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Phoropter
A phoropter or refractor is an ophthalmic testing device. It is commonly used by eye care professionals during an eye examination, and contains different lenses used for refraction of the eye during sight testing, to measure an individual's refractive error and determine their eyeglass prescription. Dictionary.comDefinition of "phoropter" American Heritage Stedman's Medical Dictionary. Retrieved 10-10-10. It also is used to measure the patients' Heterophoria, phorias and ductions, which are characteristics of binocularity. Typically, the patient sits behind the phoropter, and looks through it at an eye chart placed at optical infinity (20 feet or 6 metres), then at near (16 inches or 40 centimetres) for individuals needing reading glasses. The eye care professional then changes lens (optics), lenses and other settings, while asking the patient for subjective feedback on which settings gave the best visual perception, vision. The patient's habitual prescription or an automat ...
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Eyeglass Prescription
An eyeglass prescription is an order written by an eyewear prescriber, such as an optometrist, that specifies the value of all parameters the prescriber has deemed necessary to construct and/or dispense corrective lenses appropriate for a patient. If an eye examination indicates that corrective lenses are appropriate, the prescriber generally provides the patient with an eyewear prescription at the conclusion of the exam. The parameters specified on spectacle prescriptions vary, but typically include the patient's name, power of the lenses, any prism to be included, the pupillary distance, expiration date, and the prescriber's signature. The prescription is typically determined during a refraction, using a phoropter and asking the patient which of two lenses is better, or by an automated refractor, or through the technique of retinoscopy. A dispensing optician will take a prescription written by an optometrist and order and/or assemble the frames and lenses to then be dispense ...
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Eye Examination
An eye examination, commonly known as an eye test, is a series of tests performed to assess Visual acuity, vision and ability to Focus (optics), focus on and discern objects. It also includes other tests and examinations of the human eye, eyes. Eye examinations are primarily performed by an optometrist, ophthalmologist, or an orthoptist. Health care professionals often recommend that all people should have periodic and thorough eye examinations as part of routine primary care, especially since many eye diseases are asymptomatic. Typically, a healthy individual who otherwise has no concerns with their eyes receives an eye exam once in their 20s and twice in their 30s. Eye examinations may detect potentially treatable blindness, blinding eye diseases, ocular manifestation of systemic disease, ocular manifestations of systemic disease, or signs of tumour, tumors or other anomalies of the Human brain, brain. A full eye examination consists of a comprehensive evaluation of medical h ...
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Astigmatism (eye)
Astigmatism is a type of refractive error due to rotational asymmetry in the eye's refractive power. The lens and cornea of an eye without astigmatism are nearly spherical, with only a single radius of curvature, and any refractive errors present can be corrected with simple glasses. In an eye with astigmatism, either the lens or the cornea is slightly egg-shaped, with higher curvature in one direction than the other. This gives distorted or blurred vision at any distance and requires corrective lenses that apply different optical powers at different rotational angles. Astigmatism can lead to symptoms that include eyestrain, headaches, and trouble driving at night. Astigmatism often is present at birth, but can change or develop later in life. If it occurs in early life and is left untreated, it may result in amblyopia. The cause of astigmatism is unclear, although it is believed to be partly related to genetic factors. The underlying mechanism involves an irregul ...
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Automated Refractor
An autorefractor or automated refractor is a computer-controlled machine used during an eye examination to provide an objective measurement of a person's Refraction error, refractive error and Eyeglass prescription, prescription for glasses or contact lenses. This is achieved by measuring how light is changed as it enters a person's eye. Technique The majority of autorefractors calculate the vision correction a patient needs (refraction) by using sensors that detect the reflections from a cone of infrared light. These reflections are used to determine the size and shape of a ring in the retina which is located in the posterior part of the eye. By measuring this zone, the autorefractor can determine when a patient's eye properly focuses an image. The instrument changes its magnification until the image comes into focus. The process is repeated in at least three meridians of the eye and the autorefractor calculates the refraction of the eye, sphere, cylinder and axis. Modern autor ...
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Optometrist
Optometry is the healthcare practice concerned with examining the eyes for visual defects, prescribing corrective lenses, and detecting eye abnormalities. In the United States and Canada, optometrists are those that hold a post-baccalaureate four-year Doctor of Optometry degree. They are trained and licensed to practice medicine for eye related conditions, in addition to providing refractive (optical) eye care. Within their scope of practice, optometrists are considered physicians and bill medical insurance(s) (example: Medicare) accordingly. In the United Kingdom, optometrists may also provide medical care (e.g. prescribe medications and perform various surgeries) for eye-related conditions in addition to providing refractive care. The Doctor of Optometry degree is rarer in the UK. Many optometrists participate in academic research for eye-related conditions and diseases. In addition to prescribing glasses and contact lenses for vision related deficiencies, optometrists are ...
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Orthoptist
Orthoptics is a profession allied to the eye care profession. Orthoptists are the experts in diagnosing and treating defects in eye movements and problems with how the eyes work together, called binocular vision. These can be caused by issues with the muscles around the eyes or defects in the nerves enabling the brain to communicate with the eyes. Orthoptists are responsible for the diagnosis and non-surgical management of strabismus (cross-eyed), amblyopia (lazy eye) and eye movement disorders.International Orthoptic Association document "professional role" The word ''orthoptics'' comes from the Greek words ὀρθός ''orthos'', "straight" and ὀπτικός ''optikοs'', "relating to sight" and much of the practice of orthoptists concerns disorders of binocular vision and defects of eye movement. Orthoptists are trained professionals who specialize in orthoptic treatment, such as eye patches, eye exercises, prisms or glasses. They commonly work with paediatric patients and al ...
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Orthoptics
Orthoptics is a profession allied to the eye care profession. Orthoptists are the experts in diagnosing and treating defects in eye movements and problems with how the eyes work together, called binocular vision. These can be caused by issues with the muscles around the eyes or defects in the nerves enabling the brain to communicate with the eyes. Orthoptists are responsible for the diagnosis and non-surgical management of strabismus (cross-eyed), amblyopia (lazy eye) and eye movement disorders.International Orthoptic Association document "professional role" The word ''orthoptics'' comes from the Ancient Greek, Greek words ὀρθός ''orthos'', "straight" and ὀπτικός ''optikοs'', "relating to sight" and much of the practice of orthoptists concerns disorders of binocular vision and defects of eye movement. Orthoptists are trained professionals who specialize in orthoptic treatment, such as eye patches, eye exercises, prisms or glasses. They commonly work with paediatric pat ...
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Retinoscope
Retinoscopy is a technique to obtain an objective measurement of the refractive error of a patient's eyes. How It Works The examiner uses a retinoscope to shine light into the patient's eye and observes the reflection (reflex) off the patient's retina. While moving the streak or spot of light through the pupil across the retina, the examiner observes the relative movement of the reflex or manually places lenses over the eye (using a phoropter or trial frame and trial lenses) to "neutralize" the reflex. Static Retinoscopy Static retinoscopy is a type of retinoscopy used in determining a patient's refractive error. It relies on Foucault knife-edge test, which states that the examiner should simulate optical infinity to obtain the correct refractive power. Hence, a power corresponding to the working distance is subtracted from the gross retinoscopy value to give the patient's refractive condition, the working distance lens being one which has a focal length of the examiner's ...
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Pupillary Distance
Pupillary distance (PD), more correctly known as interpupillary distance (IPD) is the distance in millimeters between the centers of each pupil. Interpupillary Distance Classifications Distance PD is the separation between the visual axes of the eyes in their primary position, as the subject fixates on an infinitely distant object. Near PD is the separation between the visual axes of the eyes, at the plane of the spectacle lenses, as the subject fixates on a near object at the intended working distance. Intermediate PD is at a specified plane in between distance and near. Monocular PD refers to the distance between either the right or left visual axis to the bridge of the nose, which may be slightly different for each eye due to anatomical variations but always sums up to the binocular PD. For people who need to wear prescription glasses, consideration of monocular PD measurement by an optician helps to ensure that the lenses will be located in the optimum position. Whilst PD is ...
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Dioptre
A dioptre ( British spelling) or (American spelling), symbol dpt or D, is a unit of measurement with dimension of reciprocal length, equivalent to one reciprocal metre, . It is normally used to express the optical power of a lens or curved mirror, which is a physical quantity equal to the reciprocal of the focal length, expressed in metres. For example, a 3-dioptre lens brings parallel rays of light to focus at metre. A flat window has an optical power of zero dioptres, as it does not cause light to converge or diverge. Dioptres are also sometimes used for other reciprocals of distance, particularly radii of curvature and the vergence of optical beams. The main benefit of using optical power rather than focal length is that the thin lens formula has the object distance, image distance, and focal length all as reciprocals. Additionally, when relatively thin lenses are placed close together their powers approximately add. Thus, a thin 2.0-dioptre lens placed close to a th ...
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