ORTH 4994 Topics: Optics for Orthoptists 4 credits Tuesdays 10:00 am - 12:00 pm (Room 104) Thursdays 8:00 – 10:00 am (Room 103) Old Main, 1st floor HENRIETTA SCHMOLL School of Health Orthoptics Course Syllabus Instructor Information Name: Lisa P. Rovick, MHSc, CO, COMT Office location: Minneapolis Campus. Old Main #410 Phone: 651-690-7778 E-mail Cell: 612-716-4418 lprovick@stkate.edu Office Hours: Mondays 1:00 – 2:30; additional times by appointment Name: Aaron Shukla, PhD, COMT Office location: Minneapolis Campus. Old Main #412 Phone: 651-690-7862 Office Hours: Tuesday, Friday 10:00-12:00 (by appointment only during these times) Course Description This course introduces principles of physical, geometric and physiologic optics. Physical optics covers concepts of light, in which light is treated as part of the electromagnetic spectrum, and whose properties may be explained by waveforms as well as particles. Topics include wave and particle theory, polarization, interference, fluorescence, and lasers. Geometric optics topics include the behavior of light in various media, ray tracing to examine refraction, reflection, diffraction, dispersion, lenses and mirrors. Additional topics include object-image relationships, magnification, graphical analysis of lenses, spherical and spherocylindrical lenses, optical crosses and astigmatism. Physiologic optics examines the human eye as an optical system through discussion of image formation, optical relationships of eye structures, accommodation, amplitudes and the effects of aging, refractive errors, astigmatism, prisms, Prentice’s Rule, and the basics of retinoscopy and refraction. Special attention is paid to the clinical use of prism in the alleviation of double vision. In addition, an introduction to contact lenses and spectacles is also included, with discussions of contact lens types, fitting procedures, care and storage procedures, indications for use, complications, patient instruction, spectacle ordering, dispensing and verification techniques. Unique needs of pediatric and diplopic patients will be covered, as well as treatment alternatives available to meet those needs. Trouble-shooting and problem solving techniques will be addressed in relation to patient complaints Page 1 Course Goals The overall goal for this course is to provide a knowledge and skill base upon which all of the additional courses in the orthoptic major are built. The optical concepts and clinical skills introduced in this course provide a framework for the clinical experience which begins in the next semester. Course Objectives Upon successful completion of this course, students will be able to describe the nature of light as a wave or a particle discuss the electromagnetic spectrum, polarization, interference, fluorescence and lasers define Snell’s Law describe graphical analysis and refraction describe lenses, vergence, magnification, and notation of optical data discuss the application of physical and geometric optics to the human eye describe the fundamental optics governing the production of images on the retina describe binocular vision, refractive errors and their correction describe the basic principles of retinoscopy and manifest refraction measure corneal curvature and refractive errors in order to properly fit and evaluate rigid and soft contact lenses recognize complications resulting from contact lens wear assess refractive errors measure pupillary distance and frame parameters in order to determine the best selection of spectacle lens and frame for each patient perform basic spectacle frame adjustments Course Assignments Criteria for Quality Work: This is a BRIEF overview of required assignments. Criteria for quality work and specific requirements needed to complete each assignment will be given in a timely manner. Specific questions pertaining to every assignment are addressed when it is assigned. As appropriate to the assignment, project, or activity, students who fail to meet the quality work criteria may revise work to meet these descriptors. All revised assignments must be returned to the instructors no later than the next class session to receive credit. Late revised assignments are not accepted, unless in excused-absence situations as agreed upon with the instructors. 1. Attendance/Preparation/Participation (max. 20 pts. /week) Evidenced in on-going assessment (e.g. class discussions, group projects during class) 5 pts./session Weekly content quiz (based on material presented and discussed during that week) 10 pts./quiz this quiz may be either a written quiz or a skill test (see #2) 2. Reading and Written Assignments/Quiz (10 pts./quiz; points for assignments vary) Complete readings PRIOR to assigned class. Quiz will be given at the beginning of class every Tuesday based on assigned readings. If you have any questions about readings, be sure to ask them before class. Homework assignments and labs, as assigned. Unless specified, homework is due in the following class period taught by the assigning professor. Page 2 3. Examinations (points vary by examination) Interim major quiz based on specified topics May be short answer, matching, labeling diagrams, multiple choice Midterm exam based on all material covered to date Multiple choice only Midterm clinical skills exam Final exam based on all material covered in the course Multiple choice only Final clinical skills exam Grading Scale The final grade will represent student performance on weekly quizzes, completion of homework assignments, interim quizzes, midterm and final examinations. Student attendance and class participation will be included in the final assessment. The grading policy followsAverage of all weekly content quizzes.....................................................…A (the lowest scoring quiz in each section will be dropped) Average % of all interim quiz scores ………………………………………………………..B Average of A + B............................................................................................................................C Average % of all homework assignments………………… …………………………………………….….............D Midterm multiple choice examination score ……………………………..……..…..E Final multiple examination examination score …………………………..………….F Average of E + F............................................................................................................................G Average of C + D + G............................................................................H Midterm clinical skills exam ………………………………………………………………………I Final clinical skills exam………………………………………………………………………………J Average of I + J………………………………………………………………………………………………………………….………K AVERAGE of H + K………………………………………………………………………………………………………………………………………………L Class participation points……………………………………………………………………………………………………………..………………….M Final percentage for course …… L + M Final Score ____ Final course grade will be determined by converting the final point score to a letter according to the following scheme: Final Percentage Final course grade 90 – 100 A 80 – 89 B 70 – 79 C 60 – 69 D < 60 F A final percentage of 70 or greater (C or better) in this course is required for continued enrollment in the orthoptic major. Exceptions to this rule may be made at the discretion of the program director. INCOMPLETES: “A grade of incomplete is given only when unusual circumstances deem it appropriate. Ordinarily, such circumstances would involve matters that are not wholly within a student’s control, such as illness. Students who wish to receive an incomplete must complete a Page 3 Petition for Incomplete Grade form (available online http://minerva.stkate.edu/RecOffFrms.nsf/Incomp4?OpenForm ) no later than the last day of the term in which course requirements are due. The student must be making satisfactory progress in the course at the time the petition is approved by the instructor. Incompletes are awarded at the instructor’s discretion” (Petition for an Incomplete Grade, from Registrar’s Section St. Catherine University Website). The “Legal” Section ATTENDANCE • “Regular class attendance is expected of all students. Students are responsible for class assignments whether present or not. Absences for any reason will be taken into account in the evaluation of the student’s work. Attendance will be taken daily at the beginning of class. • Absences will affect your grade because ongoing and interactive assessments are done during classes. Attendance and thoughtful participation are crucial to your learning and provide evidence of it. Class participation points for excused absences can be made up; they cannot be made up for unexcused absences. • If you cannot get to class (e.g. illness, car won’t start, relative dies), contact me before class begins. Instructors need to be informed about any absence before class or it will be unexcused. • If you are going to miss your clinic day, please contact me AND the clinical preceptor. • Students who miss class are responsible for asking classmates and/or instructors for notes and picking up handouts/materials. We will take attendance at the beginning of each class, per St. Catherine University policy. ASSIGNMENTS • All students are expected to turn in assignments by the printed DUE dates. Every assignment for this class must be completed in order to receive a final grade for the course. • It is your responsibility to contact the course instructor in advance of the due date, if you are struggling with an assignment. The faculty is happy to work with you, but you are responsible to ask for help. EQUAL OPPORTUNITY • “AT ST. CATHERINE’S WOMEN NOT ONLY HAVE EQUAL OPPORTUNITY, BUT EVERY OPPORTUNITY. Everything we do here – both inside and outside of the classroom – is designed to provide the opportunities to build the skills and values that not only help students succeed in college, but inspire them to excel in their personal and professional lives” (2000-2007 Undergraduate Academic Catalog, p. 5). • As instructors, we shall make every attempt to deal with all students equally. We encourage you to talk with us about your concerns of equal opportunity in the classroom. • If you have a documented disability that requires an accommodation, please provide me with the accommodation plan no later than the second class session. • “The O'Neill Center for Academic Development addresses the diverse academic needs and interests of students. The professional and student staff offer programs, services and facilities designed to promote academic achievement through the Writing/Reading Center, the Math Center and the Resources for Disabilities Center. The O'Neill Center is located on the ground level of the Coeur de Catherine on the St. Paul Campus. The phone number is 651.690.6563.” This information was taken from the center’s home page at http://minerva.stkate.edu/offices/academic/oneill.nsf. Page 4 RESPONSIBILITIES • It is our responsibility to facilitate your learning. However … • Since no teacher can learn anything for you, learning is, in the final analysis, your responsibility. Make the most of this opportunity. • To ensure a productive learning environment be respectful of ALL, please turn off electronic devices such as cell phones, pagers, and personal stereos. Children, friends or relatives of enrolled students may not attend class sessions unless prior consent of the instructor is given. ACADEMIC INTEGRITY POLICY •The mission of St. Catherine University provides for excellence in education through the search for truth and justice. In accordance with the mission, the college expects all students and faculty to uphold the highest standards of academic integrity, and acts of academic dishonesty will not be tolerated. Academic dishonesty includes, but is not limited to, the following examples of conduct: violating the academic rights of another student; cheating on assignments or exams, including the use of crib notes or other unauthorized materials; submitting papers or assignments written by another person (student, commercial agency, etc); copying from another student’s paper; stealing copies of exams or answer sheets; conveying test items to other students; plagiarizing on papers and other assignments; consenting to have one’s work used by another student as her/his own; falsely reporting information or misrepresenting actions in clinical or classroom laboratories; depriving other students of necessary course materials by stealing books, periodicals or other materials from the library, media center, labs, etc.; submitting the same paper, or substantially similar papers, to meet the requirements of more than one course without approval of the appropriate instructors; interfering in a harmful way with another student’s work, such as sabotaging another student’s laboratory experiment, or entering or deleting data in another student’s computer account, or unlawfully duplicating copyrighted materials. …Academic Affairs website Page 5 Texts / Materials REQUIRED: Cassin, B., Fundamentals for Ophthalmic Technical Personnel, 1995, WB Saunders Shukla, AV, Clinical Optics Primer, 2009, SLACK Inc. Stein, HA et al., The Ophthalmic Assistant: A guide for Ophthalmic Medical Personnel, 2000,7thEd, (880) SCU Blackboard • This is a Blackboard supported course for the clinical skills portion of the course. • How do I access Blackboard? You can access Blackboard directly at http://blackboard.stkate.edu/ Links are also available on the LeGuide under “Technology Resources.” • Additional questions about using Blackboard are answered at: http://minerva.stkate.edu/ithelpguides.nsf/dir/BlackboardFAQ • It is your responsibility to check Blackboard for weekly messages, updates, assignment folders, websites, and other support material for this course. This is a Desire 2 Learn supported course for the Optics portion of the course. In previous semesters course documents (Lesson Plans in WORD and slides in PowerPoint) were uploaded to Blackboard. The university has acquired a new course management system – Desire2Learn (D2L). Course documents will be uploaded to this portal, which may be accessed at: https://stkate.desire2learn.com/ Your USERNAME and PASSWORD will be the same as in KateWay. If needed, please call the HELP DESK at 651-690-6204. Page 6 Tentative Class Schedule (subject to change, as needed) Date Tuesday, 9/13 Tuesday, 9/20 Tuesday, 9/27 Tuesday 10/4 Aaron Teach Topic Readings/assignments Physics Assessment Test Metric Syst., Optical Math Light, Electro. Spectrum Lasers, Polarization Interference, Fluorescence Speed of light, Refractive Index Snell’s Law Critical Angle Total internal reflection Types of lenses Power of lenses Vergence & lenses Magnification by lenses 1:00-2:00 QUIZ 1 2-3 Mirrors, Prisms & dispersion Lisa Teach Readings Syllabus 7V 7VID Cassin 196-202 JCAHPO Learning Systems Lensometry module http://www.ncbi.nlm.nih.gov.pe arl.stkate.edu/pmc/articles/P MC2258122/pdf/15456110_v105_p252.pdf 7VII 8III Syllabus 7IVN Cassin p.194-195 vonNoorden Chapter 5 Date Thursday, 9/8 Topic Introduction to optical lenses Refractive errors lensometry Shukla Chapters 1-3 Thursday 9/15 Accommodation Presbyopia Optical notation bifocals Shukla Chapters 4-7 Thursday, 9/22 NO CLASS library with JCAHPO learning systems Lensometry and retinoscopy/refinement Lab practice Shukla Chapters 8, 10, 11, 13 Thursday, 9/29 Retinoscopy, working distance Syllabus 8I Cassin pp. 187-196 JCAHPO Learning Systems Retinoscopy module WelchAllyn Streak Retinoscopy manual Assignment 1 & 2 due at beginning of class Assignment 3 Essay, multiple choice, label diagrams Shukla Chapters 9, 14, 15 Thursday, 10/6 Retinoscopy/refinement JCAHPO Learning Systems Refractometry module Reichert Clinical Manual on Refraction Assignment 4 Page 7 Assignment Assignment 1 Assignment 2 Date Tuesday, 10/11 Tuesday 10/18 Tuesday, 10/25 Tuesday, 11/1 Tuesday, 11/8 Topic Spherical lenses Cylindrical lenses Spherocylindrical lenses Optical cross Conoid of Sturm Optical system of the eye Power of a curved surface Accommodation & Age Readings/assignments Shukla Chapters 16-19 Date Thursday, 10/13 Topic Prism and diplopia Reading prism, Fresnel prisms Readings Syllabus 7Q Cassin pp 200-202 Assignment Assignment 5 Shukla Chapters 2013 Thursday 10/20 No Class Assignment 6 1:00-2:00 MIDTERM EXAM 2-3 Amplitude of Accommodation Refractive Errors (myopia) Refractive errors (hyperopia) Astigmatism and its sources Simple, compound, mixed astigmatism Prentice’s rule, Decentration, Induced Prism Introduction to spectacles, frames, box, measurements Vertex, Optical Center, PD Single Vision & multifocal lenses Base curve, safety, coatings, tints, blockers Covers all topics presented up to this date. Multiple choice. Shukla Chapters 23,24 Thursday, 10/27 Lab practice JCAHPO learning systems Review segments on lensometry, retinoscopy and refinement Complete sections on keratometry CLAO contact lens module Spectacles: types, parts dispensing, verification Measuring PD Cassin pp. 208 - 212 Shukla Chapters 20, 24, 8, 25 THURSD AY, 11/3 Clinical Skills Midterm Exam (lensometry, PD, Fresnel prism application, retinoscopy and refinement) Assignments 3-6 due at beginning of class Assignment 7 Assignment 8 Shukla Chapter26, 27 Thursday, 11/10 Trouble shooting spectacles and contact lenses...patient complaints New skills: slit lamp exam Applanation tonometry Cassin Chapter 23, pp. 177181, 181-186 Assignment 9 Stein, Chap. 11 & 12 Page 8 11/15 Tilt, prism and decentration, slab off and aphakic lenses. Basics of Contact Lenses (CL), Soft CL C (p. 147-150); S (p. 213 - 216); Sh (Chap. 26); S (p. 186-187; 217) Sh (Chap 27); C (p. 335-336); S (Chap. 13, 14), C (p. 337-339; 341-343); S (Chap. 14) 11/17 11/22 Rigid Gas Permeable CL CL Review 11/24 Tuesday, 11/29 Retinoscopy & Refractometry (Refinement) COURSE review Quiz #2 (Topics 23, 24, 26-42) FINAL WRITTEN EXAM S (Ch. 13; p. 319); C (p. 336-337; 339341) Cassin (p. 187-196); JCAHPO Learning Systems DVD Essay; multiple choice; label diagrams Tuesday, 12/6 Tuesday, 12/13 Tuesday, 12/20 9:00 11:00 am Jan. 3 FINAL EXAM: CLINICAL SKILLS J-Term starts Contact lenses: care and handling Polymer Technology “Fitting GP lenses” CD Cassin pp. 169-175, 203-207 Assignment 10, 11 New skills: pupil examination keratometry No Class Thursday, 12/1 Managing Compliance issues with glasses Thursday, 12/8 Review Skills practice Thanksgiving holiday Syllabus 8 IV Assignment 12 Assignments 7-12 due Closed book Finals week begins on Thursday, December 15 Comprehensive Multiple choice (includes: lensometry,history, acuity, retinoscopy/refinement, slit lamp exam, applanation tonometry, pupil exam) **students must pass this skills exam to be allowed to begin J-term clinical rotations. Report to your clinics, as assigned. Communication with instructor and other students will be accomplished via electronic discussion board. Page 9 Page 10