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INTRODUCTION TO THE PHOROPTOR

Reference:

Clinical Procedures in Ocular Examination

(Nancy Carlson)
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Refraction:
- is a vision test that determines
your best V/A with corrective lenses.
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Can be done using:

  Auto refractometer
 Retinoscope

 Trial lens set

  Phoroptor Unit
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Phoroptor Unit

  is a complex lens holder

  designed to allow the examiner
  to change lenses efficiently and easily.
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COMPONENTS OF A PHOROPTOR UNIT
 LENS CONTROLS

 AUXILLIARY LENS KNOB/ APERTURE CONTROL

  ANCILLARY CONTROL
 MECHANICAL CONTROL /ADJUSTMENTS
+ LENS CONTROLS
 SPHERICAL LENS CONTROL
 Weak Sphere Dial – sph lens in 0.25D steps
 Strong Sphere Dial – sph lens in 3.0 – 4.0 D steps

 CYLINDER LENS CONTROL

 Cylinder Power Knob – cyl lens in 0.25D steps
 Cylinder Axis Knob
 Cylinder Power Scale
 Cylinder Axis Indicator
 Cylinder Axis Reference Scale
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Activity:

“Show Me” !
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Show Me!

 OD +6.75 DS /-0.50 DC X 90

 OS -4.75 DS
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Show Me!

 OD +0.25 DS /-1.50 DC X 90

 OS +1.25 DS /-1.00 DC X 55
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Show Me!

 OD –5.25 DS
 OS – 2.25 DS/ -1.50 DC X 20
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Show Me!

 OD PLANO/-2.00 DS X 148

 OS PLANO
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Show Me!

 OD +1.00 DS / -0.75 DC X 135

 OS -0.25 DS /-1.50 DC X 45
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Show Me !

 OD -3.75 DS /-0.50 DC X 90

OS +1.25 DS /-1.00 DC X 55
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Show Me !

 OD -7.75 DS /-0.50 DC X 135

 OS +4.50 DS /-1.75 DC X 160
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AUXILLIARY LENS KNOB/ APERTURE CONTROL

 O – Open
 BL – Blank
 OC – Occluder
 RL – Retinoscopy Lens
 PH – Pinhole
 R – Red Lens
 P – Polaroid or Polarizing Lens
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ANCILLARY CONTROL

 JCC – Jackson Cross Cylinder

 Maddox Rod
 RMH-Red Maddox Horizontal
 WMH – White Maddox Horizontal

 Rotary or Risley Prisms

 10 ^BI
 6^BU
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Activity:

“Show Me Again” !
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Show Me !

 6 BU OS 12 BI OD
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Show Me !

 22 BO OS 10 BI OD
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Show Me !

 15 BU OS 8 BD OD
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Show Me !

 8 BI OD 12 BO OS
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Show Me !

 0.5 BO OD 2 BD OS
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Show Me !

 4.50 BO OD 7.50 BI OS
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Show Me !

 2O BD OS 8 BI OD
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MECHANICAL CONTROL /ADJUSTMENTS

  PD Knob
  Leveling Knob with Spirit Level

 Vertex Distance Control

  Pantoscopic Tilt Control

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EXERCISES:

”Show me napud !”
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Patient No. 1
 OD -3.00 DS = -0.75 DC x 63
OS -2.00 DS
PD 63
5.50 BU OS/ 18 BI OD
W/ PINHOLE OD
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Patient No. 2
 OD -3.50 DS = -0.50 DC x 155
OS -2.00 DS = -0.75 DC x 90
PD 66
8.50 BU OS/ 10 BO OD
W/ OCCLUDER OS
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Patient No. 3
 OD +8.50 DS = -1.50 DC x 05
OS +1.00 DS = -1.75 DC x 175
PD 58
4.50 BD OS/ 18 BI OD
W/ PINHOLE OS
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Patient No. 4

 OD +2.50 DS = -0.50 DC x 90

OS -1.25 DC x 105
PD 71
7.50 BU OS/ 12 B0 OD
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Patient No. 5
 OD PLANO = -1.75 DC x 130
OS +5.50 DS = -1.25 DC x 135
PD 69
5.50 BD OS/ 10 BI OD
w/ OCCLUDER OS
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Patient No. 6

 OU -12.50 DS = -0.50 DC x 10

PD 65/63
9.50 BU OS/ 25 BI OD
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Patient No. 7

 OD +6.50 DS = -1.00 DC x 70

OS -6.50 DS = -1.25 DC x 80
PD 66
8.75 BD OS/ 10 BI OD
W/ PINHOLE OS
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Patient No. 8

 OD -5.00 DS = -1.50 DC x 190

OS +2.00 DS = -1.25 DC x 100
PD 55
8.50 BD OS/ 19 BI OD
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Patient No. 9

 OD -1.75 DC x 05
OS -1.25 DC x 45
PD 57
6.25 BD OS/ 17 BI OD