A patient with a PD of 64 mm has a 1.5 Δ esophoria at distance and 3 Δ exophoria at 40 cm. What is her AC/A? High, low, or normal AC/A?

4.6 (low AC/A)

21

A patient with a PD of 60 mm has a 4 Δ exophoria at 40 cm through their subjective refraction and 8 Δ exophoria at 40 cm with +1.50 D over the subjective refraction. What is her AC/A ratio? High, low, or normal AC/A?

2.67 (low AC/A)

22

What are 7 PFV testing?

-smooth and step vergences (BO)
-Vergence facility (12 BO)
-NRA
-BAF (+ lenses)
-NPC
-MEM
-FCC

23

If someone has a AC/A of 7:1. When a patient is present with +2.00 lenses, what happens?

They need at least 14 prism D to overcome

24

What are the 6 tests for NFV?

-smooth and step vergences (BI)
-Vergence facility (3BI)
-PRA
-BAF (- lenses)
-MEM
-FCC

25

What are the direct testing for PFV and NFV?

-smooth vergences
-step vergences
-vergence facility

26

What are the indirect tests for PFV and NFV?

-NPC (PFV)
-NRA and PRA