Shared Flashcard Set

Details

Optics
FInal
112
Medical
Professional
04/18/2012

Additional Medical Flashcards

 


 

Cards

Term
What is the clinical significance on an entrance pupil?
Definition

~allows clinical measurement of the pupil 

~Instrumentation- defining acceptance cone of light to instrument or system

Term
What is the clinical significance of exit pupil?
Definition

~Instrumentation-  determines the defining cone of light producing the image and thus the brightness of the image

~telescopes and field of view

Term
Numerical aperture (NA) define 
Definition

Defined by the angle that the marginal ray from the exit pupil makes with the axis. 

~NA is proportional to the square of image brightness. 

~depends on the refractive index of the media of image space 

*** it defines image brightness

 

Formula: N.A = n' sin u'

ie half the angular subtense of the exit pupil 

Term
Define depth of focus 
Definition

~dft distances in image space

~The range over which the image screen can be moved with acceptable clarity 

Term
Define depth of field 
Definition

~the range over which the obj can be moved and imaged with acceptable clarity 

~dft distances from camera (eye) in obj space 

Term
Depth of field and depth of focus depend on :
Definition

~small amt of blur being ok 

~inversely proportionate to N.A

~no consideration for diffraction effects 

Term
TRUE or false the Smaller the pupil larger depth of field 
Definition
TRUE 
Term

TRUE or false the Smaller the pupil larger depth of focus????

Definition
TRUE 
Term
Describe field stops 
Definition

~stops within the system that limit off axis points 

~Limits the extent of the object that is imaged 

~may be a physical stop or a lens in the system 

~If placed at the image plane there is a sharp cut off in intensity at the image edge 

Term
Field of View 
Definition

~the extent of the obj that the system images

~Can be specified by actual size or angle between extreme rays 

Term
What occurs if the field stop is not positioned at the  image plane ?
Definition

~vignetting occurs 

~image brightness fades gradually towards more off axis points of image

 

NOTE: **** often used to optical designers to control the image quality even if the image is not so bright 

~field stop may be an actual aperture or may be a lens in the system 

Term
What is the approximate Approx. field of view of half illumination ?
Definition
~1/2 of the light passes through the effective field stop to form image 
Term
What is the total field of view?
Definition

~only the most extreme point reaches the image 

(ie bright at the axis and darker the further away you go)

Term
What is The purpose of Simple magnifiers?
Definition

~Tries to make the retinal image size as large as possible. (this could be achieved by bringing the obj

as close as possible but you would also get defocus)

~Assumes the near point is 250mm

 

NOTE: *** if the obj is placed at the first principle focus of a magnifiying positive lens the intermediate image is formed at infinity and this acts as an obj for the eye. (It can be viewed by the emmetropic eye or the corrected eye w.o accommodation)

Term
True or false Can you make retinal image size larger by moving the obj closer?
Definition
True, you can do this but the image will be blurred, bc the image is not produced on the retina 
Term
Give the formula for magnification 
Definition

M= angle subtended by the magnified image /angle subtended by direct view of the obj

 

M= w'1/w'2 = (h/f') x(-q/h) = -q/ f'= 250/f' 

TF

~ M=F/4

Term
True or false if the intermediate image is formed at infinity then the position of the eye relative to the magnifier does not matter
Definition

TRUE

note:*** near may be better for increased field of view

 

IF the Image is formed NEARER than infinity than the position of the lens compared to the eye matters. 

Term
When does max magnification occur?
Definition
~ occurs when image is placed at q. 
Term
What is the advantage of stand magnifiers over hand held magnifiers?
Definition

~ there is a fixed distance so px does not need to steadily hold it at a fixed distance 

~this is good bc many ppl that need magnifiers are elderly (may fatigue easily)

Term
What is the optical tube length?
Definition

~the distance btw f' of the objective lens and the f of the eyepiece 

 

**** by convention 160mm

Term
Define the eyepiece 
Definition

~it magnifies the image formed by the objective lens and places it at infinity (typically)

 

Me= -q/-fe' =250/-f'e

Term
What are the 2 refractor telescope types?
Definition

1. Astronomical (Keplerian)

2. Terrestrial (Galilean)  

Term
Keplerian telescopes 
Definition

~positive eyepiece

~distant obj produces an image at f'o(objective lens 2nd focal pt), which is coincient with fe (primary focal pt of the eyepiece), bc the distance btw the eyepeice and the objective lens is (f'o -fe), this produces a longer telescope

 

NOTE **** GIVES A REAL INVERTED IMAGE 

prisms are used to re invert the image

Term
What problems will larger frames cause?
Definition

~make the lens bigger, heavier and thicker

~may touch cheeks 

Term
what are the 6 steps of bench alignment ?
Definition

1. tighten all screws

2. adjust bridge of frame

3. frontal hinge angle

4. 4 point touch (affects pantoscopic angle)

5. temple tips

6. nose pads if applicable 

 

****all steps must be done in order 

Term
what is the correct amt for pantoscopic angle?
Definition
6-12 degrees
Term

when worried about pantoscopic tilt, if a person has low ears what kind of temple shoudl you choose in frame selection?

high ears?

Definition

mid to low temple 

 

high temples for high ears

Term
If a clinic wanted plastic frames what type of bridge would be the best fit for a narrow bridge ?
Definition
~key hole bridge
Term
what is the most common line bifocal style?
Definition
Straight/ flat top 28 bifocal (ST-28)
Term
the distance optical centre
Definition
~this is set by the manufacturer and is usually 3-9 mm above the top of the bifocal segment. It will be equal in both lenses if manufactured as a pair 
Term
franklin executive bifocal 
Definition

~Crown glass & CR 39

~very heavy lens

~near OC segment line (no jump)

~one piece design (both lens materials)

Term
Round Top 
Definition

~CR- 39 and crown glass

~2nd most common 

~Near OC at centre of segment 

~available 22, 24, 25 segments

~adds available up to+30.00D in CR-39 

(+0.25D steps up to +15D)

(+0.5D steps up to +30D)

Term
Straight Top bifocal 
Definition

Available in 22, 25, 28, 35, 40 and 45 mm segments,

measured across full width of the segment, not line

-Adds available to +8.00D -Most common bifocal design - Near OC at 5mm below seg line

-Available in (fused) glass, (one piece) CR39, polycarbonate and some high index lens materials

Term
Near optical centre
Definition

Near OC is below the seg line, OC setting is dependant on bifocal style

 

When neutralizing the add the near OC will not centre in the lensometer redicule


The lower the OC in the bifocal, the more “prismatic jump” the image will have

~Do not try to centre the lensometer target when neutralizing the add power

Term
What are reasons for a bifocal instead of a pal ?
Definition

Worn line bifocal in the past

 Has an rx outside of PAL range

 Cannot adapt to PAL

 Has vocation or avocation needing specific Rx ranges


 Add power is usually for 40cm but could be adjusted for special circumstances*

*Tall people can need a full add at 60cm due to longer arms!! Check during the eye exam!!

Term
what are the categories for indices of lenses
Definition

 normal: 1.48 - 1.54 

mid: 1.54 -1.64 

high: 1.64- 1.74 

very high: >1.74

Term
what is the rule of thumb about constrigence 
Definition
V<40 is likely to give reports of px seeing colour fringing 
Term
True or false the more chromatic abberation in a lens the faster the VA will be affected
Definition
TRUE
Term
what are Huygens eyepieces?
Definition
~2 plano convex air spaced lenses of the same material to reduce TCA
Term
Ramsden eyepiece
Definition
~similar to a Huygens eyepiece, TCA is not corrected as well BUT other 3rd order abberations are better corrected (plano sides are facing dft directions than Huygens)
Term
What are the two types of PAL designs
Definition

1. hard: hard design short corridor most of distortion is below 180 

 

2. Soft: longer corridor, some distortion in the distance area

 

*** can have long or short corridors 

myopes may tend to prefer hard style bc they are more dependent on their distance rx 

Term
PAL: how large can the add be?
Definition

~adds up to +4 

~distance rx: +13.00D to -18D (-6D cyl) available in every lens material index

Term

On a PAL lens what is located under the temporal etching? nasal etching?

how far apart are the etchings?

Definition

temporal: add power 

nasal: manufacturer

 

The etchings are always 34mm apart (prism pt is exactly btw these 2 pts)

Term
In new PAL designs what are the 4 additional parameters?
Definition

1. corneal vertex distance 

2. pantiscopic tilt

3. faceform angle 

4. monocular IPD's (distance and near)

 

NOTE **** fit frame before you take any PAL measurements 

Term
In high minus lenses what does edge thickness mostly depend on?
Definition

~symmetry of the frame 

~measurement of E.D(effective diameter)

 

~consider frame edge style during frame selection 

Term
High plus lenses centre thickness depends mostly on 
Definition

~frame size 

 

choose small symmetrical lenses

Term
What is a good abbe #?
Definition
Any Abbe # above 40 is good and there will be very little colour fringing 
Term
How can field of view be maximized ?
Definition

~fit lenses nearer to the eye (eye lashes allowing)

~may also optimizes retinal image size

Term
what is the formula used to estimate minimum blank size
Definition
E.D = A+ DBL - distance pd 
Term
What does the edge thickness of a minus lens depend on?
Definition

~spherical lenses it will depend on frame shape

~spherocyl lens it will depend on shape of frame and toric powers 

~also dependent on E.D 

Term
Frame selection high minus lens
Definition

1.small, dark and close  

2.regular shape, metal or plastic  

3.check vertex distance 

4.thicker full eyewire with a hide a bevel 

5.small eye size 

6.nose pad / guard arm clearance

7.discourage rimless

Term
What are 2 factors that affect field of view 
Definition

1. As vertex distance increase, F.O.V decreases

2. As the size of the lens increases, F.O.V decreases

Term
Fitting high plus lenses
Definition

1.small eyesize 

2.little or no decentration

3.short vertex distance

4regular shape (more round)

5.adjustable nosepads

6.cable temples or tight fitting skulls temples

7.no rimless

 

Term
what do you have to watch out for design wise when px has high RX?
Definition

Long lashes 

~high cheek bones

~high rx

~face wrap

~flat bridge 

~frames with no nose pads

Term

what is the formula for decentration?

 

MBS formula 

Definition

Decentration = (frame pd - px pd)/2

 

 

MBS= E.D + 2 decentration(per eye)

Term
How high of a minus rx before you consider lenticulated lenses?
Definition

-12.00D

 

~myodisc 

~blended lenticular 

Term
Ways to correct vertical imbalance 
Definition

~ single vision glasses and readers 

~single vision glasses tilt head down to continue looking through optical centre 

~bifocal CL's, monovision, or CL and readers

~slab off prism 

Term
what is the rule of thumb for taking vertex distance ?
Definition
take vertex distance for rx over -8.00D or +6.00D
Term

HIGH RX’S -­ CONSIDERATIONS

Things to always consider with high Rx’s

Definition

Frame selection – frame pd = patients pd, rounded shapes, nosepads with good guardarms, add nosepads?, wider hinges for minimum eyesize and best fit


Lens selection – hi index and/or aspheric, AR a must!

Photochromic, a good option – check availability

Measurements – monocular pds, pupil height, vertex distance, base curves

Counselling – even small changes are an issue: change of frame size, lens index and vertex should be discussed when ordering not on delivery

Listen to client concerns, be realistic and honest

Term
What are the 5 categories of Seidel aberrations?
Definition

1. spherical aberration

2. coma 

3. oblique (off axis) astigmatism

4. curvature of field 

5.distortion 

 

****** assume spherical surfaces 

Term
what is the only seidel aberration that occurs ON axis?
Definition
Spherical aberration 
Term
Longitudinal Spherical aberration depends on?
Definition

~square of aperture (pupil radius)

 

Term
What does transverse spherical aberration depend on?
Definition
~cube of aperture (pupil)
Term
Positive spherical aberration 
Definition
~ the marginal rays focus to a point nearer to the lens than ideal 
Term
negative spherical aberration 
Definition
~when the marginal rays focus to a pt farther away from the lens than ideal 
Term
What are factors affecting LSA
Definition

~ LSA decreases as refractive index increases

 

~LSA varies as a factor of F^3

 

~LSA increases as the square of pupil radius 

 

~LSA varies with obj position 

Term

TRUE or FALSE 

spherical Aberration can be completely eliminated by changing the lens form 

Definition

FALSE 

~it can be reduced but not completely eliminated

Term
What is coma?
Definition

~ variation of magnification btw the peripheral and the paraxial rays 

~depends on square of the aperture and the height of the object 

~coma is 0 when shape factor =0.8

Term
what is oblique astigmatic error?
Definition

(OAE) is difference between tangential and sagittal foci

Term
What is mean oblique power ?
Definition
~mean oblique power is the average position btw tangential and sagittal foci 
Term
What is oblique astigmatism?
Definition

~the inability of a lens to form a pt image of a pt obj

~depends on the square of the object height and the pupil diameter

Term
What is a tschering ellipse
Definition
~the relationship of surface power to back surface power of a thin lens for which oblique astigmatism is eliminated 
Term
which branch of tschering ellipses are used more frequently and why?
Definition
~oswalt branch is used more than Wollaston branch, because you get a smaller lens and still get optimal preformance  
Term
TRUE OR FALSE All tints now are recorded by colour & percentage of light absorption.
Definition
TRUE
Term
Which lens materials tint the best ?
Definition

~CR-39

NOTE:*** polycarb and some high index materials are hard to tint 

~some SRC are non tintable 

~CAN NOT TINT OVER AR COATINGS EVER

Term
UV 400 Coating is only used on which lens material
Definition

~CR-39 

***** NO UV coating available for glasse lens materials 

Also new high index lenses already have UV 400 protection built into lens 

Term

TRUE OR FALSE 

no lens is scratch proof but can be scratch resistant 

Definition
Term
When does transition 6 lenses work the best ?
Definition

~cold bright weather/climate

~will not become as hard in warmer climate 

NOTE: this type does NOT darke  behind the windshield 

Term
What kind of transition lens can darken behind a windshield and is better for warmer climates/weather?
Definition

Transitions XtrACtive

~also has a slight tint when indoors(15%)

Term
True or false polarized lenses can not be safety hardened due to the lamination process
Definition

TRUE

*****BUT They are consider “safe” because the lenses “stick” to the polarized film if the lens is chipped, cracked or broken.

Term
TRUE OR FALSE AR coating is permeable and can be applied before the tinting process
Definition
FALSE AR coatings are not permeable and MUST be the last coating applied
Term
What type of eye injury is most common?
Definition
~foreign body 75.9% (usually metal)
Term
what group of people are most likely to be injured in the work place ?
Definition
~young men 
Term
What are 3 protective strategies in the work place?
Definition

1.Avoidance: Isolate hazard from worker, physical barrier 

2. shielding: personal protection equipment, No contact while in presence of hazard 

 

3. Maximum permissible exposure: when PPE can not prevent hazard, limited exposure,

MPE= total exposure vs dose rate 

 

 

Term
Types of personal protection equipment
Definition

1.Safety spectacles including side shields

2. goggles

3. visors

4. helmet

5. respirator facepieces

Term
True or false SRC and ARC actually strengthen the lens
Definition
FALSE src and arc actually weaken the lens 
Term
What is the Canadian standard of eye and face protection?
Definition

CSA Z94.3

~rx and non rx safety glasses

Term
List the types of face / eye protectors
Definition

class 1. safety glasses

class 2. goggles

class 3. welding helmets 

class 4. welding hand shields

class 5. Non rigid helmet hood

 class 6. face shield

class 7. respirator facepieces

Term

What are the types of hazards 

list the classes

Definition

A: Flying objects 

B: flying particles (dust, wind)

C: Heat sparks Molten Splash 

D:Acid splash, Chemical burns 

E. Abrasive blasting materials 

F: glare, stray light 

G: injurious optical radiation 

H: injurious optical radiation 

Term
What group of people are most likely to have a sports injury?
Definition
young men 
Term
Eyeguard design
Definition

!  Desirable features

!  headband

!  shock absorbing foam pads

!  smooth edges

!  no scotoma

!  good optical quality

!  protection from front and side

Term
Professional liability in terms of safety frames
Definition

! 1. Failure to prescribe materials

!  what is most appropriate for the hazard? !  2.Failure to warn

!  what are the limitations of the protector? !  3.Failure to inspect materials

!  have you determined the protector is free of defects?

!  4.Failure to provide appropriate follow-up !  is the protector being used properly?

Term
WHat are 10 things to check before an RX check 
Definition

1.Check transcription frm RX file (very common mistake)

2. Lab error (check lab form vs. order form)

3. +ves and -ves are incorrect

4. re take all measurements 

5. retake measurements on patient to verify

6. Neutralize RX from original rx 

7. base curve change?

8. index change?

9. lens warpage?

10. If high Rx- vertex distance problem

11. missing info frm original order (individualized lens)

12. balance lens 

Term
Heat vs Chemical tempering 
Definition

Heat tempering:

~fast individual process

~not for design lens with surface discontinuity

~up to 600micron compression layer

~polariscope test proof of treatment 

 

Chemical tempering:

~slow batch process

~temperature and purity sensitive

~any design 

~100 micron compression layer 

Term
what is the most common lens fracture/break
Definition

Hertizian fracture 

~small high speed missile

~front surface simple elastic denting 

(ie where the missile hits is not the area of the break, rather the area of the lens at the edge of the missile is where the fracture occurs)

Term
When there is a back surface failure of the lens what has occurred
Definition

~compound flexure 

~slower larger missile on minus lens 

~star pattern to fragments

Term
When there is a edge/bevel failure what has occurred
Definition

This is called simple flexure

~slow larger missile on plus lens 

~tends to fail on minor axis of the lens 

Term
what occurs when there is an EDGE failure 
Definition

~elastic shock wave 

~shock wave focused by Griffith flaw at edge or bevel

~spalling (edge chips)

Term

Ballistic testing 

(CR-39)

Definition

dress lenses 2mm 

~no failures at 18m/s

~90% survive 50 trials 

~all fail at 46.5m/s

 

3mm 

~no failures at 18m/s

~no failures at 46.5m/s 

~failures from 48 -68 impact speed

Term
True or false the lower the temperature is the lower the preformance of the safety lens 
Definition
TRUE
Term
What are laser types, list 
Definition

1. Solid state lasers: Nd YAG lasers

2. GAS: argon, HeNe, Krypton, excimer

3. semi conductors: small low powered lasers   

 

 

Term
Laser beam modes
Definition

Temporal mode:

1. continuous 

2. pulse(ms)

3. Q switched (ns)

4. Mode locked (ps)

 

Spatial Mode:

1. transverse - limited coherence and focusability

2. Longitudinal- frequency and coherence

Term

What is the formula for acceptable emmission limit

 

Definition
AEL = MPE X area of limting aperture
Term

Nominal Hazard Zone (NHZ)

Definition

 The space within which the level of direct, reflected or scattered radiation during normal operation exceeds the MPE

Term
TRUE or FALSE increase computer work increases dry eye symptoms 
Definition
TRUE 
Term
The axis through which the lens is rotated is?
Definition
sagittal axis 
Term
what is a petzval surface ?
Definition
The curved surface in image space that is conjugate to a plane obj at infinity
Term
what is the far point sphere
Definition
~is the locus of points conugate to the fovea as the eye rotates
Term
what is image shell error
Definition

~the dioptric distance btw the far point sphere and the petzval surface 

 

image shell error = FPS -Petz

Term
What is distortion ?
Definition

The inability of a lens to form a image of the same shape as the object   

 

depends on h^3 (obj size cubed)

 

NOTE: can be reduced with a spheric surface 

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