Play Doctor My Eyes by Jackson Browne
© 1999, 2000, Mounir Bashour
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Play Doctor My Eyes by Jackson Browne© 1999, 2000, Mounir Bashour
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1. EXACT Hx READING VS DISTANCE VS ASTHENOPIA VS PHYSICAL DISCOMFORT VS COSMESIS 2. EXAMINE NEW AND OLD GLASSES IN LENSOMETER. MAKE SURE NO PRISM. 3. TEST PATIENT FOR PHORIAS AND TROPIAS 4. REREFRACT AND CYCLOPLEGIC REFRACT 5. CHECK OPTICAL CENTERS VS PUPILLARY CENTERS 6. CHECK POSITION OF READING SEGMENTS 7. CHECK PHYSICAL FIT 8. CHECK IF PLUS CYLINDER IN OLD GLASSES USING GENEVA LENS CLOCK (GLC) 9. CHECK TO SEE IF CHANGE IN BASE CURVE (GLC) 10. RULE OUT DRY EYES 11. CHECK VERTEX DISTANCE 12. CHECK PANTOSCOPIC TILT 13. LOOK FOR DIPLOPLIA IN DOWNGAZE 14. CHECK BIFOCAL ADD STRENGTH TEST IT 15. CHECK FRAME SIZE MAKE SURE NOT LARGE 16. DO A TRIAL FRAME TEST
ALTERNATIVE: Frame weight Appearance Improper refraction Improper dispensing Improper vertex distance Improper pantoscopic tilt Change from plus to minus cylinder Inappropriate optical center true PD different from mechanical PD induced prism Image jump or displacement from new bifocal Induced phorias Meridional magnification – tilting, change in astigmatic correction without adjustment
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Please note if you have any submissions for any of the sections or any useful suggestions or corrections please email: bashour@dr.com Back to RC 101 Homepage
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