Progressive Lenses Flashcards

(53 cards)

1
Q

with progressive lenses, instead of hard ledge, the curve _

A

gradually slopes off from top to bottom (results in unwanted astigmatism)

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2
Q

add power can be measured _

A

with lens clock (not ideal way)

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3
Q

astigmatism contour plot shows distribution and amount of _

each lines represents _D

A

cylinder

0.50

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4
Q

mean power plot:

mean power =

A

sphere + 1/2(cyl)

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5
Q

mean power plot shows magnitude and distribution of _

A

plus power change

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6
Q

eye-path power profile is a graph of _

A

power from fitting cross, through channel, and near zone

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7
Q

eye-path power profile reveals _ at 95% of add

shows _ of near zone power

A

corridor length

stability

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8
Q

on eye-path power profile, x-axis=_

y-axis=_

A

add power

distance above or below vertical center of lens

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9
Q

design parameters for progressive lenses:

A

base/add power
corridor length
near zone width
distance zone characteristics

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10
Q

the ultimate progressive:

A

distance viewing like SV
8x35 intermediate
executive near zone
no blur

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11
Q

if wide, clear distance produces:

A

hard line along 180, excessive astigmatism below 180

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12
Q

wide intermediate produces:

A

cyl in distance, extra-long corridor

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13
Q

extra wide reading area produces:

A

excessive blur, swim sensation, short channel not very functional

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14
Q

_ area is most critical, patients are more sensitive to blur during this viewing

A

distance

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15
Q

soft designs produce:

A

cyl in distance, extra long corridor

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16
Q

in high add powers, near zone _ dramatically; distance confinement _

A

decreased; increases (also gets smaller)

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17
Q

rotational PALs:
_ lens for both eyes,
used by _

A

same

twisting

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18
Q

multidesign PALs

A
  • one design fits all

- manufacturer prescribed lens

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19
Q

family design:
_ designs, patient sticks with one
specific lifestyle

A

consistent (4)

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20
Q
PALs designed specifically for hyperopes:
reduced _
especially at _
makes _ zone extra wide
to achieve this, put extra cyl at _
A

visual field
near
near
distance

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21
Q

PALs designed specifically for myopes:
clear _ is most desirable
usually don’t need width at near due to minifying effect
to achieve this, put extra cyl at _

A

distance

near

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22
Q

PALs designed specifically for emmetropes:

emphasis to offer maximum _ fields

A

all (intermediate, near, distance)

23
Q

_ patients are the most difficult to be successful with

A

emmetropic presbyopes

24
Q

freeform is also known as _

A

digital surfacing

25
traditional lenses perform optimally only for a limited number of rx powers, optical performance _ as it deviates from that
deteriorates
26
with digital/freeform progressives, PAL is on _ surface
back
27
with digital PALs, intermediate and near zones are _, therefore, minimum _ is experienced
wider | swim
28
seg heights in digital lenses can range in fitting height from _ (used to be _)
11mm, 22mm
29
freeform power ranges from _ to _, out to _ cyl
+6 to -10, -4 cyl
30
digital PALS cost:
225-800
31
What is almost the single most important thing to do when measuring for PAL?
PRE-ADJUST THE FRAME (and take mono PD)
32
If patient can see near/intermediate with only one eye, but not both together, what is the problem?
Incorrectly mono PD
33
Seg height for tall patients should fit _
lower
34
When fitting sunglass PALs, fit seg _
lower
35
higher add = _ unwanted cyl _ near and intermediate zones
more smaller (these patients take a longer time to acclimate)
36
as you go from fixed 11mm to 18mm corridor, the intermediate zone _
grows
37
you have complete control over intermediate zone with (fixed or variable)?
fixed
38
variable designs require a _ or higher height
18mm
39
variable designs sacrifice:
a good transition zone
40
(soft or hard designs) are easier to acclimate to?
soft
41
(soft or hard designs) offer largest zones (near OR intermediate)
hard
42
today's PALs are a mix of _
hard and soft designs
43
the only location where prism can be read
Prism Reference Point (PRP)
44
book on PALs?
Progressive Lens Identifier
45
what marking is very important?
FITTING CROSS LOCATION
46
you must know amount of _ when fitting PAL
faceform and pantiscopic tilt, minimum vertex distance too
47
when fitting PALs, preadjust with _ degrees of _ tilt
8-12, panto
48
for computer PALs you need _ measurement pupils must be within _mm of datum line
near PD | 5
49
for PALs, avoid _ frames nose pads are _ deeper is better for _
aviator good desirable
50
always leave _ on PAL when fitting to pupil center
markings
51
after adjusting PALs, check _ vision, then _, then _
distance, near, intermediate (demonstrate where it's not usable)
52
when adjusting a troubled PAL patient, you must _
REMARK THE LENSES
53
3 magical adjustments for troubled PAL pt:
1. increase panto angle 2. increase faceform 3. reduce vertex distance