- What is a diopter (D)?
- The unit of lens power — the reciprocal of the focal length in meters. Power (D) = 1 ÷ f (m).
- Lens power formula?
- Power (D) = 1 ÷ focal length (meters). A +2.50 D lens focuses at 1 ÷ 2.50 = 0.40 m = 40 cm.
- Focal length of a +5.00 D lens?
- f = 1 ÷ 5.00 = 0.20 m = 20 cm.
- Plus (convex) lens — effect on light?
- Converges parallel rays to a real focal point; corrects hyperopia and presbyopia; thicker in the center.
- Minus (concave) lens — effect on light?
- Diverges parallel rays to a virtual focal point on the incoming side; corrects myopia; thicker at the edge.
- What is Prentice's rule?
- Prism (Δ) = decentration (cm) × lens power (D). Gives the prism induced by looking away from the optical center.
- Prism from looking 5 mm off-center through a 4.00 D lens?
- Δ = 0.5 cm × 4.00 D = 2.0 Δ. (Convert 5 mm → 0.5 cm first.)
- How is prescribed prism ground into a lens?
- By decentering the lens (Prentice's rule) or by a prism-grind, moving the optical center relative to the visual axis.
- Unit of prism?
- The prism diopter (Δ): 1 Δ deviates light 1 cm at 1 m (1 cm per meter).
- How do prisms at right angles combine?
- By vector (Pythagorean) addition: resultant = √(a² + b²). E.g. 3 Δ up + 4 Δ out = √25 = 5 Δ.
- Lens transposition — the 3 steps?
- 1) New sphere = sphere + cylinder. 2) Reverse the cylinder sign. 3) Rotate the axis 90° (keep 1–180).
- Transpose +2.00 +1.00 × 090.
- → +3.00 −1.00 × 180 (optically identical, minus-cyl form).
- What is the spherical equivalent (SE)?
- SE = sphere + (cylinder ÷ 2). For −2.00 −1.00 × 090, SE = −2.50 D.
- What is vertex distance?
- The distance from the back surface of the lens to the front of the cornea.
- Effect of moving a minus lens away from the eye?
- It acts stronger (more minus). A plus lens moved away acts weaker.
- When is vertex-distance compensation significant?
- Around ±4.00 D and stronger; weak prescriptions are negligibly affected.
- What is base curve?
- The front (or reference) surface curvature of a lens, read in diopters with a lens clock; sets the lens's form.
- Best-form (corrected-curve) lens — purpose?
- A base curve chosen to minimize oblique (marginal) astigmatism for off-axis gaze.
- How do you estimate a lens's total power from its surfaces?
- Add the front and back surface powers algebraically (with sign).
- Effective power vs nominal power?
- Effective power is the lens's power experienced at the eye's plane, which shifts with vertex distance.
- What is the optical center (OC) of a lens?
- The point where light passes with no prismatic deviation; ideally placed in front of the pupil.
- Prism base directions?
- Base-up (BU), base-down (BD), base-in (BI, toward the nose), base-out (BO, toward the ears).
- Apex vs base of a prism — light bends toward which?
- Light bends toward the base; the image displaces toward the apex.
- Convergence requirement at near vs distance?
- Near PD is smaller than distance PD because the eyes converge for near tasks.
- What is magnification's relationship to plus power?
- Plus lenses magnify (enlarge) the image; minus lenses minify (reduce) it.
- Power in an oblique meridian (approx)?
- Cylinder power in a meridian θ from the axis ≈ cyl × sin²θ added to the sphere.
- Reading the lab order: what does '−3.00 DS' mean?
- −3.00 diopters sphere with no cylinder (a purely spherical lens).
- What is induced anisometropic prism at near?
- Vertical prism imbalance from unequal lens powers when the patient reads below the OCs (Prentice's rule per eye).
- Which structure bends the most light entering the eye?
- The cornea — about two-thirds of the eye's focusing power (large air-to-tissue index change).
- Role of the crystalline lens?
- Fine-tunes focus by accommodation; its stiffening with age causes presbyopia.
- What is the retina?
- The light-sensitive layer at the back of the eye that converts light into neural signals.
- What is the macula?
- The small central retinal area responsible for the sharpest, most detailed central vision.
- What does the iris do?
- Controls the amount of light entering the eye by changing the pupil size.
- What is the optic disc / blind spot?
- Where the optic nerve exits the retina — it has no photoreceptors, creating a natural blind spot.
- Myopia — where does light focus, and the correction?
- In front of the retina (eye too long / cornea too steep); corrected with minus lenses.
- Hyperopia — where does light focus, and the correction?
- Behind the retina (eye too short / cornea too flat); corrected with plus lenses.
- What is astigmatism?
- Uneven corneal/lens curvature focusing light at two meridians; corrected with cylinder.
- What is presbyopia?
- Age-related loss of accommodation (mid-40s onward); corrected with a near add.
- What is emmetropia?
- The condition of no refractive error — light focuses exactly on the retina.
- What is accommodation?
- The eye's ability to increase its focusing power for near objects by changing lens shape.
- What does 'add' in a prescription mean?
- Extra plus power for the near (reading) zone, added to the distance prescription for presbyopia.
- OD, OS, OU — what do they mean?
- OD = right eye (oculus dexter), OS = left eye (oculus sinister), OU = both eyes (oculus uterque).
- Order of the prescription columns?
- Sphere, Cylinder, Axis, then Add and any Prism/Base.
- What is the axis in a prescription?
- The meridian (1–180°) along which the cylinder's correcting power is oriented.
- What is the sclera?
- The tough white outer coat of the eye that protects and maintains its shape.
- What is the cornea made transparent by?
- Its avascular, regular collagen arrangement and controlled hydration.
- Where is aqueous humor and what does it do?
- Fluid in the anterior chamber that nourishes the cornea/lens and maintains intraocular pressure.
- What is the pupillary (near) reflex triad?
- Convergence, accommodation, and pupil constriction when shifting to a near object.
- Index of refraction of CR-39 plastic?
- 1.498 — the standard plastic; excellent optics (Abbe ≈ 58) but thick in strong Rx.
- Index of crown glass?
- 1.523 — excellent optics (Abbe ≈ 59); heavy and breakable, rarely dispensed now.
- Index of polycarbonate?
- 1.586 — most impact-resistant; low Abbe (≈ 30); inherently blocks UV.
- Index of Trivex?
- ≈ 1.53 — light, impact-resistant, drillable; higher Abbe (≈ 43–45) than polycarbonate.
- Common high-index values?
- 1.60, 1.67, and 1.74 — progressively thinner/flatter for strong Rx, with lower Abbe.
- What is the Abbe value?
- A measure of chromatic dispersion. High Abbe = crisp optics; low Abbe = color fringing/edge blur.
- Higher refractive index means…?
- The material bends light more, so the lens can be made thinner and flatter for the same power.
- Most impact-resistant common lens material?
- Polycarbonate — the standard for children's, safety, and sports eyewear.
- Best material for rimless mounts?
- Trivex — light and drillable; polycarbonate can crack at drill holes.
- How does a photochromic lens darken?
- It reacts to UV light, not visible light, becoming dark outdoors and clearing indoors.
- Why do photochromics darken less in a car?
- The windshield blocks most UV, the trigger they need, so they stay relatively clear.
- What do polarized lenses do?
- Block reflected horizontal glare from roads/water using a polarizing filter.
- Purpose of an anti-reflective (AR) coating?
- Reduces surface reflections, improving light transmission, night vision, and cosmetic clarity.
- Purpose of a scratch-resistant (hard) coating?
- Hardens the soft surface of plastic/high-index lenses to resist scratching.
- FT-28 bifocal — what does '28' mean?
- The width of the flat-top reading segment in millimeters (28 mm wide).
- Executive (Franklin) bifocal?
- A bifocal whose reading segment spans the entire width of the lens.
- What is a trifocal?
- A multifocal with distance, intermediate, and near zones (e.g. a 7×28 trifocal).
- What is a progressive addition lens (PAL)?
- A line-free multifocal with a gradual power change from distance through intermediate to near.
- What is the add power?
- The extra plus power in the near zone of a multifocal, supplied for presbyopia.
- Bifocal segment styles?
- Flat-top (FT/D-seg), round seg, curved-top, and executive/full-width.
- What is a tint used for?
- Cosmetic color, light reduction, or contrast enhancement; gradient or solid.
- How is glass made impact-resistant?
- By chemical or thermal (air) tempering, since glass is not inherently impact-resistant.
- What does a mirror coating do?
- Reflects a portion of incident light off the front surface to cut brightness; cosmetic too.
- Specific gravity — why does it matter?
- It drives lens weight; lower specific gravity (e.g. Trivex) gives lighter lenses.
- Single-vision lens?
- One power across the whole lens — corrects a single refractive distance need.
- Aspheric lens benefit?
- Flatter, thinner, lighter design that reduces magnification and distortion in plus lenses.
- What does a lensmeter (lensometer) measure?
- Sphere, cylinder, axis, add, and prism of a finished lens, and locates the optical center.
- Why focus the lensmeter eyepiece first?
- To eliminate the operator's accommodation so your eye doesn't add/remove power and bias readings.
- Single clear lines with no second focus mean…?
- A spherical lens (no cylinder correction).
- How is cylinder axis read on a lensmeter?
- Rotate until the single (sphere) lines and the triple (cylinder) lines are each sharp; note the axis.
- What is a lens clock (Geneva lens measure)?
- A 3-pin gauge that reads a surface's curvature (base curve) in diopters.
- Lens clock calibration index?
- Calibrated for crown glass, index 1.523; readings need correction on other materials.
- On high-index material, the lens clock reads…?
- Lower than the true surface power (it under-reads), requiring correction.
- What does a distometer measure?
- The vertex distance between the back of the lens and the cornea.
- What is a pupillometer?
- A corneal-reflection instrument that measures monocular and binocular PD accurately.
- For an accurate distance PD with a pupillometer, fixate on…?
- A distant target so the eyes are in parallel (non-converged) alignment.
- Front-vertex (neutralizing) method for add — why?
- It removes the influence of differing back-vertex distances between distance and near zones.
- How is add power found on a lensmeter?
- Subtract the distance sphere reading from the segment (near) sphere reading.
- What does a thickness caliper measure?
- Center and edge thickness of a lens, in millimeters.
- How is prism read on a lensmeter?
- By the displacement of the target center from the lensmeter's reticle center (in Δ).
- Manual vs automated (digital) lensmeter?
- Both read power/axis/add/prism; the automated unit displays values digitally, reducing operator error.
- What is the marking/dotting step on a lensmeter?
- Marking the optical center and the 180° (horizontal) reference for layout and prism checks.
- PD ruler technique for monocular PD?
- Measure from the nasal-bridge center to each pupil/corneal reflection separately.
- What is a pattern (former) used for?
- A template of the frame's eyewire shape used by the edger to cut the lens to size.
- Geneva lens measure on a steeper surface reads…?
- A higher diopter value (more curvature).
- What instrument verifies that lenses meet the prescribed Rx before dispensing?
- The lensmeter — used to check power, axis, add, prism, and OC against ANSI Z80.1 tolerances.
- Binocular vs monocular PD?
- Binocular PD is pupil-to-pupil total; monocular PD is each pupil's distance from the nose center, measured separately.
- Why measure monocular PD?
- Faces are rarely symmetric — it places each OC in front of its pupil to avoid unwanted prism.
- Near PD vs distance PD?
- Near PD is smaller because the eyes converge for near tasks.
- What is pantoscopic tilt?
- The angle where the bottom of the frame front sits closer to the face than the top.
- OC adjustment guideline for pantoscopic tilt?
- Lower the optical center ~1 mm for every 2° of pantoscopic tilt.
- Effect of uncompensated tilt on a high-plus lens?
- Unwanted vertical prism and oblique astigmatism.
- What is face-form (panoramic) angle?
- The horizontal wrap of the frame front so the lenses curve back toward the temples.
- Where is a flat-top bifocal seg typically set?
- At or just below the lower eyelid margin / lower limbus.
- Where is a PAL fitting cross set?
- At the patient's pupil center in primary gaze, per the manufacturer's layout.
- Seg-height measured from where?
- From the lowest point of the lens shape up to the desired seg top (or fitting cross).
- Vertex distance — best definition?
- From the back surface of the lens to the front of the cornea.
- The boxing system encloses each lens in a…?
- Rectangle (box) — used to standardize frame and decentration measurements.
- A measurement (boxing)?
- Horizontal width of the lens box — the eye size.
- B measurement (boxing)?
- Vertical height of the lens box.
- DBL?
- Distance between lenses — the bridge size (gap between the two lens boxes).
- ED (effective diameter)?
- The longest diagonal across the lens box from its geometric center; drives minimum blank size.
- Reading '52□18 140' on a temple?
- 52 mm eye size · 18 mm bridge (DBL) · 140 mm temple length.
- Boxing (geometric) center PD?
- A + DBL — the frame's mechanical center distance; compare to the patient PD to find decentration.
- How much to decenter if frame PD > patient PD?
- Decenter each lens inward by half the difference so each OC sits over the pupil.
- Standard alignment / 'four-point touch' — what is it?
- A properly adjusted frame rests evenly: both temples and both pads/sides contact without rocking.
- Adjusting a frame that sits too high?
- Lengthen the temple bend / adjust pads so the frame lowers to the proper vertex and pantoscopic angle.
- Why warm a zyl (acetate) frame before adjusting?
- Acetate becomes pliable with heat; adjusting it cold risks cracking the plastic.
- Verifying seg height after edging?
- Confirm the seg top sits at the marked height relative to the patient's pupil/lower lid.
- Temple types?
- Skull (most common), library (straight), comfort-cable, and riding-bow temples.
- Bridge types on a frame?
- Saddle, keyhole, and adjustable nose-pad bridges.
- What does ANSI Z80.1 cover?
- Tolerances for prescription (dress) ophthalmic lenses — power, cylinder, axis, add, and prism.
- ANSI Z80.1 sphere power tolerance (≤6.50 D)?
- ±0.13 D; above 6.50 D it is about ±2%.
- ANSI Z80.1 cylinder axis tolerance trend?
- Tightens as cylinder rises: ±14° (very low cyl), ±7°, ±5°, ±3°, down to ±2° (cyl >1.50 D).
- ANSI Z80.1 add-power tolerance?
- ±0.12 D for adds up to +4.00 D; ±0.18 D above.
- What does ANSI Z87.1 cover?
- Occupational and educational personal-eye-protection (safety eyewear) impact requirements.
- Marking 'Z87+' on safety lenses means…?
- The lenses meet the high-velocity (high-impact) requirement of ANSI Z87.1.
- FDA impact-resistance rule citation?
- 21 CFR 801.410 — dress (street-wear) eyeglass lenses must be impact-resistant.
- The FDA drop-ball test?
- A 5/8-inch (~16 g) steel ball is dropped 50 inches onto the lens, which must not fracture.
- Are polycarbonate/Trivex individually drop-ball tested?
- Usually no — they are certified impact-resistant by the manufacturer and exempt.
- FDA rule vs ANSI Z87.1 — difference?
- FDA 801.410 = minimum impact for dress eyewear; ANSI Z87.1 = higher-impact occupational safety eyewear.
- What is the FTC Eyeglass Rule?
- Prescribers must give the patient a copy of the eyeglass Rx at the end of the exam, free, without being asked.
- Can a seller require purchase to release a prescription?
- No — under the FTC Eyeglass Rule the Rx must be released regardless of whether the patient buys from you.
- What does the FTC Contact Lens Rule do?
- Provides similar Rx-release protections for contact lenses.
- Scope of practice for an optician?
- Interpret prescriptions and fit/measure/dispense eyewear — not diagnose or treat eye disease.
- How is HIPAA relevant to opticians?
- It requires safeguarding patients' protected health information (PHI) in the optical office.
- Does state licensure for opticians vary?
- Yes — some states license/certify opticians and others do not; ABO certification supports licensure where required.
- Who administers the ABO Basic (NOCE) exam?
- The American Board of Opticianry & National Contact Lens Examiners (ABO-NCLE).
- What does an out-of-tolerance lens require?
- Remaking the lens — it must meet ANSI Z80.1 before it is dispensed.
- OSHA's role for prescription safety eyewear?
- OSHA requires employers to provide ANSI Z87-compliant eye protection in hazardous workplaces.
- UV protection responsibility when dispensing?
- Advise UV-blocking lenses/coatings; polycarbonate and Trivex inherently block UV.
- Focal length of a −2.00 D lens?
- f = 1 ÷ 2.00 = 0.50 m = 50 cm (virtual, on the incoming-light side).
- Decentration to make 3 Δ in a 6.00 D lens?
- Δ = d(cm) × P, so d = 3 ÷ 6.00 = 0.5 cm = 5 mm.
- Combine 2 Δ base-up and 1.5 Δ base-in.
- Resultant = √(2² + 1.5²) = √6.25 = 2.5 Δ.
- Resultant of 6 Δ and 8 Δ at right angles?
- √(36 + 64) = √100 = 10 Δ.
- What is sagittal depth (sag)?
- The depth of a curve's bulge; relates surface power, lens diameter, and thickness.
- Why does a stronger minus lens have thicker edges?
- More diverging curvature is needed, removing material from the center and leaving the edge thick.
- Compensated power for a strong lens worn closer than refracted?
- Recompute with the effective-power/vertex formula; a minus lens worn closer needs slightly less minus.
- Minus cylinder vs plus cylinder form — same lens?
- Yes — they describe the identical lens; transposition converts between them.
- Lensmaker's idea: power adds across two surfaces?
- Approximate total power ≈ front surface power + back surface power.
- What is chromatic aberration in optical terms?
- Different wavelengths focus at slightly different points; worse with low-Abbe materials.
- Image displacement through a prism?
- Toward the apex; the eye rotates toward the apex to refixate.
- Base-in prism is prescribed to help with…?
- Convergence problems (it shifts images outward so the eyes converge less).
- What is the choroid?
- The vascular layer between the retina and sclera that nourishes the outer retina.
- What is the vitreous humor?
- The clear gel filling the posterior cavity that helps maintain the eye's shape.
- What are rods and cones?
- Retinal photoreceptors: rods for low-light/peripheral vision, cones for color and detail.
- What is the fovea?
- The cone-rich center of the macula giving the sharpest vision.
- What is the limbus?
- The border where the cornea meets the sclera.
- What is the conjunctiva?
- The thin membrane covering the white of the eye and the inner eyelids.
- Anisometropia?
- A significant difference in refractive power between the two eyes.
- Why do hyperopes tire at near?
- They must accommodate even for distance, leaving less reserve for sustained near work.
- What is amblyopia?
- Reduced vision in an eye that did not develop normally ('lazy eye').
- What is the near point of accommodation?
- The closest distance at which the eye can keep an object in clear focus.
- UV protection of polycarbonate?
- Inherently blocks essentially all UV up to about 380–400 nm.
- Why might a patient see edge color fringes?
- Low Abbe value (chromatic aberration), most noticeable peripherally in strong/large lenses.
- Gradient tint?
- A tint that is darker at the top and fades lighter toward the bottom.
- Polarized lens axis orientation?
- The filter is oriented vertically to block horizontally polarized reflected glare.
- Photochromic activation depends on what two factors?
- UV exposure and temperature — they darken more in cold, less in heat and in cars.
- Difference between FT-28 and FT-35?
- Segment width: 28 mm vs 35 mm reading area.
- Round-seg bifocal use?
- A small round reading segment; less image jump location but a curved dividing line.
- Image jump in a bifocal?
- The sudden prismatic shift as the eye crosses the seg line; least with the OC at the seg top (executive/no-jump).
- What is a Trivex advantage over polycarbonate besides Abbe?
- Lighter weight (lower specific gravity) and better tensile strength for drilled mounts.
- Aspheric lens trade-off?
- Flatter/thinner but requires correct vertex/pantoscopic fitting to perform well.
- Tinted lens for general sun wear density?
- Commonly ~70–85% absorption (about 15–30% light transmission).
- Mirror coating is applied to which surface?
- The front (convex) surface of the lens.
- What is a high-index trade-off?
- Thinner/lighter but typically lower Abbe (more aberration) and more surface reflection (AR recommended).
- Bifocal add typically ranges?
- About +0.75 D to +3.00 D depending on the patient's near demand and age.
- Reading add on a flat-top with the lensmeter front-up?
- Use the front-vertex (neutralizing) method: read distance, then seg; subtract.
- Compound prism on a lensmeter — how found?
- Vector-combine the vertical and horizontal target displacements (Pythagorean).
- Spotting/marking three dots on a lens — purpose?
- Marks the optical center (middle dot) and the horizontal 180° reference.
- Why is the lensmeter target a cross of single + triple lines?
- Singles read one principal meridian (sphere), triples the other (cylinder); axis when both are sharp.
- Geneva lens clock correction factor depends on?
- The lens material's actual index vs the 1.523 calibration index.
- Distometer scale reads in?
- Millimeters of vertex distance.
- Automated lensmeter advantage?
- Faster, reduces operator accommodation/parallax error, and reads progressive power maps.
- Pupillometer corneal reflection method?
- Uses the light reflex on the cornea to mark each pupil center for monocular PD.
- Seg height too high — symptom?
- The patient hits the reading zone too soon and complains the distance field is small.
- Seg height too low — symptom?
- The patient must depress their gaze excessively or tilt the head to read.
- Pantoscopic tilt typical range?
- About 8°–12° for everyday wear.
- Wrap (face-form) typical range?
- A few degrees for dress eyewear; high-wrap sport frames need power compensation.
- Vertex distance typical value?
- Roughly 12–14 mm for standard fittings.
- Decentration per eye if patient PD 62, frame PD 70?
- Total in-decentration 8 mm → 4 mm inward per lens.
- Minimum blank size estimate?
- ED + 2 × (decentration) + a few mm tolerance.
- Standard alignment checks?
- Frame front straight, even temple spread, level fronts, proper pad/temple contact (four-point touch).
- Adjusting nose pads to lower a frame?
- Widen/spread the pads so the frame settles lower on the nose.
- Adjusting temples for a frame sliding down?
- Add or increase the temple bend behind the ear (earpiece) for grip.
- Why measure seg height with the frame on the patient?
- It must reflect the actual fitted pantoscopic tilt and how the frame sits.
- Monocular PD use case (high power)?
- Essential — it prevents induced prism by centering each OC over its own pupil.
- Frame PD vs patient PD mismatch effect if uncorrected?
- Off-center OCs induce unwanted (usually base-out or base-in) prism.
- ANSI Z80.1 cylinder power tolerance (≤2.00 D cyl)?
- About ±0.13 D.
- ANSI Z80.1 prism tolerance at the OC (single vision)?
- Between the eyes: vertical imbalance ±0.33 Δ, horizontal ±0.67 Δ.
- Z87-2 marking means?
- Prescription safety eyewear meeting ANSI Z87.1 (the '-2' denotes Rx).
- Steel ball weight/size in the FDA drop-ball test?
- 5/8 inch diameter, about 16 grams (0.56 oz).
- Drop height in the FDA drop-ball test?
- 50 inches.
- Who must receive a copy of the eyeglass Rx, and when?
- The patient, at the completion of the eye exam, automatically and free (FTC Eyeglass Rule).
- Does the FTC rule require a fitting fee waiver?
- No — but the prescription itself must be released without conditioning it on a purchase.
- Optician vs optometrist vs ophthalmologist?
- Optician dispenses eyewear; optometrist examines/prescribes; ophthalmologist is a medical/surgical eye physician.
- Where ABO certification is required by a state, it supports…?
- Meeting that state's licensure standard for opticians.
- Recordkeeping/PHI handling standard for opticians?
- HIPAA — protect patients' protected health information.