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Details

Distance Refraction Sequence
Ret --> Radial Line --> Bichrome --> JCC --> MSBVA --> 7 --> 7a
36
Medical
Graduate
10/24/2011

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Cards

Term
When recording keratometry values, what is the order?
Definition
Horizontal/Vertical @ axis
Term
What should be done to the Delta K from straight keratometry readings?
Definition
Multiply by 1.25 before adding lenticular astigmatism
Term
When should 0.50D of ATR be ADDED?
Definition
If cornea has ATR astigmatism
Term
When should 0.50D of ATR be SUBTRACTED?
Definition
If cornea has WTR astigamatism
Term
When is no lenticular astigmatism added?
Definition
When oblique astigmatism is present
Term
When does keratometry axis equal minus cylinder axis?
Definition
When horizontal meridian is of greater power than the vertical meridian
Term
Does Radial Line require a 20/40 blur?
Definition
Yes
Term
Does Radial Line require removing all cylinder from the phoropter?
Definition
Yes
Term
When should equivalent sphere be adjusted in radial line?
Definition
Once our cylinder power has been moved from zero to 0.50 D past the cylinder endpoint from retinoscopy and every 0.50 after that
Term
Should the end point from Radial Line be bracketed?
Definition
yes
Term
Where should the cylinder power endpoint from Radial Line be left?
Definition
On the choice that has an equal response or has less minus if there is no true equal
Term
What is the ratio for maintaining equivalent sphere?
Definition
0.25 sph D for every 0.50 cyl D
Term
What is the best illumination for Bichrome?
Definition
as dim as you can get it
Term
What is the target for bichrome?
Definition
red/green filter over 20/80 letters
Term
Does Bichrome require a 20/40 blur?
Definition
Yes
Term
Is cylinder power removed for Bichrome test?
Definition
No
Term
What is the recorded endpoint for Bichrome?
Definition
The sphere power that produces a response of equal
Term
What power should be left in the phoropter for the next test at the end of Bichrome?
Definition
The sphere power that produces the first response of 'green'
Term
What should be done if the endpoint of Bichrome produces 3 or more responses of 'equal'?
Definition
add more plus and start over
Term
What should be done if two equal endpoints are found in Bichrome?
Definition
Average the sphere values together and record that
Term
What is the proper illumination for MSBVA?
Definition
Standard room illumination
Term
Does MSBVA require a 20/40 blur?
Definition
Yes
Term
What is the proper target for MSBVA?
Definition
20/25 to 20/15 target after 20/40 blur
Term
In MSBVA, if a pt has a large JND, what should be done?
Definition
In forced choice present 0.50 D choices, but still make the last choice a 0.25 choice
Term
What is the proper target for JCC?
Definition
20/40 line
Term
What is the illumination for JCC?
Definition
Standard room illumination
Term
When should a cylinder search be performed in JCC?
Definition
If ret/radial line has indicated sphere (double check it basically) or if the pt has rejected all cylinder in the 1st or 2nd power check
Term
Does Distance Equalization require a 20/40 blur?
Definition
Yes
Term
What is the illumination for Distance Equalization?
Definition
Standard room illumination
Term
What should the Risley prism be set to for Distance Equalization?
Definition
3 BD OD; 3 BU OS
Term
What is the first lens power change in Distance Equalization?
Definition
Add 0.25 D of plus to the eye with the clearer image
Term
What is the second lens power change in Distance Equalization?
Definition
Add 0.25 of minus to the eye with the blurrier image
Term
If the pt initially reports the two lines are equal in Distance Equalization, do you assume that value and move on?
Definition
No, you must bracket
Term
What is the purpose of BSBVA 7a?
Definition
To find the least minus Rx the pt can achieve BVA through
Term
What is the setup for BSBVA 7a?
Definition
Seque directly from Distance Equalization. Remove prism. Maintain cyl from JCC. 20/20 or 20/10 target
Term
What is the most minus that should be given to a pt in BSBVA 7a during forced choice?
Definition
0.75 D
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