Revision

Question 1

SOAP

Answer 1

Subjective(questions) Observe, Assessment, Plan

Question 2

this Pt requires more frequent follow ups

Answer 2

first time extended wear/GP users

Question 3

symptoms: excessive tearing, red in cunjunctiva, swollen eyelids, photophobia, blurry vision

Answer 3

corneal ulcer

Question 4

Pt sleeps w/ CL or not caring for CL like instructed

Answer 4

corneal ulceer

Question 5

small, whitish “blobs”
are a collection of white blood cells
early sign something is wrong with cornea

Answer 5

corneal infiltrate

Question 6

blepheritis, chemical sensitivity from lens soluction

Answer 6

“causes” of corneal infiltrate

Question 7

inflamation of the eyelids

Answer 7

blepheritis

Question 8

symptoms: foreign body sensation, photophobia, red eyes, excessive tearing

Answer 8

corneal infiltrate

Question 9

improper use of tap/distilled water to clean lens
Wearing Cl when swimming, showering/bathing, or in hot tub

Answer 9

Acanthamoeba keratitis

Question 10

symptoms: severe eye pain, redness, excessive tearing, blurred vision, photophobia, foreign body sensation

Answer 10

acanthamoeba keratitis

Question 11

symptoms: eyes feel scratchy, and dry, Cl are not comfortable, visible redness on horizontal areas

Answer 11

9 and 3 o’clock staining

Question 12

surface scratches caused when foreign debris is trapped on cornea beneath a CL

Answer 12

foreign body staining

Question 13

symptoms: gritty, sandy, burning, scratchy sensations on eye(s). Conjunctiva may be red or irritated

Answer 13

dry eye

Question 14

papillae on underside of eyelid are enlarged and red

Answer 14

giant papillary conjunctivitus

Question 15

mechanical rubbing of palpebral conjunctiva(due to CL wear is too long/ wearing longer than prescribed/ wearing dirty/poorly cleaned CL)
some solutions due to chemical composition

Answer 15

causes of GPC

Question 16

symptoms: itching, mattering, foreign body sensation, conjunctival injection, dryness

Answer 16

GPC

Question 17

Pt is myopic(-) in one eye and hyperopic(+) in the other

Answer 17

antimetropia

Question 18

image in one eye is seen significantly larger in one eye than the other

Answer 18

aniseikonia

Question 19

eyes have unequal refractive powers

Answer 19

anisometropia

Question 20

serious condition specifically for infants and young children as it can lead to amblyopia

Answer 20

anisometropia

Question 21

uncorrectable loss of vision in eye that appears to be normal
this can be due to suppression by the brain

Answer 21

amblyopia

Question 22

1-2 week, 3-6 month follow ups

Answer 22

new daily wear Pts

Question 23

1 day, 3 day, 1 week, 1 month, 3-6 month follow ups

Answer 23

new extended wear soft CL Pts

Question 24

annual follow up

Answer 24

existing daily wear Pts

Question 25

2-3 times a year follow ups

Answer 25

existing extended wear Pts

Question 26

symptoms: discomfort on lens insertion, excessive movement, edge lift, lag on upward gaze

Answer 26

loose/flat soft CL

Question 27

mires are clear, blurry when blink, then become clear again

Answer 27

loose/flat soft CL

Question 28

symptoms: discomfort on lens insertion, decreased vision, excessive movement there may be no symptoms

Answer 28

everted(inside out) lens

Question 29

symptoms: lens awareness/discomfort excessive movement, lens lag, edge bubbles, lens rides high attaches to upper lid then drops

Answer 29

loose/flat GP lens

Question 30

symptoms: discomfort on lens insertion, burning, redness, eye itching

Answer 30

irritation from solution

Question 31

symptoms: eye redness, excessive tearing, blurred vision, photophobia, severe pain, eye discharge

Answer 31

microbial keratitis

Question 32

discomfort after a period of wear, scleral indentation, burning/stinging, fluctuating vision, redness

Answer 32

tight/steep soft lens

Question 33

mires are blurry, are clear after blink, become blurry again

Answer 33

tigh/steep soft lens

Question 34

if corneal cylinder is >2.5D

Answer 34

GP bitoric lens

Question 35

corneal astigmatism is <2.5D and refractive astigmatism is not the same amount as corneal astigmatism

Answer 35

GP front toric lens

Question 36

taco test

Answer 36

determines if lens is correct orientation or if it’s everted(inside out)

Question 37

replace cases every

Answer 37

1-3 months

Question 38

replace solutions every

Answer 38

30 days

Question 39

corneal layer responsible for maintaining proper hydration level

Answer 39

endothelium

Question 40

disinfectant chemical safe to use with soft contact lens

Answer 40

polyquatermium 1

Question 41

when soft contact lens wearer reports difficulty with near vision, but is fine with distance

Answer 41

over corrected

Question 42

Pt's health history as a temporary contraindiction to use of contact lenses

Answer 42

acute conjunctivitis

Question 43

during long periods of non-use; rigid lenses should be stored in

Answer 43

a dry state

Question 44

this instrument can simultaneously measure/evaluate diameter, optic zone diameter, and surface condition of GP lens

Answer 44

measuring magnifier

Question 45

this lens tint changes color of light irises but doesn't impact dark irises

Answer 45

enhancement tint(s)

Question 46

V-channel/slot gauge measures

Answer 46

GP lens diameter

Question 47

soft multifocal contact lens design where there is a gradual power change from center to edge of optic zone

Answer 47

aspheric design

Question 48

decreasing overall diameter and flatten BC will

Answer 48

effectively loosen/flatten CL fit

Question 49

increasing overall diameter and steepening BC will

Answer 49

effectively tighten/steepen CL fit

Question 50

"Dominate eye" is fit for distance and "non-dominate eye" is fit for near

Answer 50

monovision

Question 51

surface, wing, basal

Answer 51

cell types found in epithelium

Question 52

characterized by puffy lid margins and dandruff like scales

Answer 52

blepharitis

Question 53

higher power =

Answer 53

steeper curve

Question 54

lower power =

Answer 54

flatter curve

Question 55

separate areas for distance and near

Answer 55

concentric design

Question 56

lenses move to use distance or near

Answer 56

translating/alternating design

Question 57

look like a bifocal lens on cornea

Answer 57

translating/alternating design