Ophthalmic Optics lab pg 1 Frames Frame Pieces Front Eyewire Eyewire groove Bridge Endpiece Shield Hinge Temple Frame Types Plastic Metal Combination Rimless / 3-Piece Semi-Rimless, Nylon Suspension Half-Eyes Temple Types Skull Riding Bow Comfort Cable Library Bridge Types Saddle Keyhole Adjustable Pads Formfit Adjustable pads American – twisted horizontal loop European – single vertical loop Plastic Frames Cellulose acetate (zyl) Optyl must use heat Polyamide must use minimal heat (brand: SPX) Nylon Carbon Metal Nickel, Monel Alloys Titanium Memory Metal (Flexon, etc) Stainless Steel Lensometry Come down from plus (for minus cyl) Sphere lines (skinny) focus at more plus power than cyl lines (thick) Add power is only time temples are towards you Prism P = hF ex: .5 cm x 2.00 D = 1pd difference b/w sph and cyl lines is cyl power Frame PD = A + DBL Inset = (Frame PD – Pt PD)/2 blank size = A + 2*inset (if no prism) OC – Optical Center – point on lens with no prism – not centered on pupils if prism PRP – Prism Reference Point – point on lens with amount of prism prescribed always at pupils, point pt looks through, separated by PD – if no prism, same as OC Level PRP – bottom of lens to PRP Lensometry – Multifocals Intermediate = written as % of near add PALs – tradeoff – gradual change in center means poor optics on edges, especially cyl PAL markings ◦ + • ○ ◦ distance power + fitting, pupil center ◦ permanent marking # is add (17 = +1.75), image is mfg • prism, PRP – if no prism, OC PALs are easiest glasses to measure prism; ○ add … just measure at prism dot Ophthalmic Optics lab pg 2 Lens Design Add glass – higher index – fused (no bump) plastic – thickness – one-piece (sticks out) PAL – curvature Base Curve – curve on front surface (distance part if multifocal) Lens Blanks semi-finished uncut surfacing – grind RX edging – cut to fit frame put add on front grind cyl on back + 4.00 D lens from +8.00 D BC 0.00 D lens from +6.00 D BC – 4.00 D lens from +4.00 D BC thick – hockey puck – same thickness across entire lens thin – only needs to be edged – thinner in center if originally thick Base Curve – warpage, one-piece add power, slab-off prism (if aniso) (bump up = BU, dip down = BD) Tints index 1.50 1.53 1.59 1.523 1.80 plastic glass glass dyed through-and-through coated material CR-39 Trivex (PPG) polycarbonate crown glass flint glass impact resistance agency FDA OSHA OSHA polariscope bull’s eye effect colored reflection from interference (magnesium fluoride) high index = thinner, but more color aberrations (worse off-axis optics) impact resistant impact resistant has lead in glass, for x-ray protection; so thick, can’t be made impact resistant drop-ball test must keep records for 3 years type of lens dress basic impact high impact test 5/8” steel ball from 50” 1” steel ball from 50” 1/4” steel ball at 150 ft/sec untempered glass – chem glass – heat plastic no pattern (all dark) no pattern (all dark) cross with ring around V shapes at edges min thickness N/A 3.0 mm 2.0 mm label N/A mfg mfg + standard ANSI Z80.1 ANSI Z87.1 ANSI Z87.1 [pattern = stress] very even stress polycarb = lots of stress Lensometry – Prism only measure at an angle (horiz & vert without zeroing other) on PALs because measure at dot Vert 1. center lens with stronger power in vertical meridian 2. slide to other lens 3. measure prism where horiz prism = 0 if x090, use sph (+3 DS = +3@90) if x180, add sph + cyl (+3-2x180 = +1@90) if b/w, approx (+1@45, +3@135 = +2@90) Horiz 1. measure PD 2. dot 3. measure prism where vert prism = 0 (center to remove vert prism) 4. same on other eye auxillary prism used if large amounts of prism, aphakic lenses (deflect target out of field of view) Ophthalmic Optics lab pg 3 Approximate Lens Power Lens Clock Front Back + – Front should be sph can have cyl (measure max and min) + Back Total –4.75 (@110) +9.00 +9.00 + thicker at center edge +4.25 (@110) – 6.75 (@20) Hand Neutralization (shaking) – at arm’s length 1. twist – cyl 2. move back and forth over line a. against + b. with i. inverted + ii. erect, minified – + lens – lens = low power high power any power obj appears inverted & clear or blurry erect & minified = +2.25 (@20) = +4.25–2.00x110 + high power 1. arm’s length: with, inverted, clear 2. closer: blurry 3. closer: against motion person wearing eyes big edge of head behind glasses pushed in Multifocals Trifocals = 7/25 = vertical height of intermediate / width (at widest of entire add) trifocal types: double exec, double D, double round, quadrifocal D / Flat Top Round 22 22 #1 25 25 28 #1 28 35 #2 (wide FOV: drafter) 45 positioning Executive N/A Market: ½ D28, ½ PAL seg inset = (dist PD – near PD) / 2 = (dist PRP – seg OC) / 2 need 3 measurements: type bifocal trifocal PAL Blended Bif 22 25 28 seg height reference lower lid margin lower pupil margin pupil center 1. dist PD 2. near PD 3. seg height PAL: 1. split PD (frame center to fitting cross) 2. seg height (fitting height) already wearing bif/tri = same relative height as hold seg … depends on frame size (have pt put on old glasses & measure) verify near PD on exec = no edge = hand neutralization = point where distant line is continuous exec trifocal double exec trifocal stair step bump 7 mm middle segment 14 mm Ophthalmic Optics lab pg 4 Etc Bevels 1. standard / V 2. hide-a-bevel roll = edge chopped off to reduce thickness 3. rimless polish = remove whitish roughened appearance, but reflections 4. rolled, polished, rolled & polished poly is always polished 5. nylon suspension grooved 6. safety / pin outer edges chopped off; prevents chipping ARC – either glass or plastic, usually front and back (reflectance at each surface reduced from 4% to 0.5%) Interference colored reflection transmittance increased from 92% to 99% SRC – at least front, often both surfaces – hard to tell if lens has ARC – outside SRC – middle lens – inside tints #1 #2 #3 #4 transmittance 85% 50% 20-30% 10-15% cosmetic too light outside, too light inside most sunglasses sunglasses: gray, brown, green (most to least common) cosmetic: pink, gray, brown UV – absorb radiation below 400nm (cataracts) CR-39 must be dyed, other plastics have build in, not on glass lenses have slight yellow tint must use for aphakes photochromatic lenses 1. glass 2. plastic transmittance: Photogrey Extra (Corning) Photobrown Extra Photosun II Transitions Sunsensors (Corning) LifeRX (Vision-Ease) Instashades (Sig Arm) light 87 86 41 dark 22 24 12 new lenses appear greenish need break-in period do not need break-in period wears out after time ~8% lighter after 1.5 yrs not as dark when hot High-power lenses minus very flat BC for better off-axis optical quality carrier = outside 1. minus lenticular edges removed (grind & polish) ugly bowl = inside 2. myodisk (plano concave) flat front ugly 3. mythinned (blended minus lenticular) less ugly; lighter circle from front 4. biconcave plus (aphakes) aspheric front surface b/c always have poor off-axis optics with spherical BC 1. aspheric lenticular egg ugly 2. full-field aspheric no carrier less ugly