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Optical Wednesday Lab March 2023 Midterm Written
Optical
96
Other
Not Applicable
03/19/2023

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Cards

Term
Removing rivets from a frame with a damaged hinge: After filing off the end of the rivet what tools could be used to push them out of the frame just enough so that the end can be grabbed
Definition
Center punch

Flat punch

Piercing tool

Attached to a staking tool
Term
Once the rivets are slightly pushed through the frame what tool works well to pull the rivets of shield out of the frame
Definition
Chapel
Term
After the new rivets are inserted into the frame the excess must be cut off leaving about
Definition
1mm for peening
Term
Which tool or tools works well for peening rivets
Definition
Peening tool
Term
To repeat a broken hidden hinge in a zyl frame what tool or tools can be used
Definition
Hot fingers (or soldering iron)
Term
An optyl frame with a broken hidden hinge can be repaired by using hot fingers tool to remove the damaged or loose hinge. To attach the new hidden hinge only a strong adhesive such as ________ can be used
Definition
Epoxy
Term
Using the existing screw what two methods can be used to correct a continually loosening eye wire screw
Definition
Clear nail polish & lock tight
Term
To remove a corroded or stuck screw from a frame one might support the screw tip on an anvil or vise and
Definition
Using liquid wrench or press down on screwdriver while turning
Term
If a screw is hopelessly stuck it might be necessary to punch it out or
Definition
Drill it out
Term
After performing the above screw removal it will be necessary to restore the threads of the hinge. What tool would be used
Definition
Tap
Term
A screw with a broken off head can often be removed using a __________ or reslotting the screw tip with a ________ file
Definition
Extractor

Slotting
Term
When the threads of a hinge or eyewire can't be restored one could either use ____________ or ___________
Definition
Nut & bolt

or

Self tapping screw
Term
When a metal temple with a plastic temple cover needs to be longer and a longer one is not made it is possible lengthen the temple you have by
Definition
Sliding it down or use temple extenders
Term
To attach silicon cable temples to a metal temple one must determine where to cute the metal temple. After determining where the new cable temple will end up an additional ______ must be added to the metal temple length to allow for the metal temple insertion into the silicon cable end
Definition
8mm
Term
To eliminate a gap between the lens and a metal eyewire, a strip of lens liner placed at a point _____________ the gap would be your best bet
Definition
Opposite of
Term
There are a number of ways to temporarily repair a broken zyl bridge. The best policy is never attempt to combine two different methods on the same frame
Definition
False
Term
Which type of nose pads allow the bridge to be widened or narrowed and the vertex distance increased or decreased just by taking off the nose pads and switching them around
Definition
Bayonette
Term
Before measuring for bifocal, multifocal, heights the best policy is to first _____________ when using a metal frame
Definition
Adjust nosepads
Term
If a patient needs a 52-30 frame but the closest sample frame is 50-20 frame, the bifocal height is taken using the 50-20 frame is 15mm. If the lenses are to be cut when the 52-20 frame comes in what height should they be
Definition
16mm

go up 1mm per 2mm eye size increase, or down 1mm if smaller
Term
The only sample frames available at the time of taking the patients seg heights are a 52-20 and a 54-18 and the patient actually needs a 54-20 size, which frame would be the most appropriate to use
Definition
52-20
Term
The actual point of the lens where the prism is equal to that which is called for by the Rx is called the
Definition
MRP
Term
If the patients mono PD is 32mm and the Rx is a -6.00 sph and the glasses are made with the mono PD at 35mm how much horizontal prism is being induced in that eye
Definition
1.8 Prism base in
Term
How much horizontal prism is allowed by NJ State tolerances per eye, both eyes
Definition
0.25 per eye, 0.5 total
Term
If the patients binocular distance PD is 64 and the frame being used has a FPD of 71 mm what type of face form should be used
Definition
Positive face form
Term
If the patients PD is 64 and the FPD is 62 what type of face form should be used

& is it cosmetically practical to adjust a frame in that way
Definition
Negative face form (choose new frame)

No
Term
If the pupil center heigh is equal to 1/2 of the B measurement the frame should, by the book, have _______________ angle
Definition
Zero panto

orthoscopic tilt = 0 face form
Term
For every 2 degrees of pantoscopic tilt a frame has how many mm should the OC be moved ____ and in which direction would the OC be moved
Definition
2mm

Down
Term
In most cases the frame would be adjusted with 8-12 degrees of panto. This improves cosmetics but also _____________ especially with a bifocal of multifocal lens
Definition
Field of view
Term
A ____ mm vertex distance is considered average
Definition
13.75
Term
To achieve optimum optical performance from a pair of glasses the frame should be fit
Definition
Properly (close vertex)
Term
The instrument used to measure vertex distance is called a
Definition
Distometer
Term
The correct by the book height for a FT bifocal is
Definition
At the lower limbus/lower lid
Term
When the dispenser takes the patients FT bifocal height it is imperative that the dispenser be positioned _____________ as the patient
Definition
At same eye level
Term
The patient is instructed to look at ____ when FT bifocal heights are being taken
Definition
16"
Term
The bifocal height is calculated to the eyewire directly even if an aviator shaped frame is being used
Definition
False

The bifocal height is calculated to the eyewire directly even if an aviator shaped frame is being used
Term
It is not advisable to take seg heights with both the patient and dispenser standing
Definition
True

It is not advisable to take seg heights with both the patient and dispenser standing
Term
By the test book, trifocal heights should be set at the patients
Definition
Mid lower iris
Term
If a patient comments that the bifocal line always gets in their way when they walk, and it is noted that the bifocal heights are are at their lower limbus level, it is best to keep them at this level and tell the patient that this is where they have to be
Definition
False

If a patient comments that the bifocal line always gets in their way when they walk, and it is noted that the bifocal heights are are at their lower limbus level, it is best to keep them at this level and tell the patient that this is where they have to be
Term
When measuring heights for a double d bifocal it is reasonable to allow at least ____ area to view through the upper seg
Definition
10mm
Term
They typical amount of separation between upper and lower segment in a double d bifocal is
Definition
13-14mm
Term
The power of the add in the upper seg of a double d bifocal lens is typically ____ than the power of the lower seg
Definition
Less

Because the upper seg is intermediate power
Term
A tall person who walks very erect would probably be better served by bifocal height set
Definition
Lower
Term
A little old lady who has stooped over posture would probably be better served with a bifocal height set
Definition
Higher
Term
Round segs are positioned ____ than a FT seg, because ______________________________
Definition
1mm

There is less height at the top
Term
A child being treated for a binocular visual problem would unless instructed by the doctor have the bifocal set at what height
Definition
At the pupil
Term
If the child above were prescribed a progressive lens, the fitting cross would be set at what height
Definition
v
Term
What are two ways to consistently fix a loose screw
Definition
Clear nail polish peening
Term
What can you do to remove a screw if the head has been stripped
Definition
Reslot head using slotting file drilling it out
Term
What are the two most common types of nose pads in terms of how they attach to the guard arm
Definition
Push & Screw
Term
What would be an example of a hypo allergenic nose pad
Definition
Titanium
Term
If the patient complains of the nose pads causing pain but you see they are contoured perfectly what might you try
Definition
Bigger nose pads
Term
What tool would you use to replace a shield
Definition
Staking tool
Term
What would be a good method to repair a zyl frame broken in half at the bridge
Definition
Drill a hole staple epoxy twisted wire
Term
What is the proper practice using lens washer
Definition
Opposite the gap
Term
Bifocals must always fit the lower lid
Definition
False

Bifocals must always fit the lower lid
Term
What are two methods to take a segment height
Definition
Ruler dot the lines seg measures
Term
How would you fit a round seg compared to a flat top
Definition
1mm higher
Term
What patients may you want to be skeptical about fitting progressives to
Definition
Patients with vertigo
Term
Soft design progressives have a smoother more gradual progression while hard design lenses have a harsher progression
Definition
True

Soft design progressives have a smoother more gradual progression while hard design lenses have a harsher progression
Term
A patient expresses that they see clearer at distance if they tilt their chin down in their new pair of progressives. What might be the cause of this issue
Definition
Seg height is too high
Term
A patient feels they to turn their head to the side to see clearly in their progressives. What may be the cause
Definition
PD is off or axis is off
Term
Why is panto so important for progressive wearers specifically
Definition
Wider field of view
Term
What glasses might be a great idea for a patient who wants to wear them as an everyday pair but needs some extra magnification to see high butterfly collection
Definition
Clip ons with extra power
Term
A pair of glasses that has a metal bar pressing into the orbit to push the eyelid back are known as
Definition
Ptosis crutch
Term
A patient that large sections of vision loss in their field of view may benefit from what glasses
Definition
Hemianopic
Term
Patients with sjogrens may wear what glasses to help keep their eye moist
Definition
Moist chamber
Term
A bedridden patient can't sit upright to watch TV. What glasses might be good for them
Definition
Recumbent specs
Term
A patient without a nose due to a pathology would benefit from what frame design
Definition
Floating front
Term
What is the leading cause of blindness
Definition
Macular Degen

Cataracts
Term
Low vision patients are 20/50 or worse BVA
Definition
True

Low vision patients are 20/50 or worse BVA
Term
What is the goal of giving someone a low vision aid
Definition
Improve quality of life
Term
Lower power aids are easier to get used to
Definition
True

Lower power aids are easier to get used to
Term
What is the dioptric value of a 4x magnifier
Definition
+16.00 D
Term
What are examples of two NON-optical visual aids
Definition
Large print publication
Term
A little old lady who has a stooped over posture would probably be better served with a bifocal height set _________ than normal
Definition
Higher
Term
For every diopter increase in base curve the vertex distance will increase
Definition
0.6mm
Term
PAL - Progressive addition lenses can also be called invisible bifocals
Definition
False

PAL - Progressive addition lenses can also be called invisible bifocals
Term
If a person complained that their bifocal seemed too high, a possible solution might be to ______ vertex distance through nosepad adjustments
Definition
Decrease
Term
A firt time bifocal wearer should be instructed that to see the floor in front of them they should
Definition
Tuck their chin in
Term
The textbook formular for MBS =
Definition
2 (longest dec) + ED
Term
Hard design PAL's usually have a ________ of stable optics (FOV) in both the distance and the near
Definition
Large area
Term
Soft design PAL's usually have a _______ intermediate
Definition
Wider
Term
Soft design PAL's have a _________ distance down to the near viewing area
Definition
Longer
Term
PAL's are supposed to have a wider field of view in the near than a FT 28 bifocal
Definition
False

PAL's are supposed to have a wider field of view in the near than a FT 28 bifocal
Term
To speed up the adaptation time for a first time PAL wearer it should be emphasized that the glasses should be
Definition
Worn consistently
Term
First time PAL wearer. If the patient notices some distortion while looking in a peripheral gaze it is OK to tell them
Definition
That it is normal
Term
A ___________ held slightly below and pointed at the patients pupil gives the dispenser a precise target from which to measure a progressive height
Definition
Pen light
Term
The only way to verify the add power of a PAL is by looking at the laser markings on the front of the lens
Definition
False

The only way to verify the add power of a PAL is by looking at the laser markings on the front of the lens
Term
To verify the distance RX on a PAL, it is placed in the lensometer and viewed through which area of the lens
Definition
Distance verification circle
Term
To verify prism in a PAL you would look through which part of the lens
Definition
Prism reference point
Term
The laser markings depicting the add power of a PAL is always on the __________ side of the lens
Definition
Temporal
Term
Yolked base down prism is used to reduce lens thickness in many PALs. Varilux suggest adding prism power _________ the power of the add
Definition
1 diopter
Term
A few major advantages of wearing PAL's instead of FT bifocals or trifocals would be
Definition
Cosmetics

Intermediate power

Smooth progression

&

Adaptation
Term
How many degrees can the cyl be off axis
Definition
2 degrees
Term
The refractive power of an add is allowed to be off by ______ of a diopter in power
Definition
0.125 D
Term
There is such a thing as a +2.12 add power
Definition
False

There is such a thing as a +2.12 add power
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