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NCLE PREP

front 1

IF A PATIENT'S K READING SHOWS THE SAME DIOPTER VALUE AT 180 AND 90, WHAT TYPE LENS WILL BE NEEDED ?

back 1

SPHERICAL

front 2

WHICH IS NOT A SLIT LAMP ILLUMINATION?

►DIRECT ►SCLEROTIC SCATTER ►MODERN ►DIFFUSE

back 2

MODERN IS NOT A SILT LAMP ILLUMINATION

front 3

WHAT IS ANOXIA?

back 3

A DEFICIENCY OF OXYGEN.

front 4

NAME THREE TYPES OF BIFOCAL CONTACT LENSES

back 4

ANNULAR AKA ASPHERIC

SEGMENTED AKA TRANSLATING

CONCENTRIC

front 5

IF A CORNEA IS FLATTER THAN AN AVERAGE CORNEA WHAT CONDITION WILL THIS LIKELY CAUSE?

back 5

HYPEROPIA

front 6

A CONVEX LENS CREATES A MINUS OR PLUS LENS

back 6

A PLUS LENS

front 7

A CONCAVE LENSE CREATES A MINUS OR PLUS LENS

back 7

A MINUS LENS

front 8

WHAT DOES PRK STAND FOR?

back 8

PHOTOREFRACTIVE KERATECTOMY

a laser eye surgery used to correct refractive errors, such as nearsightedness (myopia), farsightedness (hyperopia), and astigmatism.

front 9

APHAKIC

back 9

ABSENCE OF CRYSTALLINE LENS

front 10

WHAT IS THE INDEX OF REFRACTION OF THE CORNEA?

back 10

1.376

front 11

WHAT IS THE AVERAGE DIOPTER POWER OF THE CORNEA?

back 11

+43.00 DIOPTERS

front 12

WHAT IS THE REFRACTIVE POWER OF A KERATOMETER?

back 12

1.3375

front 13

WHAT IS THE VERTEX DISTANCE FORMULA?

back 13

DIOPTER POWER

1-(MM x DIOPTER POWER)

front 14

WHAT IS THE DIOPTER TO MM REFERENCE POINT?

back 14

7.50 MM = 45.00 DIOPTERS

front 15

FORMULA TO FIND BASE CURVE

back 15

337.5 / DIOPTER POWER

front 16

FORMULA TO FIND K READING

back 16

337.5 / BASE CURVE

front 17

FORMULA TO FIND NEW LENS POWER

back 17

MM X .3375

front 18

WHEN THE POWER OF A CURVE INCREASE BY .50 DIOPTER THE RADIUS OF CURVATURE DECREASE BY?

back 18

APPROXIMATELY 0.10 MM

front 19

WHAT IS THE ANSI STANDARD TOLERANCE FOR THE DIAMETER OF A CONTACT LENS?

back 19

+/- .50

front 20

WHAT IS THE ANSI STANDARD OF A POWER OF RIGID LENS WITH THE POWER FROM 5.12 - 10.0 DIOPTERS?

back 20

+/- .18

front 21

WHAT IS THE ANSI STANDARD OF A POWER OF RIGID LENS WITH THE POWER FROM A LENS LESS THAN +/- 5 DIOPTERS?

back 21

+/- .12

front 22

HOW MUCH % OF CYL IS PRESENT IF AXIS IS 30 DEGREES AWAY?

back 22

25%

front 23

HOW MUCH % OF CYL IS PRESENT IF AXIS IS 45 DEGREES AWAY?

back 23

50%

front 24

HOW MUCH % OF CYL IS PRESENT IF AXIS IS 60 DEGREES AWAY?

back 24

75%

front 25

HOW MUCH % OF CYL IS PRESENT IF AXIS IS 90 DEGREES AWAY?

back 25

100%

front 26

WHAT DOES SOAP STAND FOR?

back 26

SUBJECTIVE EXAM

OBJECTIVE EXAMINE

ASSESS THE SITUATION

PLAN THE APPROPRIATE MANAGEMENT STEPS

front 27

WHAT DOES RSVP STAND FOR?

back 27

REDNESS

SENSITIVITY TO LIGHT

VISUAL CHANGES

PAIN

front 28

WHAT IS THE TOTAL OPTIC POWER OF THE EYE?

back 28

60 DIOPTERS

CORNEA = +43 DIOPTERS

CRYSTLINE LENS = +17 DIOPTERS

front 29

IF A LENS JUMPS AFTER A BLINK AND VISION TAKES TIME TO RESETTLE THIS IS AN INDICATION OF WHAT?

back 29

LENS IS TOO LOOSE

front 30

IF A LENS BARELY BUDGES ACROSS THE BLINK CYCLE THIS IS AN INDICATION OF WHAT?

back 30

LENS IS TOO TIGHT

front 31

IF A LENS DIPS BRIEFLY AND STABLIZES RIGHT BACK AFTER BLINK THIS IS AN INDICATION OF WHAT?

back 31

A NORMAL LENS FIT

front 32

WHAT IS THE INDEX OF REFRACTION OF THE VITREOUS?

back 32

1.34

front 33

SHORTER THE RADIUS CREATES A TIGHTER OR LOOSER FIT?

back 33

TIGHTER

front 34

A STEEPER CURVE HAS WHAT EFFECT OF THE DIAMETER?

back 34

CREATES A LONGER DIAMETER

front 35

A TIGHTER FIT IS AN INDICATER OF WHAT KIND OF POWER OF LENS?

back 35

A STRONGER POWER

front 36

WHY DOES A TIGHTER FIT CREATE A STRONGER POWER?

back 36

THE STEEPER CURVE CREATES A PLUS LACRIMAL LENS

THUS A STEEPER THAN K READING

front 37

A TIGHTER FIT CREATES WHAT KIND OF RADIUS OF CURVATURE?

back 37

SHORTER RADUIS OF CURVATURE

front 38

A LOOSER FIT CREATES WHAT KID OF RADIUS OF CURVATURE?

back 38

LONGER RADUIS OF CURVATURE

front 39

WHY DOES A LOOSER FIT CREATE A WEAKER POWER?

back 39

IT CREATES A FLATTER CURVE WITH A MINUS LACRIMAL LENS

A FLATTER THAN K READING

front 40

A SHORTER DIAMETER CREATES WHAT KIND OF FIT?

back 40

LOOSER FIT

front 41

WHAT LENS MODIFICATION CAN BE PREFORMED IN THE OFFICE?

back 41

DECREASE THE DIAMETER OF POZ

front 42

WHAT IS THE INFLAMMATION OF THE LACRIMAL GLAND?

back 42

DACRYODENTIS

front 43

WHAT IS THE MOST COMMON LENS DESIGN FOR BOTH GAS PERM AND RIGID LENSES?

back 43

CORNEAL LENSES ARE THE MOST COMMON DESIGN

front 44

AS SAGGITTAL DEPTH INCREASES VAULTING....

back 44

INCREASES

front 45

BEFORE 1930 WHAT MATERIAL WAS USED FOR CONTACT LENSES?

back 45

GLASS

front 46

WHAT DO YOU SEE WHEN THE KERATOMETER IS OUT OF FOCUS?

back 46

THE LOWER RIGHT MIRE IS DOUBLED

front 47

WHAT INSTRUMENT IS USED TO DETERMINE THE BASE CURVE OF A RIGID CONTACT?

back 47

RADIUSCOPE

front 48

WHAT IS THE CHORD LENGTH OF THE MIRE MEASURED BY THE KEATOMETER WITHOUT AN AUXILLARY LENS?

back 48

3.8 MM TO 2.6 MM

front 49

WHAT ARE THE LAYERS OF THE TEAR FILM, OUTSIDE IN?

back 49

LIPID, AQUEOUS, MUCIN

front 50

WHAT IS THE CURVE ON THE FRONT SURFACE OF THE CONTACT LENS CALLED?

back 50

ANTERIOR OPTICAL ZONE RADIUS

front 51

WHAT IS THE MOST COMMON REMOVAL METHOD FOR A SOFT CONTACT LENS?

back 51

PINCH

front 52

WHAT DEVELOPMENT LED TO A DESIGN FOR SOFT TORIC CONTACT LENSES?

back 52

DYNAMIC STABILIZATION BY WEICON

front 53

WHAT IS A CHRONIC, AUTO-IMMUNE DISORDER CHARACTERIZED BY MONOCULAR CELL INFILTRATION THE LACRIMAL AND SALIVARY GLANDS?

back 53

SJOGREN'S SYNDROME

front 54

HOW MUCH MOVEMENT DO MOST LENS MANUFACTURERS RECOMMEND FOR SOFT LENSES?

back 54

.050 MM TO 1.00 MM

front 55

WHO IS CREDITED FOR PRODUCING THE FIRST HYDROGEL LENSES WITH A CHILDRENS TOY BUILDING KIT?

back 55

OTTO WICHTERLE

front 56

Aniseikonia

back 56

A condition in which the image sizes in each eye are different, leading to difficulties in achieving single vision

front 57

Anisometropia

back 57

Can be recognized where there is a difference of 1.00 D or more between the OD and the OS prescriptions

front 58

Blepharitis

back 58

Inflammation of the eyelids or eyelid margins

front 59

Bullous Keratopathy

back 59

A painful eye condition where fluid-filled blisters form on the cornea due to endothelial cell dysfunction

front 60

Corneal Edema

back 60

Corneal edema is swelling of the cornea caused by fluid buildup, making the eye appear cloudy or hazy

front 61

Corneal Striae

back 61

Corneal striae are fine vertical lines in the cornea caused by swelling or structural stress, often making the eye look streaked or distorted

front 62

Corneal Neovascularization

back 62

Forming new blood vessels from existing ones in the iris

front 63

Episcleral Injection

back 63

Episcleral injection is the visible redness of the eye caused by dilated blood vessels in the episclera

front 64

Exophthalmos

back 64

Where the eyeball protrudes from the eye socket, making it appear to bulge

front 65

Hyphema

back 65

The accumulation of blood in the anterior chamber of the eye, usually caused by trauma Ocular Disorders and Conditions

front 66

Glaucoma

back 66

A group of ocular diseases affecting the optic nerve which can cause progressive vision loss

front 67

Giant Papillary Conjunctivitis (GPC)

back 67

An inflammatory reaction of the upper eyelid's inner surface, often caused by contact lens irritation

front 68

Keratitis Sicca

back 68

An inflammation or irritation of the cornea caused by dry eye

front 69

Keratoconus

back 69

A progressive eye disorder that affects the cornea, causing it to gradually thin and take on a conical shape, bulging forward

front 70

Macular Degeneration

back 70

Deterioration of the macula that causes central vision loss

front 71

Nystagmus

back 71

An involuntary oscillation of the eyes that can be caused by a variety of conditions

front 72

Pinguecula

back 72

A yellowish, raised growth on the white part of the eye near the cornea

front 73

Pterygium

back 73

A growth of tissue on the conjunctiva that typically starts on the sclera and grows toward the cornea

front 74

Retinal Detachment

back 74

Retinal detachment is a serious condition where the retina separates from the back of the eye

front 75

Retinitis Pigmentosa

back 75

A group of hereditary diseases that cause progressive degeneration of the retina and may cause total blindness

front 76

Uveitis

back 76

Describes any inflammation of the uvea, including the iris, ciliary body, or choroid

front 77

The lens edge can be divided into three zones:

back 77

  • Anterior Zone
  • Posterior Zone
  • Edge Epex

front 78

Anterior Zone

back 78

The edge in contact with the upper lid during the blink cycle. Its function is to minimize lid irritation during blinking.

front 79

Posterior Zone

back 79

A small reverse curve on the posterior surface designed to flare the edge away from the cornea.

front 80

Edge Apex

back 80

The junction between the anterior and posterior zones. This area must be well-rounded to reduce lid awareness during the blink cycle.

front 81

WHAT TYPE OF LENS WILL SHOW TWO SEPARATE RADUSCOPE MEASUREMENTS FOR EACH LENS SURFACE?

back 81

A BITORIC LENS

front 82

Ametropia

back 82

Any condition where light cannot focus on the retina, myopia, hyperopia, and astigmatism.

front 83

Amblyopa

back 83

Also known as 'lazy eye.'

front 84

Antimetropia

back 84

one eye is hyperopic and the other is myopic

front 85

Aniscoria

back 85

unequal pupil size

front 86

Increasing the diameter of a contact lens with result in a

looser fit or tighter fit

back 86

tighter fit

front 87

A Fleischer ring is an early sign of what condition?

back 87

Keratoconus

front 88

Arcus Sinilis

back 88

a white or grey ring of lipid, (fat), deposits forms around the outer edge of the cornea - often part of aging

front 89

DK/t

back 89

refers to the amount of oxygen that passes through a lens material of specific thickness

front 90

Trichiasis

back 90

Eyelashses grow inward

front 91

Ptosis

back 91

Dropping eyelid

front 92

Ectropion

back 92

Eyelid turns outward

front 93

Entropion

back 93

Eyelid turns inward

front 94

How many transitional zones will a quadcurve lens have?

back 94

Three

Optical Zone, Transitional Curves (2), Landing Curve

front 95

What is the most common design for both gas perm and rigid lenses?

back 95

Corneal Design

front 96

What test is used to measure corneal thickness?

back 96

Pachymetry

front 97

Strabismus

back 97

A misalignment of the eyes

Esotropia - Inward turning

Exotropia - Outward turning

front 98

What is an Emmetrope?

back 98

A person who needs no refractive correction.

front 99

What type of astigmatism may be revealed by viewing a spherical rigid contact lens on the cornea?

back 99

Corneal Astigmatism

front 100

The curvature on the anterior surface of a contact lens is called?

back 100

Anterior Optical Zone Radius

front 101

What lens diameter might be selected to achieve a corneal alignment (lid attachement) fit with an RGP lens?

back 101

9.5 mm is the lens diameter for a corneal alignment fit with an RGP lens

front 102

What does HVID mean?

back 102

Horizontal Visible Iris Diameter

front 103

What is the primary function of the digital corneal topographer?

back 103

Measure the curvature of the cornea

front 104

What astigmatism do these K-Readings represent?

43.00 @180/44.00@90

back 104

WITH THE RULE

front 105

What astigmatism do these K-Readings represent?

43.00@180/43.00@90

back 105

NO ASTIGMATISM

front 106

What astigmatism do these K-Readings represent?

44.00@180/43.00@90

back 106

AGAINST THE RULE

front 107

What astigmatism do these K-Readings represent?

43.00@135/44.00@45

back 107

OBLIQUE

front 108

What is the most common removal method of a gas perm lens?

back 108

Blink Method

front 109

What is the most common removal method of a soft contact lens?

back 109

Pinch Method

front 110

WHAT KIND OF AN ASTIGMATISM DOES THIS RX REPRESENT?

RX: +1.00 -1.00 x 90

back 110

Simple Hyperopic Astigmatism

One image is formed behind the retina and the other on the retina.

True Powers: +1.00 x90 and pl x180

front 111

WHAT KIND OF AN ASTIGMATISM DOES THIS RX REPRESENT?

RX: -1.00 +1.00 x 90

back 111

Simple Myopic Astigmatism

One image is formed in front of the retina and the other on the retina.

True Powers: -1.00 x90 and pl x180

front 112

Vertex Distance Rule of Thumb

back 112

10-10-1

front 113

What accurately measures the surface curves of the anterior and posterior surface of rigid contact lenses?

back 113

Radiuscope

front 114

What is the Index of refraction for the tear film?

back 114

1.336

front 115

A specialty contact lens which is comprised of a soft carrier and rigid center is called a

back 115

Hybrid Contact Design

front 116

EXO -

back 116

OUT

IE. EXOPHORIA - TENDANCY OF THE EYE TO TURN OUTWARD

IE. EXOTROPIA - DEFINATE TURNING OF THE EYE OUTWARD

front 117

ESO -

back 117

IN

IE. ESOPHORIA - TENDANCY OF THE EYE TO TURN INWARD

IE. ESOTROPIA - DEFINATE TURNING OF THE INWARD

front 118

HYPER -

back 118

UP

IE. HYPERPHORIA - TENDANCY OF THE EYE TO TURN UPWARD

IE. HYPERTROPIA - DEFINATE TURNING OF THE UPWARD

front 119

HYPO -

back 119

DOWN

IE. HYPOPHORIA - TENDANCY OF THE EYE TO TURN DOWNWARD

IE. HYPOTROPIA - DEFINATE TURNING OF THE DOWNWARD

front 120

WHICH TEST IS USED TO MEASURE CORNEAL THICKNESS?

back 120

PACHYMETRY

front 121

WHAT IS THE INDEX OF REFRACTION OF GLASS IF LIGHT TRAVELS THE SPEED 133,000mi/sec

back 121

1.398

front 122

CORNEAL LENSES AKA SOFT CONTACT LENSES

back 122

►9-15 MM

►RESTS ON CORNEA

►INTIALALLY DISCOMFORTING DUE TO RESTING ON CORNEA

►LESS STABLE, CAN MOVE OR DECENTER ON EYE

►IDEAL FOR MINOR CORNEAL IRREGULARRITIES, HIGH ASTIG, HIGH MYOPIA, ORTHOKERATOLOGY

front 123

SEMI - SCLERAL LENSES AKA RIGID/GAS PERMAMABLE LENSES

back 123

►13-15 MM

►RESTS NEAR THE LIMBUS, (WHERE THE CORNEA AND SCLERA MEET)

►MINIMAL OR PARTIAL VAULTING OVER THE CORNEA

►GENERALLY MORE COMFORTABLE AND STABLE THAN CORNEAL LENSES

►IDEAL FOR MILD TO MODERATE CORNEAL IRREGULARITIES OR PTS WHO CANNOT TOLERATE CORNEAL LENSES

front 124

SCLERAL LENSES AKA HAPTIC LENSES OR PMMA LENSES

back 124

► 15-24 MM

►VAULTS COMPLETELY OVER THE CORNEA AND LIMBUS, RESTING ENTIRELY ON THE SCLERA, (THE WHITE OF THE EYE)

►LACRIMAL LENS IS CREATED BETWEEN LENS AND COREAN

►HIGHLY COMFORTABLE AS IT RESTS ON THE LESS SENSITIVE SCLERA

►EXCELLENT STABILITY DUE TO LARGE SIZE

►CAUSES SEVERE DRY EYE, IDEAL FOR KERATOCONUS, POST-CORNEAL TRANSPLANTS, AND POST-LASIK COMPLICATIONS PTS

front 125

What is another term for

Central Posterior Curve

back 125

Primary Curve

front 126

Focusing on a NEAR object the ciliary muscles

► contract ►relax

back 126

Contract

the ciliary muscles CONTRACT moving twoards the lens and releases the tension on the zonular fibers allowing the lens to spring back and THICKEN into a more CONVEX shape which INCREASES THE refractive power to focus on the nearby image

front 127

Focusing on a DISTANT object the ciliary muscles

► contract ►relax

back 127

Relax

the ciliary muscles RELAX and expand outwards pulling the zonular fibers tight and pulling on the lens stretching into a THINNER, FLATTER shape which has refractive power allowing the eye to focus on faraway objects.

front 128

What is the name for a group of corneal conditions that cause thinning and buldging?

► Catract ► Ptergium ►Ectasia ►Blepharitis

back 128

Ectasia