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90 notecards = 23 pages (4 cards per page)

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NCLE Vocabulary

front 1

Accommodation

back 1

Adjustment by the eye for seeing at different distances, accomplished by changing the shape of the crystalline lens through action of the ciliary muscle.

front 2

Acuity

back 2

Clearness; visual acuity is measured by the smallest object that can be seen at a certain distance.

front 3

Adnexa Oculi

back 3

Accessory structures of the eye, such as the lacrimal apparatus and the eyelids.

front 4

Afterimage

back 4

Image of an object that persists when the lids are closed.

front 5

Annular Bifocal Contact

back 5

A lens with distance portion ground into the center of the lens and the near portion ground into the periphery.

front 6

Aphakic Lenses

back 6

Lenses designed for post cataract fitting.

front 7

Apical Zone of Cornea

back 7

The central portion of the cornea with a constant radius of curvature. Also called the corneal cap.

front 8

Artificial Tears

back 8

Wetting agent for the cornea to supplement the loss of tear formation.

front 9

Aspheric Lens

back 9

A lens which is not spherical in shape. The curvature gradually flattens as the periphery is approached.

front 10

Astigmatism

back 10

A refractive error that prevents the light rays from coming to a single focus on the retina because of different degrees of refraction in the various meridians of the eye.

front 11

Against-The-Rule Astigmatism

back 11

A condition in which the steepest corneal meridian is in the horizontal plane. An example of Keratometer readings for a patient exhibiting against-the-rule astigmatism would be: K’s 45.00@180/42.00@90.

front 12

Irregular Astigmatism

back 12

Astigmatism caused by an irregularly shaped cornea. This can occur in conditions such as Keratoconus or corneal scarring. This type of astigmatism cannot be corrected by cylinders.

front 13

Lenticular Astigmatism

back 13

Astigmatism that is found in the crystalline lens.

Lenticular astigmatism is present when there is significantly more astigmatism in the patient's refraction (cylinder power in Rx) than on their corneal surface (difference in K-readings).

front 14

Oblique Astigmatism

back 14

Regular astigmatism in which the principle meridians are other than 90 and 180.

front 15

Residual Astigmatism

back 15

Astigmatism remaining after the corneal astigmatism has been neutralized.

front 16

With-The-Rule Astigmatism

back 16

Condition in which the steepest corneal meridian is in the vertical plane. An example of Keratometer readings for a patient exhibiting with-the- rule astigmatism would be: K’s 42.00@180/45.00@90.

front 17

Bactericide

back 17

A chemical that disinfects and kills pathogenic organisms.

front 18

Benzalkonium Chloride

back 18

A preservative used in rigid contact lens solutions because of its germicidal qualities.

front 19

Biomicroscopy

back 19

A method of examining the cornea under a magnification of from 10 to 50 times utilizing a slit lamp.

front 20

Burton Lamp

back 20

An ultraviolet light used to illuminate the fluorescein dye that is used to analyze the fit of a rigid contact lens.

front 21

Canthus

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The angle at either end of the slit between the eyelids; specified as outer (temporal) and inner (nasal).

front 22

Chord Length

back 22

The straight line measurement of the contact lens diameter from edge to edge.

front 23

Contact Lens Wetting Angle

back 23

The angle between the liquid and the lens surface.

front 24

Contour Lens

back 24

A tricurve lens designed to conform to the curvature of the cornea, which flattens as it extends in the periphery.

front 25

Copolymer

back 25

Two or more chemicals that are combined to form a new chemical compound.

front 26

Corneal Cap

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The apical zone or central zone of the cornea that has a constant area of curvature.

front 27

Corneal Diameter

back 27

The diameter of the cornea, usually taken along the horizontal meridian with a ruler. Also called visible iris diameter.

front 28

Deturgence, Corneal

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The state of relative dehydration maintained by the normal intact cornea that enables it to remain transparent.

front 29

Diagnostic Fitting Set

back 29

A set of trial lenses used to gain an overview of the fit of a contact lens.

front 30

Disinfection

back 30

Physical or chemical procedures that kill common pathogenic organisms but may permit some nonpathogenic organisms to survive.

front 31

DK Value

back 31

A measure of the oxygen permeability through a given material where D is the diffusion coefficient for oxygen movement on the lens material and K is the solubility of oxygen in this material.

front 32

Double Slab-Off Lenses

back 32

Sometimes called thick-thin lenses; the upper and lower portions of the lens are reduced in thickness so that when the lens is placed on the eye these portions lie under the upper and lower eyelids. The thin zones aid in stabilizing toric soft lenses.

front 33

Dry Spots

back 33

Areas of drying as noted by absent areas of fluorescein-stained tear film on the cornea when the patient stares.

front 34

Dyer Nomogram System of Lens Ordering

back 34

A simplified system of ordering rigid lenses based on clinical experience, corneal topogometry, and charts of associated lens parameters.

front 35

Enzyme Cleaner

back 35

A cleaning agent that acts on a soft lens by a digestion of protein.

front 36

Esthesiometer (Cochet-Bonnet)

back 36

A device used to evaluate corneal sensitivity, consisting essentially of a nylon thread mounted in a handle so that its length may be varied and calibrated in milligrams of weight necessary to bend a given length of the thread when pressed against the cornea.

front 37

Fissure

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Elliptic space between the eyelids.

front 38

Finished Lens

back 38

A complete lens with anterior and posterior curves, a specified diameter, a designated peripheral curve, and edge design.

front 39

Fitting Set

back 39

A complete inventory of lenses of graduated powers and base curves.

front 40

Flare

back 40

Flutterings or fringing of lights caused by a lens with an optic zone too small as a decentered lens or an excessively loose lens.

front 41

Flat Cornea

back 41

A cornea with a K value less than 41.00 D.

front 42

Fluid Lens

back 42

Power created by having a very convex or concave tear film.

front 43

Fluorescein

back 43

An organic compound that is inert and used to stain the tear film for contact lens fitting and to assess the integrity of the cornea.
Fluorescein is a valuable tool in evaluating the lens to cornea relationship of a rigid gas permeable lens. A
special type of fluorescein (fluorosoft) should be used to evaluate the fitting relationship of a soft contact
lens but will not be useful in evaluating the parameters of that lens.

front 44

Haptic

back 44

The part of a contact or intraocular lens that supports the optic portion and touches the peripheral or nonoptic portion of the cornea: the word indicates “fastening, contact, sense of touch.”

front 45

Hydrogen Peroxide

back 45

A bactericide used for soft lenses.

front 46

Keratoplasty

back 46

A corneal transplant.

front 47

Lenticular Lens

back 47

Relatively large lens most suitable for large, flat eyes; consists of a central optic zone and a surrounding nonoptic flange.

front 48

Limbal Zone

back 48

Junction between the periphery of the cornea with the sclera.

front 49

Loose Lens

back 49

A contact lens with excessive movement; it can be caused by a lens that is too small in diameter, too thick or too flat.

front 50

Meibomian Glands

back 50

Sebaceous glands of the eyelid.

front 51

Microthin Lens

back 51

A lens less than 0.10 mm in thickness.

front 52

Minus Carrier

back 52

A lens designed with an edge configuration similar to that of a minus lens that is thicker at its periphery; often used with high-plus lenses such as aphakic lenses.

front 53

Monovision

back 53

Single-vision contact lenses used for presbyopes for whom the power of the lenses is such that one eye is used for distance vision and the other is used for near vision.

front 54

Mydriatic Agent

back 54

A drug that causes the pupil to contract.

front 55

Nomogram

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A table of precalculated mathematical values used to arrive at the specifications of a rigid lens design.

front 56

Orthokeratology

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The technique of flattening the cornea and thus correcting refractive errors by the use of a series of progressively flatter contact lenses.

front 57

Oxygen Flux

back 57

A measure of the amount of oxygen that will pass through a given area of material in a given unit of time.

front 58

Oxygen Permeability

back 58

The degree to which a lens permits the passage of oxygen across it. It depends on the composition of the plastic (that is, silicone has excellent permeability, whereas PMMA has no permeability), the thickness of the lens, and its water content. It is often expressed as the DK value.

front 59

Pachometer

back 59

An instrument used to measure the thickness of the cornea and depth of the anterior chamber.

front 60

Photokeratoscope

back 60

An instrument designed to photograph annular rings of the cornea and to aid in making a contact lens that will contour to the cornea.

front 61

Placido’s Disc

back 61

A disc with concentric rings to determine the regularity of the cornea when its reflection is revealed on the corneal surface.

front 62

Plano Lens

back 62

A lens with zero power.

front 63

Polymer

back 63

A chain of linked molecular unity of dimension greater than 5 monomer unity.

front 64

Polymerization

back 64

The union of molecules of a compound to form larger molecules and a new compound.

front 65

Polyvinyl Alcohol

back 65

A wetting agent.

front 66

Prism Ballast Lens

back 66

Contact lens with base-down prism added inferiorly to improve the stability of as soft toric or rigid lens. Usually 1 to 1.5 D of prism is added.

front 67

Radial Keratotomy

back 67

A surgical procedure in which clock like incisions are made into the cornea to flatten the cornea and correct myopic refractive errors.

front 68

Residual Astigmatism

back 68

The astigmatism present after the corneal astigmatism has been nullified by a contact lens.

front 69

Retroillumination

back 69

Light is focused on deeper structures such as the iris, while the microscope is adjusted to study the cornea.

front 70

Schirmer Test

back 70

Measures normal tear secretion; the ability of the eye to wet in 5 minutes 15 mm of a 5 x 35 mm strip of filter paper.

front 71

Semifinished Blank

back 71

A contact lens blank in which the posterior curve of the contact lens has been fabricated.

front 72

Soaking Solution

back 72

A solution designed to keep a lens moist and free from contamination.

front 73

Soper Lens

back 73

A rigid lens designed by Joseph Soper with a steep central posterior curve to accommodate large cones of keratoconus.

front 74

Specular Reflection

back 74

A reflection from a mirror surface, such as the back of the cornea.

front 75

Spheric Equivalent

back 75

It is the spheric power of the lens plus half the cylindric power.

front 76

Sterilization

back 76

A method to ensure the complete death of all forms of bacteria fungi, and spores.

front 77

Surfactant

back 77

A cleanser that acts on the surface of a contact lens.

front 78

Tear Film Breakup Time (BUT)

back 78

An evaluation of tear quality; the tear film will normally break up in 10 to 30 seconds and show dry spots. Any dry spot that appears in less than 10 seconds is pathologic.

front 79

Thermal Disinfection

back 79

Disinfection of a lens by heat.

front 80

Thickness of a Lens

back 80

The measurement of the center of the lens.

front 81

Thimerosol (Merthiolate)

back 81

A mercurial agent used for disinfection. Has a high ocular sensitivity rate.

front 82

Three-Point Touch

back 82

That area of the cornea between the apical zone and the limbal zone.

front 83

Truncation

back 83

A design feature used in toric lenses to reduce lens rotation by cutting off a peripheral portion of the lens to conform with the lower lid border.

Can also be used to help the positioning of a rigid prism ballast lens.

front 84

V-Groove Gauge

back 84

A ruler measure with a groove to measure the diameter of rigid lens.

front 85

Visible Iris Diameter (VID)

back 85

A term that represents the iris diameter and aids in selecting the initial lens; often used in place of the corneal diameter.

front 86

Warpage

back 86

A permanent bending of a rigid lens. May also refer to a semipermanent altering of the corneal curvature.

front 87

Wet Storage

back 87

The use of soaking solution to store rigid contact lenses.

front 88

Wetting Solution

back 88

Solutions that increase the spreading or wettability of liquids in the plastic contact lens by converting the surface of a lens from a hydrophobic to a hydrophilic surface.

front 89

Chlorbutanol

back 89

An antimicrobial agent used in rigid lens disinfectants.

front 90

Ascorbic Acid

back 90

One of the most common preservatives in soft contact lens disinfecting solutions.