Keratometry PPO2
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Questions and Answers

What is the purpose of a keratometer?

  • To measure the refractive index of the cornea
  • To determine the axial length of the eye
  • To directly measure the dioptric power of the cornea
  • To convert the radius of curvature to the dioptric power of the cornea (correct)

What is the range within which a keratometer can measure corneal curvature without the need for auxiliary lenses?

  • 44.00D to 60.00D
  • 36.00D to 52.00D (correct)
  • 30.00D to 56.00D
  • 20.00D to 45.00D

What is a limitation of keratometry mentioned in the text?

  • It can only measure corneal curvature in a small region of the cornea (correct)
  • It ignores spherical aberrations
  • It does not provide accurate measurements for eye axial length
  • It measures the cornea only at one particular radius

What error can result from incorrect focusing while using a keratometer?

<p>Misalignment errors (D)</p> Signup and view all the answers

How should the procedure for using a keratometer begin?

<p>Disinfect the instrument and adjust the patient's position (C)</p> Signup and view all the answers

What should be done to the principal meridians while using a keratometer?

<p>Make them parallel (D)</p> Signup and view all the answers

What is a consequence of ignoring spherical aberrations in keratometry?

<p>Inaccurate measurements in certain cases (D)</p> Signup and view all the answers

What should be overlapped with the horizontal meridian wheel in keratometry procedures?

<p>&quot;Plus&quot; signs (D)</p> Signup and view all the answers

What should be aligned with the vertical meridian wheel?

<p>Minus signs (C)</p> Signup and view all the answers

When observing corneal integrity, what should be evaluated?

<p>The mires (D)</p> Signup and view all the answers

What is the recommended action if irregular astigmatism is present?

<p>Perform the horizontal meridian first (B)</p> Signup and view all the answers

Which type of astigmatism is characterized by principal meridians being perpendicular?

<p>Regular Astigmatism (D)</p> Signup and view all the answers

In With-the-rule (WTR) Astigmatism, where is more power located?

<p>Vertical meridian (C)</p> Signup and view all the answers

How should one proceed after evaluating the right eye (OD)?

<p>Proceed with observing the left eye (OS) (C)</p> Signup and view all the answers

What is recorded with an amount of corneal astigmatism in diopters and an axis of -1.13x180?

<p>-1.13x180 (D)</p> Signup and view all the answers

In which type of astigmatism do principal meridians not form a 90-degree angle?

<p>'Oblique' Astigmatism (C)</p> Signup and view all the answers

What should you do if you are unable to locate keratometric mires?

<p>Ensure the patient's forehead is secure against the headrest (D)</p> Signup and view all the answers

What can cause transient mire focus issues?

<p>Patient's eyelid drooping (B)</p> Signup and view all the answers

How can extended ranges be achieved in keratometry?

<p>Using loose lenses over the opening of the keratometer barrel (D)</p> Signup and view all the answers

What should be done if only 1 plus sign is visible during measurement?

<p>Have the patient open wide (B)</p> Signup and view all the answers

When might a patient have irregular astigmatism affecting H&V mires measurement?

<p>When fellow eye is not occluded (C)</p> Signup and view all the answers

What action should be taken if only 1 minus sign is visible during measurement?

<p>Ensure the occluder is not obstructing view (C)</p> Signup and view all the answers

What are the corrective factors for increasing and decreasing diopter range in keratometry?

<p>+9.00D and -6.00D respectively (D)</p> Signup and view all the answers

For K readings above 52.00D, what should be added to extend the range?

<p>+9.00D with a +1.25D lens (B)</p> Signup and view all the answers

What is the correct true K value when the K reading is 49.00D and a +1.25D lens is added in front of the barrel?

<p>58.00D (A)</p> Signup and view all the answers

What is the formula used to calculate the true K value after adding a corrective lens in front of the barrel?

<p>$ ext{K value} imes ext{Correction Factor}$ (C)</p> Signup and view all the answers

How should mires be recorded in cases of irregular and distorted shapes?

<p>Egg shaped (C)</p> Signup and view all the answers

What is the expected angular separation between the 2 principal meridians in astigmatism?

<p>90 degrees (C)</p> Signup and view all the answers

For astigmatism, what is the average range for K readings according to the text?

<p>43.00 to 44.00D (B)</p> Signup and view all the answers

When adding a -1.00D lens in front of the barrel, what is the new K drum reading if the initial K reading is 38.00D?

<p>39.00D (D)</p> Signup and view all the answers

What is Javal's Rule primarily focused on determining?

<p>Relationship between corneal astigmatism and refractive astigmatism (C)</p> Signup and view all the answers

In recording corneal cylinder (CC) data, what are the steps used for each line in the dial in diopters?

<p>$0.25$ diopters (D)</p> Signup and view all the answers

What will be the refractive astigmatism when the corneal curvature is -2.00 @ 090 using Javal’s rule?

<p>-2.50 x 090 (C)</p> Signup and view all the answers

If the total refractive astigmatism is -1.00 x 180, what will be the result after applying the Simplified form of Javal’s Rule?

<p>-1.50 x 180 (D)</p> Signup and view all the answers

For a corneal curvature of 43.00 @ 180 and 46.00 @ 090, what is the total refractive astigmatism using Javal’s rule?

<p>-3.75 @ 090 (D)</p> Signup and view all the answers

When the corneal curvature is -0.50 @ 090, what will be the predicted total refractive astigmatism using the Simplified form of Javal’s Rule?

<p>-1.00 @ 090 (D)</p> Signup and view all the answers

For a corneal curvature of -1.00 @ 090 and applying Javal’s rule, what would be the total refractive astigmatism?

<p>-1.25 @ 090 (C)</p> Signup and view all the answers

If the corneal curvature is -2.00 @ 180, what will be the predicted total refractive astigmatism using the Simplified form of Javal’s Rule?

<p>-1.50 @ 180 (B)</p> Signup and view all the answers

What will be the refractive astigmatism when the corneal curvature is -2.00 @ 090 according to Grosvenor et al?

<p>-2.5 x 090 (B)</p> Signup and view all the answers

When you have a corneal curvature of -1.50 @ 180 and apply Javal's rule, what is the total refractive astigmatism?

<p>-1.75 @ 180 (B)</p> Signup and view all the answers

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