Keratometry
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Questions and Answers

What should be done if only one minus sign is visible in the keratometric mires?

  • Ensure the patient’s forehead is secure against the headrest.
  • Ensure that fellow eye is occluded.
  • The occluder is in the way. (correct)
  • Patient's eyelid is drooping, have them open wide.

How can the power range of a keratometer be extended?

  • By using loose lenses over the opening of the keratometer barrel. (correct)
  • By increasing the distance between the patient's forehead and the headrest.
  • By adjusting the mire clarity setting.
  • By using a +2.00D loose lens.

In keratometry, what should be done if patient gaze is unsteady?

  • Remind the patient to blink frequently.
  • Adjust the chinrest position.
  • Use a loose lens to stabilize the gaze.
  • Ensure that fellow eye is occluded. (correct)

What could be a reason for H&V mires not being measureable concurrently in keratometry?

<p>Irregular astigmatism in the patient. (C)</p> Signup and view all the answers

When should a +1.25D loose lens be used in keratometry?

<p>To increase the diopter range. (C)</p> Signup and view all the answers

What action should be taken if mire focus is transient when performing keratometry?

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

What is the primary purpose of a keratometer?

<p>To assess the curvature of the cornea (D)</p> Signup and view all the answers

In keratometry, what is the significance of mire distortion?

<p>Suggests irregular form of mires which can help with keratoconus diagnosis (C)</p> Signup and view all the answers

How does corneal astigmatism differ from refractive astigmatism?

<p>Corneal and refractive astigmatism may not coincide due to differences in measurement methods (B)</p> Signup and view all the answers

What is a possible reason for corneal and refractive astigmatism not coinciding?

<p>~25% increase in astigmatism when moving from corneal plane to spectacle plane (A)</p> Signup and view all the answers

Which component of a keratometer determines the axis and power of astigmatism?

<p>Axis scale of the 2 meridians (A)</p> Signup and view all the answers

How does the design of a keratometer aid in determining corneal surface curvature?

<p>By reflecting images in the cornea and measuring their size (C)</p> Signup and view all the answers

What should be done if irregular astigmatism is present during keratometry?

<p>First do the horizontal meridian, then the vertical meridian (A)</p> Signup and view all the answers

Which type of astigmatism has more power in the vertical meridian?

<p>With-the-rule (WTR) Astigmatism (B)</p> Signup and view all the answers

In which case should patients with dry eyes be asked to blink or use artificial tears before keratometry?

<p>Before starting the procedure (A)</p> Signup and view all the answers

What should you do if you observe distorted mires during keratometry?

<p>Adjust and re-center as necessary (A)</p> Signup and view all the answers

How are the principal meridians positioned in Oblique Astigmatism?

<p>Between 30-60 degrees and 120-150 degrees (A)</p> Signup and view all the answers

What should be done if the two principal meridians are not 90 degrees apart during keratometry?

<p>First do the horizontal meridian, then readjust and do the vertical meridian (D)</p> Signup and view all the answers

What should be done if CC axis is ATR according to Javal's Rule when applying it practically?

<p>Subtract (B)</p> Signup and view all the answers

In the practice example 43.00@180/46.00@090, what would be the total refractive astigmatism using Javal's Rule?

<p>-3.00@090 (B)</p> Signup and view all the answers

When CC axis is WTR as per Javal's Rule in practical application, what should be done to the total refractive astigmatism?

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

If the Simplified Form of Javal’s Rule gives a result of -1.50x180 for a specific case, what was the initial Keratometric astigmatism?

<p>-1.00x180 (A)</p> Signup and view all the answers

In a practical scenario where the CC is -2.00@090, according to Javal's Rule, what would be the total refractive astigmatism?

<p>-2.50@090 (A)</p> Signup and view all the answers

What is the purpose of applying a +1.25D lens in front of the barrel in keratometry when the K reading is over 52.00D?

<p>To correct the K drum reading to the true value (C)</p> Signup and view all the answers

In recording keratometric measurements, what does 'MCAR' stand for?

<p>Mires can be recorded as: Clear And Regular (B)</p> Signup and view all the answers

When initial K readings are less than 36.00D, what type of lens should be added in front of the barrel in keratometry?

<p>-1.00D lens (B)</p> Signup and view all the answers

What is the average range of K readings expected in keratometry practice according to the provided text?

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

What does Javal's Rule help determine in the context of keratometry?

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

What should be done if irregular astigmatism is detected during keratometry?

<p>Proceed with the horizontal meridian first, then readjust the barrel and proceed with the vertical meridian (B)</p> Signup and view all the answers

What is the recommended approach for observing corneal integrity in patients with dry eyes during keratometry?

<p>Ask the patient to blink or use artificial tears before the procedure (B)</p> Signup and view all the answers

If a patient has ATR astigmatism, what can be expected about the curvature of their principal meridians?

<p>Horizontal meridian is flatter than the vertical meridian (D)</p> Signup and view all the answers

What should be recorded in addition to the amount of corneal astigmatism during keratometry?

<p>Flatter K's/ Steeper K's (C)</p> Signup and view all the answers

What distinguishes between regular astigmatism and irregular astigmatism in keratometry?

<p>Regular astigmatism has principal meridians perpendicular, irregular does not (C)</p> Signup and view all the answers

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