lenses Flashcards

1
Q

<p>PLUS LENS</p>

A

<p>- convex

- thicker in middle
- thinner on edges
- magnifies images
- converges light
- AGAINST movement</p>

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2
Q

<p>MINUS LENS</p>

A

<p>- concave

- thicker on edges
- thin in middle
- diverges light
- minifies
- WITH movement</p>

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3
Q

<p>OPTICAL CENTRE</p>

A

<p>- where light goes through, no prismatic effect</p>

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4
Q

<p>1.54 - 1.64</p>

A

<p>mid - index</p>

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5
Q

<p>1,48-1.54</p>

A

<p>low index</p>

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6
Q

<p>1.64 - 1.74</p>

A

<p>high index</p>

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7
Q

<p>dispersion</p>

A

<p>chromatic abberation</p>

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8
Q

<p>high dispersion =</p>

A

<p>high chromatic abberation</p>

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9
Q

<p>high V value</p>

A

<p>low TCA</p>

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10
Q

<p>low v value</p>

A

<p>more TCA</p>

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11
Q

<p>V value 45 & above</p>

A

<p>low dispesion/ low tca</p>

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12
Q

<p>V value lower than 39</p>

A

<p>high dispersion / more TCA</p>

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13
Q

<p>CROWN GLASS (RI)</p>

A

<p>1.52</p>

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14
Q

<p>POLYCARBONATE (RI)</p>

A

<p>1.586</p>

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15
Q

<p>CR39 (RI)</p>

A

<p>1.498</p>

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16
Q

<p>CROWN GLASS ADVANTAGES</p>

A

<p>- high v value so low CA

| - scratch resistant</p>

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17
Q

<p>CROWN GLASS DISADVANTAGES</p>

A

<p>- brittle

- high specific gravity (heavy)
- low refractive index (more abberations)
- tendency to fog/shatter</p>

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18
Q

<p>Greatest impact resistance?</p>

A

<p>Polycarbonate</p>

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19
Q

<p>POLYCARBONATE DISADVANTAGES</p>

A

<p>LOW v value so more dispersions</p>

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20
Q

<p>advantages of plastic materials ( high index)</p>

A

<p>thinner & lighter than other plastics</p>

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21
Q

<p>TRIVEX qualities</p>

A

<p>- high impact resistance

- high v value
- low specific gravity</p>

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22
Q

<p>Which lens blocks 100% of UV-A and UV-B below 394nm</p>

A

<p>Trivex & polycarbonate</p>

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23
Q

<p>True or False: Trivex is more resistant to chemicals than any other plastic lens material.</p>

A

<p>True</p>

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24
Q

<p>In order for a patient to have problems with chromatic aberration, the amount must reach \_\_\_\_\_Δ.</p>

A

<p>0.25</p>

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25

Chromatic Aberrations more of a problem for what type of lenses

PLUS ( thicker)

26

best choice for lens protection but scractes the easiest?

polycarbonate

27

how to reduce chromatic aberrations in polycarbonate

anti- reflective coating

28

how to improve the impact resistance of glass

thermal & chemical tempering

29

which is faster- chemical or thermal tempering

thermal

30

which is more resistant

chemical: 2-3 x more resistant

31

what is specific gravity

ratio of a material's weight compared with the weight of an equal volume of water

32

high index lens is heavier bc

contains more lead

33

thermoplastic example

polycarbonate

34

thermosetting example

CR39

35

material with highest dispersion

polycarbonate

36

why are plastic materials less subject to fogging with changes in temperature and humidity?

less thermal conductivity

37

what is a Trivex lens?

a tri-performance lens material: 1. improved impact resistance 2. high Abbe value/lower dispersion 3. low specific gravity

38

Anti reflection coating

- thin layer/material applied to surface of lens to reduce unwanted reflections: increases the amount of lens passing through the eye

39

why do plastic lenses need scratch resistant coatings?

- typically soft materials that scratch easily

40

how to estimate the power of a lens

1. thickness: thicker the lens, higher the power 2. speed of movement: slower the speed, higher the lens power

41

how to neutralise a positive lens?

- add a minus lens of equal power

42

optical centre

- vision is best at this point | -limited aberrations

43

toric lens are used for

astigmatic people

44

what happens if curve in lens is flat

PLANO

45

PLANO LENS

no powe

46

function of prism

deviate light from original path

47

prentice rule

the relationship between the power of the lens, the distance of the eye away from the optical centre and prismatic effect it gives.

48

prentice rule equation

P=cF P= prismatic effect c= distance from optical centre of the eye (cm) F= back vertex power of lens in Dioptres We ignore + and - This equations shows the importance of correct centration

49

how to measure durability

materials are tested with the drop ball test and graded in terms of impact resistance . effected by the elasticity of the material - if elasticity of material is good then when hit by an object , the lens will be able to bend and flex and absorb some of the energy from impact

50

refractive index of material refers to

- density of material | - higher the refractive index, denser the material

51

lowest index for plastic

cr39 - 1.498

52

lowest index for glass

crown glass: 1.523

53

refractive index refers to

- density of material | -high refractive index : higher density

54

more dense

more light refracts because flatter curve: behave like mirrors and reflect more light

55

flatter curvature

thinner lens

56

polycarbonate is a...

THERMOPLASTIC | can be moulded&remoulded by heating and cooling

57

what does v value influence

- how much tca patient will experience

58

dispersal

is looking at when incident light hits the lens , how much its split into its colour components

59

when is TCA experienced

when patient looks off-axis: not optical centre

60

lower v value =

more dispersion

61

How much TCA can we tolerate

0.1 prism dioptres but varies with each patient

62

what do surface reflections do

- dramatically reduce transmission of white light with high refractive index materials

63

what is UV cut off

- light that is not reflected from the lens surface passes through -some is absorbed by lens material instead of being transmitted 100-380 nm

64

curve variation factor

how much thinner is a material compared to crown glass

65

coating a lens is dependant on

material of lens

66

does glass require a hard coat?

no : hard enough, doesn't need it - resistant to abrasion and scratches abrasion ( rubbing with fingerprints) scratching is from larger particles

67

what is a hard coat

- clear coating protects from abrasion and scratches - should never refer to as scratch proof

68

2 types of plastic

thermoplastic: - include polycarbonate and long chain molecules within the material don't cross-link therefore they can be heated are remoulded thermosetting: set in a mould with a chemical reaction which cross-links molecules within the material e. g. high index plastic( always hard coated) and CR39

69

polycarbonate properties

high impact resistance | scratches easily so may choose to hard coat

70

hard coat properties btw dont have much flexibility: will crack if too thick

- must be 0.5-10 microns - spin coated: expensive, not used much, NO TINT - vaccum: thinner, harder coat, expensive, NO TINT - IN MOULD - dip dyed: lots of lens can be coated at once - labs clean, important to control humidity & temperature

71

why develop AR coating?

-light reflected from lens is light that isn't reaching the eye , this means image is not clear and this can give rise to reflections and ghost images

72

what does reflection of lens cause?

light scatter - which reduces contrast sensitivity - which is how well Px sees definition between target and it's background - ghost images which causes visual disturbances - reduction of light transmittance leading to asthenopia ( eyestrain )

73

what does anti-reflection coating do ?

clear coating added to lens to protect against reflections from artificial light which cause glare and dazzle e.g. computer , car headlights

74

what do ghost images cause ?

- cause visual disturbances to the Px - causes px to see images of their eye or eyelashes - can be reflections from the front or back surface - they can be distracting to wear and give glassy appearance to the lens

75

relationship between refractive index and ghost image

higher the refractive index higher the intensity of ghost image

76

ghost image will not be seen if

if outside px field of view

77

how do we reduce ghost images

1- reducing BVD- reducing amount of light getting to lens 2- angling the lens - to sit closer to lens 3- changing the base curve - to make lens and more curved as we know flatter curves give more reflection 4- applying anti-reflection coating

78

types of AR coating

single layer: can result in 5% of reflections so 95% of light getting through to patients eye multi layer: reduce reflections to 1% or even less

79

why do we coat both sides of lens

ghost images and reflections can come on both front and back surface

80

anti reflective coatings work on principle of

destructive interference

81

what is constructive interference

two waves combined and in phase to make 1 large wave

82

what is destructive interferancw

two waves of light of equal amplitude and out of phase will cancel each other out

83

conditions for single layer coats to work

-path condition: -wave reflections to be exactly out of phase from the front and the back of the coating it must be 1/4 wavelength thick - this can only occur for one wavelength at a time and we know that visible light is composed of many wavelength - for this coating to be most efficient the thickness of the coating must be different for all different wavelength ( not possible ) so we use light in middle of spectrum - 550 nm

84

how is anti reflection coating visible to people

- have a bloom which is visible to observers - so if you tilt lens back and forth in front of artificial light source you can see slight sheen of colour on surface of lens- what you're seeing is light being reflected - light being transmitted through to eye is the one you can't see - this means that you can spot single layer coating which has a purplish bloom to it because light its letting through is the central wavelength ( yellow light )

85

what is the conditions that must be met once path condition is satisfied for single layer coats to work ?

- once path condition is satisfied then waves will be out of phase but they need to be of equal amplitude 2- amplitude condition - ensures waves are of equal strength

86

what is the function of multi-layer coating ?

allow us to reduce reflectance of more than one wavelength resulting in less reflection and more light reaching px eye

87

when do we use multilayer coatings

on plastics

88

why is harder to coat plastic with single layer coating ?

- single layer coatings are quite brittle and they tend to crack when applied to a flexible plastic material

89

what does a multilayer anti-reflection coating contain ?

will include hard coat so px doesn't need to pay extra

90

what is adhesion coat ?

on top of hard coat and will help the thick and thin layer coating stick

91

what are thick and thin pair of coating made of ?

formed of titanium oxide and silicone dioxide

92

thick pair function

cancel central spectrum of light

93

thin pair function

cancel blue and red reflections

94

what are the multilayer coating in order ?

hydrophobic ( lens will be easier to clean ) thick pair ( cancel the central spectrum of light ) thin pair ( cancel out reflections from blue and red end of spectrum ) adhesion coat hard coat

95

why are multi layer coating harder to produce ?

- require a sterile environment for manufacture | - can be vacuum coated , evaporation coated or sputter coated ( simpler process and smaller equipment )

96

what are the disadvantages of anti-reflection coating ?

- any dirt , water or skin oil will reduce the effectiveness of the coating - AR coating exaggerate the contrast between clear and dirty area smudges on lens reduce transmission by 4% - deteriorate in heat - coating needs to be fully intact to give good vision

97

why do we dispense tints

- protection from uv light - ^ glare/discomfort glare: light that causes discomfort- watery eyes - visual comfort therpeutic + medical - cosmetic -contrast filters: increasing contrast of objects so can see clearer for e.g in a sport like a football use a green tint etc

98

Who can benefit from a tint?

-a patient that could have early signs of cataract- which elevate their discomfort.

99

What do tints protect against?

certain wavelengths of light such as infrared- which can be damaging to the eye.

100

Why do we need protection from the different wavelengths of light - UVA ?

linked to cataracts and retinal damage: deeply penetrating

101

UVB :

cataracts and photokeratitis

102

Why do we need protection from the visible spectrum ?

disability and comfort glare

103

Why do we need protection from Infrared ?

800nm + causes heat cataracts and retinal/choroidal burns

104

Do all sunglasses have UV protection ?

No | -UV is a separate clear coating and you can then go onto adding a tint to it as it is not always provided.

105

Why are we more concerned about UV coating a tinted lens?

-pupil size increase due to dark tint and more light is let into the eye- change the ocular dynamics of the eye

106

What can the amount of light entering the eye be altered by ?

- absorption | -reflection

107

What are mirror coatings supplied with?

Supplied with a dark tint to prevent the wearer seeing themselves in the mirror coating.

108

What do mirror coatings do?

- they have Tint depth which also influences the amount of reflection - they Don’t wear well- can easily be scratched affecting them

109

How can you describe the tint?

- State the tint by colour - Depth in percentage - Light transmission factor (LTF) - FOR how light or dark you want the tint to be so by telling how much light you want transmitted through from this factor - Absorbance (ABS) - to tell how much light is absorbed by the lens 85% LTF = light lens as 85% of light being transmitted

110

ABS (ABSORBANCE) for 85% ltf

15% of light absorbed by lens

111

What colour tint does a patient choose?`

```

-To enhance contrast? Drivewear Sports tints -Personal preference? -Cosmesis? Frame choice -Protection Certain colours provide protection

```
112

N tint

neutral, grey tint

113

why is N tint good

filter out all wavelengths roughly the same they don't distort colours much whereas a contrasting tint will. -So when a patient sees through them there is no distortion

114

Who is a N tint good for ?

drivers- don't want traffic light colours being distorted | -Architectures

115

what tints are available

- Fixed - Graduated - Photochromic - Polarised

116

fixed tints

same colour throughout lens - tint absorbs 1mm into material - just front surface

117

What are the methods of tinting fixed tints?

-Plastic- dip dying - Glass- solid or laminated glass material = cannot dip dye

118

-Plastic- dip dying | - Glass- solid or laminated

Solid - the tint is introduced to the lens when it's molten- a tint is solid throughout the material/ lens - if patient wants green tint add iron to molten mix -Laminate the lens- a laminated tint is a thin sheet which is laminated or vacuum coated onto one surface of the lens- a tint is only one surface of the lens.

119

What do we do when deciding between a solid and laminated tint?

Lamberts law

120

what is lamberts law

thicker the material, darker the tint - 8 : laminiated is better plano: solid tint

121

what is a solid tint

dispersed in the whole lens/material

122

what is a laminated tint

only at one surface of the lens. | -not affected by tint at all - equal across the lens

123

What is a graduated tint ?

- single OR dual coloured - darker at top, GRADUATING to a lighter colour at bottom advantage: good for reading for elderly patients

124

What is a photochromic tint?

- Darken due to the energy provided by UV.- use energy to alter the structure- when hit UV light turns dark - Darken quicker than they return back to light - on a sunny day will turn dark MORE and less UV means less dark. - No separate sunglasses required - Tint variable - Temperature dependent- work better in cold environments than hot - Full UV400 protection - if remove this will limit how it works - not as well - Less reactive behind a UV filter- e.g. car windscreen.

125

What benefits and advice do you think you should give your patients regarding  Darken quicker than they return back to light

- may think they are faulty so make sure u tell patient first - possibly health and safety hazard if they come inside - wouldnt be able to suddenly see so take care when walking into buildings

126

 No separate sunglasses required (tint)

-save money | -conviencince - no swapping glasses

127

 Less reactive behind a UV filter- e.g. car windscreen

- get glare - better outside the car | - may not get as dark when driving

128

 Residual colour with age

- older styles they get old after time (get yellow tint after a while ) - may affect vision in darker conditions.

129

What can photochromatic lenses be made in ?

-Glass- which contain Silver halides- separate when activated by UV - when separated they go darker and recombine and get lighter Equi-tint can be used on high prescriptions -Plastic- use Pyrans and oxazines in the 100-150 microns of the front the surface of the lens Molecules rotate on activation by UV- don't split and as they rotate they become darker

130

Why Polarised lenses?

-Unpolarised light- light which vibrates in all directions - Polarised light- it maintains in the one direction- which can cause glare and mirror effect - Brewster angle- if angle between the refracted and reflected beam is 90° then the reflected beam will be completely plane polarised.

131

Why is polarised light not good?

can cause glare and mirror effect e.g when driving

132

What is polarized light?

polarized in the plane parallel to the reflecting surface e.g surface of water

133

How can we polarise lenses?

- Axis of the filter set vertical - BS tolerance 5 degrees - Stretched iodine crystals - darker tint more polarisation occurring -

134

How can we tell our patient is wearing a polarised lens?

- do that by thinking about the effect of holding up another polarised lens in front of them - if you have 2 polarised lens - it will let some light through - the picture will be less clear- contract reduced by still able to see the image - if by rotating the filters at right angles to one another - block both vertical and horizontal meridian- won't see a image

135

What are IR lenses?

- need to use with glass lens - Exposure from sun, furnaces and with explosions! - Linked to heat cataract, retinal and choroidal lesions - Cant protect with CR39 - Rayban G-15- ferrous oxide- green tint - glass lens

136

Can UV damage be reversed

no - protection required all year round: summer & winter

137

are children more vulnerable to UV

yes

138

do darker tinted lenses provide more protection

no

139

field of view

total area patient can see when eye is in primary position- i.e. patient is looking ahead

140

what is real field of view ?

it is obtained when a spectacle lens is glazed into the frame

141

what is field of view influenced by ?

- frame and therefore lens shape - vertex distance - power of the lens - only in real field of view

142

what are frame markings found in spectacle lenses ?

- horizontal lens size x distance between right and left lens ( mm ) e.g. 50x18 50*18 50 □ 18 - total length of side ( mm ) from screw to the tip taking out the bend e. g. 135 mm - manufacturer / design / suppliers name or trademark - frame model - frame colour

143

what box centre distance ?

- measuring from the centre of one box to the centre of another box - add horizontal lens size and distance between lenses - this measurement that can be used to work out any decentration that we are going to use to place the optical centres of the lenses in front of the patient's pupil. - The patients pupillary distance would match the box centre distance.

144

what are the three groups for lens mounting ?

1. full rim - rim surrounds whole of lens 2. rimless - no rim surrounding lens 3. supra - frame covers part of lens when covers bottom and not top - this can be good for reading

145

what does mounting type determine ?

determines the edge of lens which we need to glaze to allow lens to remain securely in frame and not fall out

146

when do we use BEVEL and MINI BEVEL lens edge ?

used for full frames

147

when do we use flat lens edge

rimlesss flat style

148

when do we use supra lens edge ?

edge not covered must be held in place this can be done by a carving a groove into lens edge and thin clear wire is placed into groove and secured to frame

149

what are ways rimless lens mounting can be produced ?

```

rimless edge can be flat scalloped facetted inlaid

```
150

what are frame components ?

-pads - bridge - rim - incases lens - side - extension from front of frame that fits around the ear - joint - where side of frame and front of frame meet

151

what is bridge ?

the bridge forms the main connection between the right and left rims . it may or may not have pads different designs for plastics and metal frames

152

what is pads

extension or attachments to the bridge which form the bearing surface of the frame for the nose larger pad = greater weight distribution

153

what are the bridge types ?

. fixed pad bridge - plastic frames only , pads moulded into rim and same material as frame . regular bridge - plastic frames only no moulded pad shapes . keyhole bridge - plastic frames only only pads resting against patient's nose . pads on arms - metal frame only

154

what are pad on arms ?

. metal frame only . pads can be screw on or push in . can be saddle / comfort / strap bridge with same material attachment . greater surface area touching nose = more comfortable

155

what are pads on arms made from ?

. silicone - flexible , light weight , soft | . vinyl/acetate - light weight , rigid , cheaper

156

what are some examples of sides ?

what are some examples of sides ?

157

protective eyewear protect against

penetrating trauma & chemical burns

158

what is impact resistance?

the ability of a material to withstand a high force or shock applied to it over a short period of time

159

how are materials tested?

- materials are tested with the drop ball test and graded in terms of impact resistance

160

what is the affect of elasticity?

- the elasticity of material is what give the material its impact resistance - elastic material is able to absorb some of the shock/force that hits it and lens doesn't break

161

PROTECTIVE EYEWEAR | how should the frame and lens be ?

- the frame needs to be loose enough that if the lens is flexing during this period of elasticity that its got somewhere to go - lens isn't glazed too tight

162

what are types of protective eyewear

- spectacles that are glazed with prescription - some can be worn on top of spectacles ( temporary measure ) - googles ( protect around ocular area ) - can also be ventilated - visors - protect the whole head

163

A screw comes out of the side of a PX safety glasses that he uses for work and asks to put a new one in - what do you say?

no, as this will void the manufacturer guarantee | - you need to send back to manufacturer who will re-test the unit and ensure that its meeting standards

164

what are lens markings

lens markings show that if a lens has met standards but only found if applicable

165

what are examples of lens markings?

```

. scale number ( filter lenses ) . manufacturers mark - always relevant . optical class . mechanical strength symbols . field of use . scratch resistance . resistance to fogging . radiant heat

```
166

what is protective eyewear considered as ?

considered as a single unit- must be tested as such

167

protective eyewear what are scale numbers

- higher numbers= darker filters | - consists of code number and a shade number

168

what is optical class

- 1,2 or 3 - indicates the optical quality of the ocular - how close the prescription is what is should be 1= in tolerance with what the prescription is expected to be . +/- 0.66 D - as numbers get bigger tolerance is lower

169

what is mechanical strength ?

- looks at impact resistance e. g bearing test - can be marked with various codes - most safety spectacles are marked with an S or F - S= increased robustness e. g. CR39- not very tough - F= low energy impact e. g. polycarbonate - B= medium energy impact e. g. goggles - A = high energy impact e. g visors or face shield or some goggles

170

what materials make a good safety lens material?

polycarbonate- trivex- glass - must be treated to meet S standard

171

what are the pros and cons of using PLASTIC lenses as protective eyewear?

- more elastic than crown glass - impact resistance depends on material - impact resistance is affected by coating - CR39 can break into hooked shards

172

what are pros and cons of using GLASS as protective eyewear?

- untreated is not suitable for protective lenses - can be heat or chemically toughened - laminated

173

what are pros and cons of using TRIVIEX as protective eyewear?

higher v value compared to polycarbonate - UV cut off to 400nm - tinting not possible - good chemical resistance - n=1.54 - lowest specific gravity

174

what is a compression envelope ?

- outside of the lens is put into compression - molecules at the lens surface closer together compared to the centre - allows lens to become stronger - heat and chemical toughening both produce compression envelopes

175

what does force cause in an untreated glass?

untreated glass- force causes compression at blow and release tension on the other side

176

what are the two main methods of toughening a glass lens ?

- heat toughened | - chemically toughened

177

How is heat toughening carried out?

- lenses must be glazed before toughening - requires a minimum centre/edge thickness of 2.4 mm - lens is heated just below melting point 650 c - thicker lens= heated longer - variable heating time - outer glass cools more rapidly than centre - if it does smash then blunt pieces - rejection rate compared to chemically toughened - can be recognised by Maltese cross on a polarising filter

178

what is compression envelope caused by ?

- caused in difference in cooling between the surface and centre

179

what should you remember when supplying protective eyewear?

- if protective eyewear is supplied as industrial prescription protective eyewear then the employer is required to assess the workplace risk - you need ti supply to the company order form - if you do perform a workplace assessment you must keep detailed case records of the assessment

180
desirable properties of frames
- ease of production - lightweight - strong, non flammable - easily glazed, shape retention flexible - cosmetically acceptable
181
What are some types of plastic frames?
- Cellulose acetate - Optyl - SPX - Cellulose propionate - Acrylic/PMMA - Carbon Fibre
182
What are some properties of cellulose acetate?
- Inexpensive - — Fairly light- density 1.27 - — Always has reinforced sides - — Adjust at 57degrees - — Needs reinforcement or can warp and become soft - — Joints can be heat inserted, pinned or screwed - — Can react with skin- can be metal joints so can lead to rash.
183
How can cellulose acetate frame be cut?
Can be cut from a block or poured semi-molten into a mould- this is stronger as the molecules are not cut.
184
What are some more properties of cellulose acetate ?
- Solid colouring- thicker frames bolder colours, can laminate with clear sheet for transparent colours -colouring achieved by water based dyes -— Lacquered and polished for shine. — To recognise- colour all through and where sides meet frame front you can see it has been cut- rough edge.
185
What is a disadvantage of the cellulose acetate?
-— Discolours with age- Can react with skin- white | deposits and material becomes rough to touch
186
How is the cellulose acetate plastic adjusted / fitted?
- forced in a semi- molten state into a mould. This latter method gives a stronger frame, as the fibres, or molecules, are not cut through, but bend around curves.
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what are some properties of optyl?
-— Side only reinforced for the 1st 12mm- not really required- decoration. —- Can be laminated or dyed then polished. — -Joints are injection moulded —- Hypoallergenic - 30% lighter than cellulose acetate — -Memory plastic- softens at 88degrees- need to hold adjustment in place until it has cooled or it will return to its original shape
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What are some properties of SPX?
-— Sides always reinforced -— Joints are injection moulded — -Can be dyed or lacquered — -Adjust at 95oc- beware! -Shrinks if overheated- ‘cold glaze only’. -— Impact resistant —- Flexible — -lightweight
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What are some properties of cellulose propionate?
-— Sides always reinforced -— Joints are injection moulded around hinges -— Can be dyed or lacquered after cutting so where side meets front is smooth -— Adjust at 67-70oc Beware! Shrinks if over heated so ‘cold glaze’ -— Good stability- but hard to adjust -— Lightweight — -Hypoallergenic
190
What are some properties of Acrylic/PMMA?
-Sides unreinforced, often metal -— Joints are pinned — -Frame front usually laminated, sides dyed- bright colours used -— Very brittle so only used for supra styles (often upswept) —- Needs to be heated to a high point before any adjustment therefore hard to adjust
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What are some properties of carbon fibre
— Nylon composite (20% carbon, 80% nylon) often with metal sides — Joints always pinned — lacquered — Cant be heated- so can not adjust and difficult to glaze — Very inflexible — Strong — light
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What are some properties of cellulose nitrate?
Blocks of nitrate sliced into sheets — Sides always reinforced — Joints always pinned — Laminated or crystal (yellows quickly though) — Beware- highly flammable!! DO not adjust — Smells of camphor if scratched (if in doubt test in an inconspicuous place) — Joints can rust and turn green — Brittle- can crack with age
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what to consider when looking at metal frames
- Consider the fit- the style of bridge | - — Consider possible adjustments
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What are some properties of gold?
— Gold filled- Fraction of gold content marked in parts per 1000 marked on the bridge. — Rolled gold- Has a base metal (nickel silver/ bronze) core. Gold content encircled and marked on the bridge or the sides. — Keeps colour well —Soft — Resistant to corrosion — Hypoallergenic unless underlying base metal exposed.
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properties of nickel silver
— Most common metal used for frames- inexpensive — Contains copper, nickel, zinc and manganese (no silver!) — Parts assembled by soldering — Colour can be electroplated or lacquered (can wear off) — Easily adjusted — Flexible — Some corrosion resistance — Nickel can react to the skin
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properties of nickel titanium
Memory metal — 50% titamium — Only used for bridge and sides (not joints) — 23% lighter than silver nickel
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What are some properties of stainless steels?
``` — Assembled by welding — Strong and flexible — Coloured by electroplating — Hypoallergenic — Corrosion resistance — Often no end tips — Rigid and flexible — Can be welded ```
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What are some properties of aluminium ?
— Less widely used — Expensive — Lightweight — Rigid so hard to adjust and repair (can only be laser soldered) — Hypoallergenic — Shiny and can be coloured by anodising — Parts for frame all cut from one piece of material
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What are some properties of titanium?
``` 50% lighteer than silver nickel -hard to repair -hypoallergenic -flexible -corrosion resistant usually marked ```
200
what are things to consider for lens materials for children ?
- hard coating- always recommended - comes as standard with cR39- increases durability of lens - anti-reflection coating- less often dispensed to children as they may not realise their potential benefits- don't sit in front computer for long time - more suitable for teenagers - UV coating - tint- can be useful for children when they go on holiday - photochromic- not very suitable for children under 16 - polarised- not very suitable for children under 16
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what are things to consider with frame selection for paediatric dispensing
- frame fit is very important- if frame does not fit can the correct adjustments be made - narrow down the selection by size - discuss with the patient and the carer - stock up to date brands - try and let the child have the final choice and allow them to try on
202
what things to consider for frames for babies ?
soft plastic ( nylon ) - lenses should be flatter - flexible - moulded - no hinges
203
what are some feature of specialist frames for children ?
- spring joints- for older children - people more rough with glasses - soft on skin/non irritant - grip on back/strap - adjustable length to bend - soft nose pads - variant bridge sizes
204
what are bridge options for infants and toddlers ?
- bridge should conform to child's nose 1. moulded bridge 2. saddle bridge 3. strap bridge - absorbs impact - needs less frequent adjustment
205
what is spectacle magnification
- is the ration of the retinal image size in the corrected eye, to that in the uncorrected eye
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how does a positive lens affect mag
magnifies
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how does a negative lens affect mag
decreases mag
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where is thickness in positive lens ?
middle
209
what does it mean if spectacle magnification is greater then 1 ?
- for a hyperope it is greater than 1 (magnification)
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what does it mean if spectacle magnification is less than 1?
- for a myope it is less than 1 (minification)
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what are ways to increase spectacle magnification ?
- increase power of F1 - increase thickness - decrease n
212
why is it important to calculate spectacle magnification?
why is it important to calculate spectacle magnification?
213
what does anisometropia cause ?
- double vision - eye strain - headache
214
what are the glasses options for presbyopia?
- single vision lenses - single vision lenses allow a patient to see the prescription through the whole lens but only allowed to see one distance at a time . full lens dedicated to prescription . two separate pair . not very useful for people who multitask . when you have reading prescription on you won't be able to see anything in the distance
215
what are bifocals?
bifocals - focuses at distance and near - use distance and near prescription - much more convenient for patient's allowing them to watch tv and read at same time
216
what are trifocals?
trifocals - focuses at distance, intermediate and near | - modified form of bifocals which allows to focus at three distances
217
when are bifocals dispensed?
- bifocals are dispensed when there are problems with accommodation - usually due to presbyopia - can also be due to other problems with accommodation such as in children or if there is an issue with the lens
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what are the advantages of bifocals ?
- bifocals allow clear vision at any 2 distances - wide reading area- can range in size - so can order a wider or smaller segment - more convenient than 2 separate pairs
219
what are the disadvantages of bifocals?
- visible line between distance vision and reading area, so indicative of patient's age - smaller seg diameters have limited field of view compared with single vision - patients over 55yrs will start to require intermediate correction on top of distance and near e.g. computer screen may need to recommend trifocal or progressive lens - prismatic effect- induced by segment - condition called jump -
220
how are bifocals described ?
bifocals are described by their segment shape and size -e.g. D28 D= shape 28 = size - means at its widest point the segment will measure 28mm across
221
what are the measurements we need to take to order bifocal lenses?
- need to measure the patient so that the bifocal segment sits in a comfortable place for reading . need to record - distance binocular PD - near binocular PD - heights
222
what is the geometrical inset?
- the distance between the distance OC and the midpoint of the segment diameter ( based on the near OC)
223
how to calculate how much inset is required for a patient?
- you need to take away your near PD from your distance PD and divide by 2 - ( distance - near ) /2
224
how to measure near PD?
- make sure text is held where the patient will read - replace with accommodative target - measure
225
how to record segment height?
- this measurement is referring to where the top of the bifocal will sit in reference to the lowest tangent of lens e. g. 24 mm from lowest tangent - lowest tangent can mean different things to different people - can mean the point at which the lens meets the frame - can mean the bottom of the frame it self so including the depth of frame going around lens - can measured directly below where the distance optical centre would be - can be measured from lowest point of frame - due to this confusion you will be required to use segment top position
226
what does an appropriate segment height mean?
- means that the patient will easily be able to access the segment itself - but its position will not affect the when they're looking straight ahead
227
what happens if height of segment is too high ?
- if too high - segment interrupts distance vision
228
what happens if height of segment is too low?
struggle to get near vision
229
where do we want to place segment ?
- it is best to place the segment at the lower limbus of the pupil
230
when will we want to place segment higher or lower than the lower limbus?
- might want to take segment higher if the patient does a lot of near vision work and is generally slight down - might want to take segment slightly lower if the patient is rarely going to use near vision portion and is more concerned with the distance