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This study guide provides a comprehensive overview of key concepts for the abo certification exam. It covers essential topics such as ocular anatomy, basic optical principles, lens forms, lens options, and frame knowledge. The guide includes detailed explanations, diagrams, and practice exercises to help aspiring opticians prepare for the exam.
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Light enters the eye through the transparent, dome shaped cornea. The cornea consists of five distinct layers:
The iris has two muscles:
J – Cornea: The clear lens or structure that covers the iris or the colored part of the eye. The cornea is the first major structure that refracts light as it enters the eye. It has no blood supply and gets all of its oxygen directly from the air. K – Pupil: The opening created by the iris changing size. L - Sclera: In layman terms, "the whites of your eyes.” The sclera is a thick, tough and fibrous layer that provides the structure of the entire eyeball. M – Limbus: Where the cornea blends into the sclera. Q – Iris: The colored area under the cornea that opens and closes to regulate light entering the eye. H - Palpebral Conjunctiva: The layer that covers the eyelids. I - Ocular or Bulbar Conjunctiva: The layer that covers the exposed portions of the eye. Your Turn – See if you can label the following. Eye Anatomy Name the parts
The Oculomotor Muscles of the Eye Lateral Rectus: Rotates eye laterally or out towards the ear. Attaches directly to the side of the eye and runs straight back. Superior Rectus: Eye looks up. Attaches directly to the top of the eye and runs straight back. Medial Rectus: Rotates eye medially or in towards the nose. Attaches directly to the side of the eye and runs straight back. Inferior Rectus: Eye looks down. Attaches directly to bottom of the eye and runs straight back. Inferior Oblique: Eye rolls, looks up and to the side. Attaches along the lateral side of the eye and runs under the eye passing over the inferior rectus and attaches medially. Superior Oblique: Eye rolls, looks down and to the side. Attaches under the superior rectus, passes through a bony spur known as the Trochlea, and then follow the path of the superior rectus. The raised attachment point provides the muscle the ability to give the eye rotation.
Refractive Errors The Emmetropic Eye: Notice that in the emmetropic eye all the rays of light entering the eye all focus on the retina right where they need to be to provide crisp sight without the need of corrective lenses. The Eight Common Refractive Errors of the Human Eye Presbyopia: Presbyopia makes us unable to read fine print, thread a needle, or do fine work without the aid of magnification. Presbyopia is when the crystalline lens can no longer change shape and provide accommodation. It remains in the flatter less plus shape shown in blue. Prescriptions for presbyopia will show corrections for distance, if required, and the additional notation of an add power as in one of these examples: Add +2. Add +1.
Simple Myopia: Simple because all the rays of light entering the eye focus at the same spot, it is the wrong spot, but they all meet at the same place. The retina is further back from the cornea than in an emmetropic eye, so the rays fail to reach the back of the eye and the retina. Persons with myopia are nearsighted; they are capable of seeing things at "near" distances, or up very close to their eyes. They can read fine print, thread a needle, and work with tiny objects. They cannot see a street sign down the road or a bird high in a tree, without correction. Myopia is corrected with minus lenses. It is easy to remember: Just think my-opia and mi-nus lenses. A prescription for a person with simple myopia would be written like one of these examples: -1.00 Sphere -2.50 Sphere Simple Hyperopia: In simple hyperopia all the rays of light entering the eye focus at the same spot, it is the wrong spot, but they all meet at the same place. The retina is further forward toward than the cornea in an emmetropic eye, so the rays are trying to focus on an imaginary point beyond the back of the eye. Persons with simple hyperopia are farsighted; they are capable of seeing things in the distance or far off. They can easily see a street sign half a mile down the road and a bird high up in a tree. They cannot see fine print, thread a needle, or do detail work without correction. Hyperopia is corrected using plus lenses. A prescription for a person with simple hyperopia would be written like one of these examples: +1.00 Sphere +2.50 Sphere
Compound Myopic Astigmatism: This condition is no longer simple, because the rays of light entering the eye do not all meet at the same place. They all fall short of their intended spot on the retina, but some fall closer than others. Depending on the degree of astigmatism (the degree to which the cornea is misshapen) the individual may see objects as bent or distorted in shape as well as blurred. A prescription for a person with a compound myopic astigmatism would look like one of these examples: -1.00 -0.50 X 45 -1.50 +0.50 X 135 -2.50 -2.00 X 130 -4.50 + 2.00 X 45 Compound Hyperopic Astigmatism: This condition is no longer simple, because not all the rays of light entering the eye meet at the same place. They all focus on a spot beyond the retina, but some come closer to the fovea than others. Depending on the degree of astigmatism (the degree to which the cornea is misshapen) the individual may see objects as bent or distorted in shape as well as blurred. A prescription for a person with a compound hyperopic astigmatism would look like one of these examples: +1.00 -0.50 X 45 +0.50 +0.50 X 135 +2.50 -2.00 X 130 +0.50 +2.00 X 40
Mixed Astigmatism: In the eye with mixed astigmatism some rays fall ahead of the retina while others try to focus on a spot beyond the retina. People with mixed astigmatism are neither nearsighted nor farsighted, but instead will have poor vision in all areas. A prescription for a person with a mixed astigmatism would look like one of these examples: +1.00 -2.00 X 45 -1.00 +2.00 X 135 +2.00 -2.25 X 67 -0.25 + 2.25 X 157 Can you match the name with the correct image?
Simple myopic astigmatism Mixed astigmatism Compound hyperopic astigmatism
The change of speed and direction is why objects appear out of place like the spoon in the glass. The Index of Refraction “n” "n" is the notation for index of refraction. The index of refraction tells us how much a given material will slow down and change the direction of a ray of light passing through it. The higher the index or "n" the thinner a lens can be and produce the same power. Common index numbers include, 1.498, 1.523, 1.586, 1.60, 1.67, and 1.74. It is a scientific absolute that the higher the index of refraction, the thinner a lens can be and still produce the same diopter value. A lens with an index of refraction of 1.74 and a power of – 6.00 will be thinner than a lens with an index of refraction of 1.53 with the same power of – 6.00. Diopter/Prism Diopter The numbers (2.25, 1.25, 0.50) you see on the prescription example represent diopters. Diopters are a unit of measure not unlike an inch, pound, or mile. Technically a diopter is a way of expressing where the rays of light that are passing through a lens (two prisms) will fall. The formula for a diopter is this: D = 1/f When D is diopter, and f is the focal length of a lens in meters. So if I know that a lens has a focal length of 0.50 meters 1/0.50 = 2 My lens diopter power is 2. The formula can also work the other way so that f is equal to 1/D F = 1/D So if I know that a lens is 2.00 diopters 1/2.00 = 0.50 My lens focal length will be 0.50 or half a meter.
Prism diopter: A prism of 1.00D produces the appearance of a 1 centimeter shift in position of an object being viewed at a distance of 1 meter.
Lenses as Prisms At their heart, all ophthalmic lenses are two prisms, stacked either apex to apex, or base to base. A plus lens is simply two prisms, stacked base to base (the flat bottom of a prism). A minus lens is simply two prisms, stacked apex to apex (the pointy top of a prism). The term used for modern optical lenses is, meniscus lens , because its shape is like the shape of a meniscus moon. A= Exaggerated two prisms stacked apex to apex B = Two prisms stacked apex to apex C = Two prisms stacked apex to apex with a front base curve D = A complete meniscus ophthalmic lens with front base curve and corrected back curve A= Exaggerated two prisms stacked base to base B = Two prisms stacked base to base C = Two prisms stacked base to base with a front base curve D = A complete meniscus ophthalmic lens with front base curve and corrected back curve