Contact Lens Fitting Assessment
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Questions and Answers

What is a characteristic of a bad contact lens fit?

  • Lens movement on blink
  • Stable sagittal depth
  • Immobility and associated inflammation (correct)
  • Comfortable vision

Why is the selection of BOZR considered pot-luck?

  • Because it depends on the settling time
  • Because it depends on the material used
  • Because it depends on the diameter of the lens
  • Because it depends on the sagittal depth of the lens (correct)

What happens to the lens during the initial 5 minutes of settling?

  • It remains unchanged
  • It becomes looser
  • It settles to its optimal position (correct)
  • It becomes tighter

What is the result of natural loss of excess tears during lens fitting?

<p>A more accurate evaluation of the lens fit (D)</p> Signup and view all the answers

What is the effect of temperature rise on the lens during settling?

<p>Slight effect (D)</p> Signup and view all the answers

What happens if the lens has not settled during evaluation?

<p>It looks looser than it actually is (C)</p> Signup and view all the answers

What is the critical dimension of the lens?

<p>Sagittal depth (A)</p> Signup and view all the answers

What is the result of a larger lens overlapping onto the sclera?

<p>Less movement of the lens (A)</p> Signup and view all the answers

What is the typical movement of the lens on blink?

<p>0.3-5 mm (C)</p> Signup and view all the answers

What is the result of vertical lens sag?

<p>The lens crosses the limbus (A)</p> Signup and view all the answers

What is the primary purpose of the PUSH-UP test in assessing the fit of a contact lens?

<p>To measure the force needed to move the lens (C)</p> Signup and view all the answers

What is the significance of a lens moving 0.25mm – 0.50mm in the Bo Movement scale?

<p>It is a normal range of movement (A)</p> Signup and view all the answers

What is the recommended minimum movement of a lens for extended wear?

<p>0.5mm (D)</p> Signup and view all the answers

What is the primary advantage of made-to-order lenses?

<p>They can be altered to fit the patient's needs (D)</p> Signup and view all the answers

What is the purpose of the Wolffsohn scale in assessing the fit of a contact lens?

<p>To grade the lens fit using a 3-point scale (D)</p> Signup and view all the answers

What is the significance of a scleral centration overlap of > 0.5 -1.0mm between nasal and temporal lag?

<p>It indicates a tight lens fit (B)</p> Signup and view all the answers

What is the recommended approach to adjusting the fit of a soft contact lens?

<p>Change the diameter of the lens first (C)</p> Signup and view all the answers

What is the primary concern with fitting soft torics?

<p>Ensuring the Cyl axis is accurately corrected (A)</p> Signup and view all the answers

What is the CAAS/LARS rule used for in fitting soft torics?

<p>To compensate for lens rotation (A)</p> Signup and view all the answers

What should you expect to see when inserting a compensated axis in a soft toric lens that has rotated?

<p>The lens should still appear rotated on the eye (A)</p> Signup and view all the answers

What is the primary purpose of conducting a slit lamp examination in contact lens fitting?

<p>To assess the lens fit and visual acuity (B)</p> Signup and view all the answers

What is the effect of a larger lens diameter on the movement of the lens?

<p>It decreases the movement of the lens (A)</p> Signup and view all the answers

What is the significance of the sagittal depth of the lens?

<p>It is the critical dimension of the lens (D)</p> Signup and view all the answers

What is the recommended initial settling time for a contact lens?

<p>5 minutes (A)</p> Signup and view all the answers

What is the purpose of over-refraction in contact lens fitting?

<p>To check the spherical power of the lens (B)</p> Signup and view all the answers

What is the result of an immobile contact lens fit?

<p>It is associated with inflammation and microbial keratitis (B)</p> Signup and view all the answers

What is the purpose of the Duochrome assessment in contact lens fitting?

<p>To check the spherical power of the lens (A)</p> Signup and view all the answers

What is required to properly evaluate the fit of a contact lens?

<p>Natural loss of excess tears (D)</p> Signup and view all the answers

What is the characteristic of a well-fitting contact lens?

<p>It has a good centration and complete corneal coverage (A)</p> Signup and view all the answers

What is the purpose of recording the fit of a contact lens?

<p>To check the centration and corneal coverage of the lens (C)</p> Signup and view all the answers

What is the primary concern with a soft immobile lens?

<p>It will cause problems with comfort (C)</p> Signup and view all the answers

What is the significance of a scleral centration overlap of < 0.5 -1.0mm between nasal and temporal lag?

<p>The lens is slightly loose (C)</p> Signup and view all the answers

What is the effect of friction on lens movement?

<p>It decreases the movement of the lens (C)</p> Signup and view all the answers

What is the typical approach to adjusting the fit of a soft contact lens?

<p>Diameter changes are more effective than radius changes (B)</p> Signup and view all the answers

What is the significance of a lens moving > 0.25 mm – 0.50 mm in the Bo Movement scale?

<p>The lens is slightly loose (C)</p> Signup and view all the answers

What is the purpose of assessing the fit of a lens after several hours of wear?

<p>To determine the optimal fit of the lens (D)</p> Signup and view all the answers

What is the significance of a keratometer mires stable on blink?

<p>The lens is optimal (B)</p> Signup and view all the answers

What is the primary advantage of using a better wetting lens?

<p>It moves more (A)</p> Signup and view all the answers

What is the significance of a lens that requires removal in an emergency?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary concern with fitting soft torics?

<p>Nasal rotation (A)</p> Signup and view all the answers

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