Multifocals Lenses Flashcards

(58 cards)

1
Q

2 different types of add on lenses

A

Cemented bifocals & fresnel D seg

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2
Q

What are cemented bifocals?

A

Small plus lens glued to the back. Good optics but collects dirt and could fall off

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3
Q

What are fresnel d seg lenses

A

Sticker on lenses can be temporary but poor optics

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4
Q

What are fused bifocals

A

Small high n glass inserted into a hole in the front of the lens. (Only in glass so aberrations)

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5
Q

What is an up curve bifocal? Advantages and disadvantages

A

Lens was ground for reading rx and the distance portion was made flatter to reduce the plus. Invisible line but aberrations and BD prism on the distance rx

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6
Q

What is the perfection bifocal

A

2 lens held to get her by a groove. Difficult to manufacture

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7
Q

Modern one piece bifocal

A

Increased plus by grinding a different curve on the front or back of the lens, can feel the ledge

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8
Q

What bifocals are change of curvature

A

On piece
Perfection
Up curve

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9
Q

Which bifocal has a change in refractive index

A

Fused bifocals

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10
Q

Seg width

A

The size of a bifocal or trifocals segment measured across its widest section

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11
Q

Seg depth

A

The longest vertical dimension of the lens segment before the lens has been edged

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12
Q

Seg height

A

Vertically measured distance from the lowest point on the frame to the level of the top of the segment

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13
Q

Seg insert

A

The lateral distance from the PRP to the OC of the segment

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14
Q

Seg drop

A

the vertical distance from the PRP to the top of the segment

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15
Q

Flat tops/ D segments:
Seg OC is:
Advantages
Disadvantages

A

Seg OC is 5mm below ledge

Cheap and light

No intermediate

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16
Q

Round segs

A

-Used to be used with hig index but now available in plastic called a blended bifocal

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17
Q

What is a ultex bifocal

A

Round segment with large diameter for a larger reading area

Rarely used

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18
Q

Round segs disadvantages

A

Narrow FOV
In the way of distance
The oc is in the middle of the round segment so high image jump

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19
Q

Executive bifocal?
Advantages ?
Disadvantages?

A

The add seg covers the whole bottom half of the lens
Front surface is ground with a smaller radius of curvature
OC is at the top of the seg

_Wide FOV , no image jump
- heaviest bifocal, edge chops, thick ledge is obvious

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20
Q

Curved top seg

A

Oc is 2 mm higher than FT which allows for easier access to the wider part of seg.
Fewer reflections than FT
But same disadvantages as FT

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21
Q

Ribbon seg/ b segment

A

Ft but with button cut off.
Small depth of seg reduced riding area
2 lines increases reflections
( can be used with one eye and other eye FT to reduce vertical imbalance)

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22
Q

Is an usual lens, as gaze moved away from the OC,

A

Prims is progressively experienced , the effect is gradual and wearer is unaware (prentice rule)

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23
Q

When there is a second lens attached to the main one. The Gradual increase is interrupted

A

Image jump

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24
Q

What is image jump?

A

The apparent displacement of an object as the eye crosses the top edge of the segment (independent if distance RX)

25
What else is seen during image jump?
Scotoma of visual information
26
What bofical has no image jump
Executive because oc is right at the edge
27
Which bifocals show the most image jump
Round segs/ ultex | Because oc is in the center of the circle ( far for top of seg)
28
Where is the OC in flat bifocals
5mm from top
29
Where is the OC in round bifocals
Diameter/2 (different for all kinds)
30
Oc of ultex is usually
19 (huge image jump)
31
In image jump, the further the separation between the segment OC and the top of the segment
The more pronounced the effect (image jump)
32
What is the typical intermediate power in a trifocal?
1/2 of the near add power, but can depend on their intermediate needs
33
FOV of trifocals is
Decreased so used with caution for computer add
34
When can trifocals be considered
>+1.50 add struggle to see intermediate | Mechanics/ card players
35
What are the different types of trifocals and the numbers use to describe them?
- Flat top trifocals ( first # how tall the intermediate seg is, second # how wide the segment ) - E/D trifocal ( executive with a D seg) executive is for intermediate, D seg is for reading) - Executive trifocal (franklin)
36
How do we fit trifocals?
Lower pupil margin to the deepest part of the frame | Bifocal- lower eyelid
37
What are occupational multifocals?
Lens styles that are specifically designed with certain work circumstances in mind
38
What is a double segment lens
Occupational bifocal Pt can view overhead tasks at near viewing distanced Top and bottom usually have same power
39
Quadrafocal lens
4 different powers
40
Golfers bifocal
Near is at the inferior temporal of the lens usually on one eye Can write down score but see ball when looking down
41
Rede rite bifocal
Distance is a circle at the top. Rest is near rx
42
In a PALS lens the add increases in the central region which is called
Corridor or channel
43
Progressive/intermediate Zone of a PALS?
Transition between distance and near zones where clear vision is possible
44
How is the additional power achieved in a PALS ?
Variable curvature/ continually shrinking spheres Horizontally the curves are different radii The amount of cyl is related to the rate of power change
45
Base curve of PALS
Min value at upper distance and max value at lower near portion
46
Prism thinning
Equal amounts of vertical prism can reduce the overall thickness/thickness difference BU is removed Vertical prism is equal in each eye -> no prism imbalance
47
What are disadvantages of variable curve PALS
Unwanted astigmatism/distortIon at the bottom | Blur/swimming sensation
48
The degree of distortion in a PALS lens is influenced by
``` Add power (higher add-narrower corridor) Length of the corridor (shorter corridor) Width of the distance and near zones (affect size of corridor) ```
49
The amount of unwanted cyl is represented as an ______ plot. Which are unique to___.
Isocylinder plot | Unique to the brand of PALS and the rx
50
2 design policies of PALS
Hard and soft
51
What are hard pals
Concentrates distortion into smaller areas expanding the area of clear vision requiring less head/eye movement. But creates higher levels of blur and narrow corridor
52
What are soft pals
Spreads distortion across larger areas reducing blur and creates larger corridors. But narrows the distance and near zones of clear vision requiring more head movement
53
What type of design is the newer PALS
Between short and hard design
54
Horizontal symmetry in PALS
Minimizes difference in induced cylinder between corresponding points on the nasal and temporal sides of the corridor
55
PAL disadvantages include
- Adaptation period to peripheral distortion - having a narrow intermediate area - need head movement
56
OPLs /occupational progressives
Computer progressives have a wide intermediate and near zones with low levels of peripheral astigmatism
57
How to fit a pt in a PAL
Monocular PD | Seg height is measure from the center of pupil to deepest part of frame
58
What are additional measurements to individualize PAL lenses?
Frame Patient ( arm length) Measure w mm ruler