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level: Level 1

Questions and Answers List

level questions: Level 1

QuestionAnswer
the first progressive addition lensVarilux
Varilux, the first progressive addition lens in1959
a forerunner of Essilor, engineered a way to commercially produce progressive lenses.Bernard Maitenaz of Essel
which have only two zones of vision and a sharp line marking the border between thembifocal lenses
have many reference pointsprogressive lenses
The reference point at which the design's fitting cross is placed. The com mon orthodoxy is to place the Fitting Point at the center of the eye's pupil while the patient's facial plane is in their natural position, i.e., normal posture.Fitting Point
These are the lens designer's points of reference for optical calculation and alignment. The ____ is also the point for measuring prism in both an unmounted lens and a finished pair of eyewear.Major Reference Point (MRP)
Some brands refer to the MRP as thePRP or Prism Reference Point
These engraved reference points, 34 mm apart, 17 mm each side of the MRP, are used for aligning the progressive lens during finishing, as well as for verifying the correct prescription axis and placement in a pair of finished eyewear.Alignment Reference Markings
The distance between the Fitting Point and the MRP/Alignment Reference Marks.Progressive Drop
This value varies between different manufacturers and even different designs within a manufacturer's lens portfolio. It can range from 0 to 6 mm, with 4 mm being the most commonly encountered value.Progressive Drop
The area outlined for verifying the reading Rx powerNear Reference Point
The area outlined for verifying the distance Rx power, generally located approximately 4 mm above the Fitting Point, providing an area completely free of the progressive power gradient.Distance Reference Point
The linear distance between the beginning of the power gradient—the Fitting Point—and the target add value, most commonly defined as 85 percent of add powerCorridor Length
Variably classed as either 85, 95 or 100 percent of the prescribed add value, depending on the design. Manufacturers are free to define corridor lengths using either of these target add valuesTarget Add Value
Experience has shown that a progressive reading area should be a minimum of 4 mm to 5 mm in height. Many traditional short corridor designs may provide as little as 3 to 4 mm, which can result in compromised utility and comfort in the reading and intermediate areasMinimum Reading Area
The distance from the Fitting Point to the center of the reading area. Depending upon the manufacturer or design, targeting the Minimum Fitting Height can truncate up to half of the available reading area.Minimum Fitting Height
Frame style, size and shape may dictate an adjustment to your target corridor length to ensure the full reading area is not truncated by the contour of the frame's lower rim. Pupillary distance also places a role here, with narrower PDs more sensitive to being truncated by the upward slope of the frame's nasal eyewire.Total Frame Height and Contour
Closer ______ require shorter corridors to compensate for the reduced drop of the eye's declination intercept with the lens surface. And vice versa for long ______, which then may need longer corridors.Vertex Distance
Greater ______ require shorter corridors, and lesser ______ require longer corridors for the same conceptual reason stated above in vertex distance.Pantoscopic Angle
Every 1-mm increase in corridor length will require approximately a 2-degree increase in eye declination.Rule of thumb
Higher add powers—greater than 2.25D—feature smaller reading and narrower intermediate areas and more surface astigmatism. Therefore, a too short corridor may deliver unacceptable optics because of increased surface astigmatism.Total Add Power
Total power change seen in a new Rx should be considered for its impact on both distance vision clarity and reading declination. The direction of change, more plus or less plus, is important to factor in as well, regardless of the specific type of ametropiaRx Delta
Spectacle magnification and prism may impact your corridor choice. The minified and upwardly displaced image in a myopic Rx requires consideration of selecting a shorter value for the corridor. For hyperopic prescriptions, because of image magnification and base up prism, the opposite is trueAmetropic Error
Hyperopic eyes have shorter axial lengths, while myopic eyes feature longer axial lengths. These axial length differences place the center of rotation of hyperopic eyes closer to the cornea, while in myopic eyes the CR further awayCenter of Rotation and Dioptric Error
: If base down thinning prism is present, it will upwardly deviate the image at near. In higher adds, this results in a noticeable decrease of the required eye depression angle for the wearer and is important to keep in mind as you determine corridor length.Prism Thinning
The basic design priority of the lens, i.e., whether the distance, intermediate or reading area has been targeted to be most important, can further impact your corridor value calculation.Lens Design Priority
Traditional progressives have featured a linear slope of increasing power. Newer, special designs, optimized for computer and users of mobile devices, deliver a non-linear corridor power gradient, with the top portion of the corridor featuring a faster increase in power.Non-Linear Progressive Power Gradient
Some wearer's may complain these designs intrude on their DV acuity when they are switching from a traditional or balanced design. Compounding factors here include patient posture and the amount and direction of the prescription changeNon-Linear Progressive Power Gradient
allow the ECP to adjust the corridor length as they desire.Variable Corridor Designs
Fixed designs are used when prioritizing the size of the reading zone and/or the amount of eye declination required to reach the target add power.Fixed Corridor Designs
Bifocal wearers, fitted with segments set 8 mm to 9 mm below pupil, are well-suited to using a 10 mm to 12 mm corridor referenced to a 95 to 100 percent target add value.Fitting pearl
The primary gaze angle of the eye looking straight is generally referenced to the facial plane, defined as the line that connects the brow, upper and lower orbital bones and the jaw.DISTANCE VISION GAZE
The typical gaze angles for comfortable reading range from 25 to 32 degrees, with the average value assumed to be 30 degreesREADING VISION GAZE
This range corresponds to an area on the spectacle lens between 12.5 mm to 16 mm below the FP, fitted with a pantoscopic tilt of 8 degrees.READING VISION GAZE
The normal head posture of the wearerNORMAL POSTURAL HABIT
Depending upon how their current glasses have been measured, fitted or the need for a prescription change, a wearer may have developed a compensatory modification of their normal head posture in order to obtain better acuity for driving, using a computer or for reading.COMPENSATORY POSTURAL HABIT
are often used in health care to write medical prescriptions and eyeglass prescriptionsLatin abbreviations
The letters OD stand for"oculus dexter"
indicate the right eye.OD
indicate the left eye.OS
refer to both eyes.OU
The letters OS stand for"oculus sinister"
The letters OU stand for"oculi uterque"
indicates nearsightedness or farsightedness:sphere number
part of the prescription which measures the degree of astigmatism, representing the difference in curvature and power between two points on the eye, separated by 90 degrees.cylinder
indicates the angle in degrees from 0 to 180, representing the location of the most positive meridian in an eye that has astigmatism when written in minus cylinder form, as in the example above.Axis
glasses for distance onlySVD: Single vision distance
glasses for reading onlySVN: Single vision near
the same power in all meridiansSphere
A cylinder power corrects astigmatism and represents the difference in the greatest power of the eye and weakest power of the eye, usually separated by 90 degrees.Cylinder
Indicates the angle (in degrees) between the two meridians of an astigmatic eyeAxis
distance between the centers of the two pupils between the eyes. This measurement is essential to designing glasses that comfortable to wear and optically perfect.PD: Pupillary distance
It is usually prescribed to displace the image in a certain direction for patients with crossed-eye (strabismus) or other eye muscle or focusing disorders.Prism
TNCTOTAL NEAR CORRECTION
TRPTOTAL READING POWER
In ___ Feinbloom from Newyork reported a segment bifocal CL and trifocal CL. However, they didn’t come in any clinical purpose as no measures were taken for the rotation of the lens.1938
In ___ Declare in London, developed simultaneous-vision bifocal which was free from a rotational problem which now has become a basic formula for current bifocal lenses.1957
In the latter half of the _____,The non-spherical progressive multifocal lens and diffraction progressive contact lens were introduce1980s and 1990s
When you’re in your 40s, you naturally develop a disease calledPresbyopia
As said by doctors, that there’s no definite logic behind but it is said that with growing age your _____ inside the eye don’t work well andbecome more inflexible.ciliary body muscles
Some people need a bifocal lens is because of _____, children develop a condition where they are unable to focus from distance. They also face great fatigue while trying to focus near a distance or while reading or writing in the classroom.accommodative dysfunction
You will see in this disease during childhood period, that they start wearing bi-focal lens and this condition is called asAccommodative Esotropia
It has a small-segment shape like a half-moon or a letter “D” on its side. It is pointed towards the nasal and down toward the bottom.Flat-top
In this, the round bifocal lens is of 22 or 24mm round segment towards the bottom of the lens. It is developed in a way to make your reading easy and but in today’s times, the round segment is not much used commonly.Round Segment (Kryptok)
They were popular types of bi-focal lenses when no-line bifocals were not developed. These lenses are made up of a material that has a round segment, in which edges are blended inwards with the rest of the lens.Blended Bifocals
These types of lenses are line bifocal, in which the top half part of the lens is that is used to see distant objects is completely different from the bottom half part that is used to see nearer objects.Executive Bifocal
These types of lenses are commonly used by corporate people who need to sit on a desk starring computer for hours. But the popularity of these lenses got diminish over time due to unsightly lines present across the lens.Executive Bifocal
These lenses are invisible in nature, seamless, and have no visible line present on them. While wearing this type of bifocal (multifocal) lens, you will be able to see a gradual increase in transition in reading power as the lens is extended down toward the bottom of the lens without any visible line present to it.Progressive Lens (FIN)
These lenses got popular in such a short span of time as they gave “speckies” a new different experience.Progressive Lens (FIN)
When a bi-focal lens is designed with the use of a _____ at the lower half, and the least use of ____ on the upper part.convex lens
In the 20thcentury, two lenses are cut in half and combined together, and made a frame out of it.This method of fusing sections of the lens was developed by______at the end of the 19th century.Louis de Wecker
will help you to see far objects and close up objects with no middle ground.bifocal lens
is no-line multifocal lenses. In this, as there will not be any visible lines which makes it a better option than bifocal lensesprogressive lens
contain two or more lens powers to help you see objects at all distances after you lose the ability to naturally change the focus of your eyes due to age (presbyopiaMultifocal eyeglass lenses