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Ординатура / Офтальмология / Английские материалы / Essentials of Ophthalmic Lens Finishing, 2nd edition_Brooks_2003

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420

C E N T R AT I O N S K I L L S S E R I E S

WHEN THE PATTERN IS OFF BOTH HORIZONTALLY AND VERTICALLY

9.The central pattern hole is displaced 1 mm nasally and is 0.5 mm too low. Left lens

A = 51 mm B = 49.4 mm

ED = 65.4 mm DBL = 16 mm PD = 56 mm

10.The central pattern hole is displaced 0.5 mm temporally and is 1 mm too high. Left lens

A = 52 mm B = 48 mm ED = 54 mm

DBL = 20 mm PD = 58/55

Segment height = 18 mm

11.The central pattern hole is displaced 1.0 mm nasally and is 0.5 mm too low. Right lens

A = 52 mm B = 42 mm

ED = 57.5 mm DBL = 18 mm PD = 63/59

Segment height = 18 mm

C E N T R AT I O N S K I L L S S E R I E S

421

K E Y S E R I E S 1

Single Vision Lenses

1.(a) To the right.

(b) Viewed from the front, the cross should be 3 mm to the left of the center spot.

2.2 mm in. Viewed from the front, the marked cross should be 2 mm to the right of the center dot.

3.The decentration per lens is 1.5 mm. When viewed from the front, the center dot is to the right of the marked cross.

4.1.5 mm in To the left

5.2.0 mm in To the right

6.0 mm

They are at the same location.

7.4.5 mm in To the left

8.3 mm in To the right

9.3.5 mm in To the right

10.1 mm out To the right

422

C E N T R AT I O N S K I L L S S E R I E S

K E Y S E R I E S 2

Single Vision Lenses

CENTRATION FOR MONOCULAR PDS AND PRACTITIONER-

SPECIFIED MAJOR REFERENCE POINT HEIGHT

Answer Format

R lens horizontal decentration = a

(When viewed from the front of the lens, the center lensmeter dot is a mm to the right of the marked cross.)

L lens horizontal decentration = b

(When viewed from the front of the lens, the center lensmeter dot is b mm to the left of the marked cross.)

1.a = 5 mm b = 3 mm

2.a = 7 mm b = 8 mm

3.a = 7 mm b = 5 mm

4.a = 3.5 mm b = 1.5 mm

5.a = 4 mm b = 3 mm

6.a = 3 mm b = 6 mm

7.a = 2.5 mm b = 5.5 mm

Answer Format

R lens horizontal decentration = a R vertical decentration = b

(When viewed from the front, the center lensmeter dot is a mm to the right of and b mm above the marked cross.)

L lens horizontal decentration = c L vertical decentration = d

(When viewed from the front, the center lensmeter dot is c mm to the left of and d mm above the marked cross.)

8.a = 3.5 mm

b = +2 mm raise c = 3.5 mm

d = +2 mm raise

9.a = 4.5 mm

b = +3 mm raise c = 4.5 mm

d = +3 mm raise

10.a = 5.5 mm

b = +1 mm raise c = 5.5 mm

d = +1 mm raise

C E N T R AT I O N S K I L L S S E R I E S

423

11.a = 4 mm

b = +3.5 mm raise c = 3 mm

d = +3.5 mm raise

12.a = 7 mm

b = +1.25 mm raise c = 4 mm

d = +1.25 mm raise

13.a = +3 mm

b = 1.25 mm raise c = +6 mm

d = 1.25 mm raise

424

C E N T R AT I O N S K I L L S S E R I E S

K E Y S E R I E S 3

Single Vision Lenses

LENSES WITH PRESCRIBED PRISM

Answer Format

Prism base direction is base = a.

Horizontal decentration = b.

(When viewed from the front of the lens, the center lensmeter dot is b mm to the c of the marked cross.)

1.a = in

b = 3.5 mm c = right

2.a = out

b = 10.5 mm c = right

3.a = out

b = 1.5 mm c = left

4.a = in

b = 4 mm c = left

5.a = up

b = 4 mm c = right

6.a = up

b = 2 mm c = left

7.a = down b = 3 mm c = left

8.a = down

b = 5.5 mm c = right

Answer Format

Prism base direction is base = a.

Horizontal decentration = b.

(When viewed from the front of the lens, the center lensmeter dot is b mm to the c of the marked cross.)

9.a = out and down b = 3.5 mm

c = right

10.a = in and up b = 2.5 mm c = right

11.a = in and down b = 1.5 mm

c = left

12.a = out and up b = 5 mm

c = left

C E N T R AT I O N S K I L L S S E R I E S

425

Answer Format

When viewed from the front, the middle lensmeter dot is approximately a mm (above, below, to the right of, or to the left of) b the geometrical center of the lens blank. This same lensmeter dot should also be c mm to the d of the marked cross, since horizontal decentration = c mm.

13.a = 2 mm b = below c = 4 mm d = right

14.a = 2 mm b = above c = 8 mm d = right

15.a = 4 mm

b = to the right of c = 6 mm

d = right

16.a = 4 mm

b = to the left of c = 6 mm

d = right

17.a = 4 mm

b = to the right of c = 3.5

d = right

426

C E N T R AT I O N S K I L L S S E R I E S

K E Y S E R I E S 4

Progressive Addition Lenses: Using the Fitting Cross

1.Horizontal decentration

R = 4.5 mm L = 5.5 mm

Fitting cross raise:

R = +2 mm L = +2 mm

2.Horizontal decentration

R = 3 mm L = 2 mm

Fitting cross raise:

R = +2.5 mm L = +3.5 mm

3.Horizontal decentration

R = 2 mm L = 2 mm

Fitting cross raise:

R = +3.5 mm L = +3.5 mm

4.Horizontal decentration

R = 1 mm L = 3 mm

Fitting cross raise:

R = +1 mm L = +2 mm

5.Horizontal decentration

R = 1.5 mm L = 2.5 mm

Fitting cross raise:

R = +4.5 mm L = +4.5 mm

6.Horizontal decentration

R = 4.5 mm L = 4.5 mm

Fitting cross raise:

R = +3.5 mm L = +4.5 mm

C E N T R AT I O N S K I L L S S E R I E S

427

7.Horizontal decentration

R = 4.5 mm L = 3.5 mm

Fitting cross raise:

R = +3 mm L = +4 mm

8.Horizontal decentration

R = 5 mm L = 3 mm

Fitting cross raise:

R = +4 mm L = +5 mm

9.Horizontal decentration

R = 4.5 mm L = 3.5 mm

Fitting cross raise:

R = +1.5 mm L = +1.5 mm

428

C E N T R AT I O N S K I L L S S E R I E S

K E Y S E R I E S 5

Progressive Addition Lenses: Using Hidden ‘Circles’

1.Horizontal decentration

R = 2 mm L = 2 mm

Hidden circle raise or drop:

R = +1 mm L = +1 mm

2.Horizontal decentration

R = 1.5 mm L = 1.0 mm

Hidden circle raise or drop:

R = –1 mm L = –1 mm

3.Horizontal decentration

R = 3.5 mm L = 4.5 mm

Hidden circle raise or drop:

R = –1 mm L = 0 mm

4.Horizontal decentration

R = 1.0 mm L = 1.5 mm

Hidden circle raise or drop:

R = +2 mm L = +1 mm

5.Horizontal decentration

R = 2 mm L = 1 mm

Hidden circle raise or drop:

R = +0.5 mm L = +1.0 mm

6.Horizontal decentration

R = 1.0 mm L = 1.5 mm

Hidden circle raise or drop:

R = +0.5 mm L = +2.0 mm

C E N T R AT I O N S K I L L S S E R I E S

429

7.Horizontal decentration

R = 0.5 mm L = 2.0 mm

Hidden circle raise or drop:

R = +2.5 mm L = +3.5 mm

8.Horizontal decentration

R = 1.5 mm L = 0.5 mm

Hidden circle raise or drop:

R = +0.5 mm L = +1.5 mm

9.Horizontal decentration

R = 0.5 mm out L = 1.0 mm in

Hidden circle raise or drop:

R = –1.0 mm L = –0.5 mm

10.Horizontal decentration

R = 1.5 mm L = 2.5 mm

Hidden circle raise or drop:

R = +3.0 mm L = +2.0 mm