Refraction / Keratometry Flashcards

1
Q

In myopia, the image forms ______ the retina while in hyperopia, the image forms _____ the retina

A

myopia - front of retina

hyperopia - behind retina

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2
Q

The emmetropic eye focuses parallel light onto the retina when accommodation is _____

A

relaxed

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3
Q

In myopia, the power that the eye has has is ____ than what it needs. The discrepancy is ____ and the Rx is ____

A

In myopia, the power that the eye has has is more than what it needs. The discrepancy is plus and the Rx is minus

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4
Q

In hyperopia, the power that the eye has has is ____ than what it needs. The discrepancy is ____ and the Rx is ____

A

In hyperopia, the power that the eye has has is less than what it needs. The discrepancy is minus and the Rx is plus

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5
Q

The Rx is always ____ and ____ to the discrepancy

A

equal and opposite

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6
Q

Pinhole changes the ____ of each blur circle without changing the ____

A

Pinhole changes the size of each blur circle without changing the defocus (dioptric blur)

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7
Q

Whatever VA the patient has through pinhole, they should see ______ with refraction

A

at LEAST as well

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8
Q

What is Hofstetter’s formula for accommodation?

A

15 - 0.25(age)

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9
Q

Amplitude of accomodation peaks at age ___

A

14

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10
Q

accommodation is always ____

A

plus or 0

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11
Q

What do the values in B = LOAD stand for?

A
Blur
Lens
Object distance
Accommodation
Discrepancy
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12
Q

Define Fog

A

too much plus on purpose

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13
Q

What is the purpose of fog?

A

to relax accommodation

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14
Q

Why do young hyperopes often have perfect vision?

A

They can accommodate the difference

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15
Q

What are the three clouds of hyperopia?

A
  1. Asthenopia at near
  2. Earlier presbyopia
  3. Complete dependence on correction later in life
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16
Q

The range of clear vision is measured from the _____ to the _____

A

near point to the far point

17
Q

What does beyond infinity mean optometrically?

A

no matter how far away the object is, the eye is always going to be TOO CLOSE for that eye to see it clearly

18
Q

the axis of the cylinder corresponds to the principal meridian containing ________

A

plane power

19
Q

What is the circle of least confusion?

A

the dioptric midpoint of the two line foci

20
Q

What is the sphero equivalent?

A

the point that coincides with the circle of least confusion

21
Q

a meridian forms an image of a line ____ to itself

A

perpendicular

22
Q

Autorefractors give the ___ no the ___

A

Rx not the discrepancy

23
Q

Autorefractors give the Rx in the _____ plane and use ____ to control accommodation

A

in spectacle plane

use fog to control accommodation

24
Q

What does a Keratometer measure?

A

refractive power in the two principal meridians of the cornea

25
Keratometers provide information regarding _____ not ______
astigmatism, not spherical ametropia
26
Keratometer is also known as a/n ______
ophthalmometer
27
What are the applications of the Keratometer?
1. Predict total astigmatism 2. Contact lens fitting 3. Evaluate integrity of cornea 4. Calculate Estimated Lens Power before cataract surgery
28
A steep cornea has a ____ radius of curvature
short
29
What does with the rule mean?
more power in the vertical meridian
30
What does against the rule mean?
more power in the horizontal meridian
31
Oblique astigmatism has an axis that is not within ___ degrees of the 90 or 180 axis
30 degrees
32
Irregular astigmatism has two principal meridians that are what?
not 90 degrees apart from each other
33
What is Javal's Rule?
1.25(corneal astig) + 0.50 AR
34
The problems with Javal's Rule is that internal astigmatism is _____, _____ with age, and the 1.25 constant doesn't take ____ into consideration
The problems with Javal's Rule is that internal astigmatism is *variable*, *increases* with age, and the 1.25 constant doesn't take *ametropia* into consideration
35
If there is significant refractive astigmatism, it probably comes from the ______
cornea
36
What can corneal topography identify? (4 things)
1. Keratoconus 2. Pellucid marginal degeneration 3. Pre and Post LASIK measurements 4. Irregular astigmatism