RGP selection Flashcards

1
Q

RGP

What is TD?

A

Total diameter of the lens

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2
Q

RGP

What is BOZR?

A

Back Optic Zone Radius
i.e. the radius of curvature of the optic zone of the lens

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3
Q

RGP

What is BOZD?

A

Back Optic Zone Diameter
i.e. the diameter of the optic zone of the lens

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4
Q

RGP

What is BOZR chosen according to?

A

Keratometry - the curvature of the corneal surface

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5
Q

RGP

What is BOZD chosen according to?

A

Max pupil size (1.5mm bigger)

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6
Q

RGP

If the BOZD is too small, what might happen?

A

Px looks through peripheral curves, causing flare

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7
Q

RGP

What is TD based on?

A

HVID (2mm smaller)

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8
Q

RGP

Do the peripheral curves get flatter or steeper towards the edge of the lens?

A

Flatter

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9
Q

RGP

What do the peripheral curves help with?

A

Tear film exchange
Lens removal

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10
Q

RGP

What is edge clearance?

A

The horizontal gap between the cornea and back surface of peripheral curves (to edge of lens)

How wide the gap is from the cornea to the edge of the lens

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11
Q

RGP

What is radial edge lift?

A

Vertical gap between cornea and back surface of the edge of the lens

Parallel with cornea

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12
Q

RGP

What is axial edge lift?

A

Vertical gap between cornea and back surface of the edge of the lens

Perpendicular to cornea

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13
Q

What three things are you aiming for when fitting an RGP?

A

Mimicking of corneal curvature with the back surface of the lens
Evenly distributed pressure on the cornea (more comfortable
Enough edge clearance to allow tear exchange/lens removal

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14
Q

On fluorescein examination of an RGP fit, what does a darker area mean?

A

That part of the lens is closer to the cornea than brighter areas

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15
Q

How much of the cornea does keratometry measure?

A

Central 3-4mm

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16
Q

Which meridian is steeper on With-the-rule Astigmatism?

A

Vertical

17
Q

Which meridian is flatter on Against-the-rule Astigmatism?

A

Vertical

18
Q

How much corneal astigmatism can (the tear lens behind) RGPs correct?

A

~2.50-3.00DC

19
Q

When would a toric RGP be needed?

A

> 0.75DC lenticular astigmatism