CL Quiz 1B
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Questions and Answers

What is the primary reason for measuring pupil size in a patient with an 8mm pupil size under dim light?

  • To identify irregular corneal curvature
  • To assess corneal shape using topography
  • To determine the best contact lens size for the patient
  • To ensure patient proper contact lens for both dim and bright illumination (correct)

In corneal curvature measurements, why is the flattest corneal curvature more important?

  • It has the lowest diopter value (correct)
  • It is more relevant for patients with refractive surgery
  • It represents the horizontal meridian
  • It indicates the best visual acuity for the patient

A patient with regular 'with-the-rule' astigmatism would have corneal axis measurements at approximately:

  • Opposite to each other
  • 45 degrees away from each other
  • Parallel to each other
  • 90 degrees away from each other (correct)

Why is the flat K value more relevant for a patient post refractive surgery?

<p>It reflects the corneal curvature changes after surgery (C)</p> Signup and view all the answers

In the context of corneal curvature, which meridian is typically steeper in 'with-the-rule' astigmatism?

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

What type of contact lens would be suitable for a patient with irregular corneal curvature?

<p>Rigid gas-permeable contact lens (C)</p> Signup and view all the answers

What does a difference in curvatures between the horizontal and vertical meridians indicate?

<p>'With-the-rule' astigmatism (D)</p> Signup and view all the answers

What does a flatter horizontal meridian indicate in corneal curvature measurements?

<p>'With-the-rule' astigmatism (C)</p> Signup and view all the answers

Why is it important to inform a patient about potential blurriness before complaints?

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

What do 45.4D and 45.9D values represent in corneal curvature measurements?

<p>Flat and steep values respectively (B)</p> Signup and view all the answers

Why is it important to focus more on the flattest corneal curvature?

<p>For determining contact lens fit (D)</p> Signup and view all the answers

What complication can arise from using topical medications while wearing contact lenses?

<p>The medication may not reach the epithelium due to the presence of the contact lens (B)</p> Signup and view all the answers

What is the recommended timing for placing topical drops when a patient is wearing contact lenses?

<p>Either before or after wearing contact lenses (D)</p> Signup and view all the answers

What is a risk associated with wearing contact lenses beyond the prescribed duration?

<p>Accumulation of biofilms on the contact lenses (B)</p> Signup and view all the answers

What is the purpose of surfactants in cleaning/contact lens solutions?

<p>To clean surfaces and kill bacteria on the contact lens (A)</p> Signup and view all the answers

How can air-controlled environments affect a patient's experience of wearing contact lenses?

<p>They can increase symptoms compared to outdoor environments (B)</p> Signup and view all the answers

What is a potential alternative for swimmers or individuals wearing goggles over contact lenses?

<p>Orthokeratology (ortho k) (B)</p> Signup and view all the answers

Why is it important to measure both vertical aperture and horizontal visible iris diameter for fitting contact lenses?

<p>To accommodate variations in iris size and patient needs (D)</p> Signup and view all the answers

What should be taken into account when fitting a patient with corneal scar?

<p>Selecting a larger diameter contact lens to avoid edge irritation (D)</p> Signup and view all the answers

What is the relevance of measuring pupil size in a patient with an 8mm pupil size under dim light?

<p>To ensure the contact lens can be fit appropriately (C)</p> Signup and view all the answers

What is the significance of a difference in curvatures between the horizontal and vertical meridians in corneal measurements?

<p>Indicates irregular corneal symmetry (D)</p> Signup and view all the answers

Why is the flat K value more relevant for a patient post refractive surgery?

<p>To address irregular corneal curvature (D)</p> Signup and view all the answers

In corneal curvature measurements, why is the flattest corneal curvature more important?

<p>To ensure appropriate contact lens fitting (C)</p> Signup and view all the answers

What do 45.4D and 45.9D values represent in corneal curvature measurements?

<p>Steep and flat corneal curvatures (A)</p> Signup and view all the answers

What should be taken into account when fitting a patient with irregular corneal curvature?

<p>Assessing corneal symmetry (C)</p> Signup and view all the answers

What is the primary reason for measuring pupil size in a patient with an 8mm pupil size under dim light?

<p>To ensure appropriate contact lens fitting (C)</p> Signup and view all the answers

What is a potential alternative for swimmers or individuals wearing goggles over contact lenses?

<p>Ortho K cosmetic soft contact lens fitting (C)</p> Signup and view all the answers

What is a common symptom experienced by a patient with an active chalazion?

<p>Increased discomfort from contact lens (C)</p> Signup and view all the answers

Why is it not recommended to apply topical medications when wearing contact lenses?

<p>Contact lenses can inhibit the medication from adequately reaching the eye's epithelium (C)</p> Signup and view all the answers

What effect can prolonged wear of contact lenses beyond the prescribed duration have on the eyes?

<p>Increased risk of adverse effects due to biofilm accumulation (D)</p> Signup and view all the answers

What is the purpose of surfactants in cleaning/contact lens solutions?

<p>To reduce bacterial growth on the lenses (B)</p> Signup and view all the answers

How can air-controlled environments affect a patient's experience of wearing contact lenses?

<p>They may cause increased symptoms compared to outdoor environments (C)</p> Signup and view all the answers

What is the primary purpose of measuring both vertical aperture and horizontal visible iris diameter for fitting contact lenses?

<p>To accommodate for differences in pupil size (A)</p> Signup and view all the answers

What complication can arise from using non-preservative contact lens solutions?

<p>Irritation to the eyes and discomfort (C)</p> Signup and view all the answers

What does a difference in curvatures between the horizontal and vertical meridians indicate in corneal curvature measurements?

<p>&quot;A need for smaller or larger vertical apertures when fitting contact lenses&quot; (C)</p> Signup and view all the answers

Why would a patient need to be fit with two different vertical apertures?

<p>To accommodate differences in vertical aperture between their eyes (C)</p> Signup and view all the answers

What is a risk associated with wearing contact lenses beyond the prescribed duration?

<p>Increased risk of biofilm accumulation on the lenses (B)</p> Signup and view all the answers

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