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National Certification Organization
for Opticians
NCLEAC National Contact Lens Examiners
Advanced Certification
NCLE - AC Advanced NCLE Certification
Exam
Course Title and Number: NCLEAC Advanced Certification Exam Exam Title: Advanced Certification Exam Exam Date: Exam 2025- 2026 Instructor: ____ [Insert Instructor’s Name] _______ Student Name: ___ [Insert Student’s Name] _____ Student ID: ____ [Insert Student ID] _____________
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NCLE Advanced Certification NCLE - AC
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NCLEAC National Contact Lens Examiners
Advanced Certification
NCLE - AC Advanced NCLE Certification
Exam
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - When is it ok for practitioner to not release a contact lens rx? - =Answer>> When contact fitting is not finalized According the Federal contacts regulation contacts RX should be written? 1 year, 2 year, practioner discretion etc. - =Answer>> 1 Year What causes SEAL? - =Answer>> Mechanical GP injury, higher DK lenses, more common on steeper corneas What is VLK? - =Answer>> Vascularized Limbal Keratitis Where does VLK commonly occur? - =Answer>> 3 and 9 o'clock Longer GP use Lens tends to sit centrally and low movement Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔 Ctrl + Click Here To 📑 ORDER NOW 📑 Follow Link 🤔 ORDER NOW 🤔 🎓 TO GET INSTANT EXPERT HELP 🎓 🤔 ORDER NOW 🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com D.Tear film - =Answer>> Tear film What is the term for the condition in which there is loss of vision without any apparent disease to the eye? - =Answer>> amblyopia Which auxiliary lens will extend the keratometer range to approximately 30.00D? - =Answer>> -1. What causes mucin balls underneath lens? - =Answer>> High dk or lens dehydration How to insert scleral lenses? - =Answer>> Plunger How to remove scleral lenses? - =Answer>> Plunger What solution to use in Scleral lenses? - =Answer>> Non preservative or saline How do you check scleral lenses under fluorescein? - =Answer>> Fill lens with saline and then fluorescein and in a perpendicular position insert the lens Corneal edema characteristics - =Answer>> Smoky vision, spectacle blur, increase and K readings When blending peripheral curves in the office what are used - =Answer>> Polishing compound radius tools suction cups Prism thickness to excessive or toogreat can cause - =Answer>> Corneal edema in for inferiorly Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com Which of the following medications may affect successful contact lens wear? a. antacids b. antihistamines c. aspirin d. laxatives - =Answer>> antihistamines Which term refers to a sensitivity to light A.presbyopia B.Photophobia C.Pannus D. Ptosis - =Answer>> Photophobia The following is an example of what type of astigmatism? K's 42.50 @180 /40.50 @ A. with the rule B. Lenticular astigmatism C.Against the rule D. Irregular astigmatism - =Answer>> Against the rule astigmatism The cornea receives nutrients from 1 Aqueous humor 2 Tears 3 Limbal blood vessels 4 Orbicularis occuli a. 1, 3 & 4 b. 2 & 3 c. 1, 2 & 3 Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com The normal cornea is transparent due to the pump action creating proper fluid balance. Which layer of the cornea is most responsible for maintaining this function? - =Answer>> endothelium A normal tear break-up time is: - =Answer>> 10- seconds A whitish haze in the peripheral corneal stroma which does not stain and is often seen in the elderly is known as? - =Answer>> Arcus senilus Patients with keratitis sicca are more prone to? - =Answer>> Secondary infections Upon removal of the crystalline lens the patient is? - =Answer>> Aphakic The following are RX represents OD+2.00= 20/ OS-3.00-2.00X180=20/20 - =Answer>> Anisometropia This patient OD+2.00= 20/ OS-3.00-2.00X180=20/ will best achieve stereopsis with which of the following modalities? A. Contact lenses B.Spectacles C. IOL D.Bifocals - =Answer>> Contact lenses Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com Tom spectacles with the power of -12.00+0.50X 90, 10 mm in front of his cornea. The likely soft contact lens prescription for Tom would be - =Answer>> A -10. 50 dpt The keratometer is an instrument used to measure? - =Answer>> corneal curvature The average lifespan of a corneal epithelium cell from mitosis through maturation and desquamation most nearly approximates - =Answer>> One Week Which auxiliary a trial lens will extend the keratometer range to approximately 61.00D? - =Answer>> +1.25 D Wearing lenses in high altitudes and dry environments may result in complaints of all but the following? A.Photophobia B. Chalazion C.Grittiness D.Burning sensation - =Answer>> Chalazion The first line of defense in the protective system of the eye is formed by the? - =Answer>> Eyelids Transient keratometric mire distortion is usually due to:
- =Answer>> Pre - ocular tear film In against the rules astigmatism the steepest corneal meridian is in - =Answer>> Is at or near 180° An inability to bring all the keratometer mires into focus at the same time may indicate - =Answer>> Irregular astigmatism Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com Results of a refraction show a patient to see best at distance with the power of a +1.25+1.00X 95, and at near where the power of +2.50+1.00X 95. What is the ad power - =Answer>> +1.25D A pre-presbyopic myopic patient who is still able to read with single vision glasses may find that - =Answer>> They are unable to see fine print when they're fit with contact lenses Amy's +8.50D spectacles sit 12 mm from the cornea. The power of a soft contact lens for Amy, properly vertexted, would be? - =Answer>> +9.50D Which of the following choices would work best for the patient's visual need given the following information: K's 44.00 @180 /45.25 @ RX -3.00+0.25 x90 - =Answer>> spherical soft lens Which of the following set of lens specifications would best simulate intrapalpebral GP fitting given the following information K's 42.00 @ 180/43.00 @ 90 RX -2.00-1.00X 180 Upper lid positions to millimeters above the superior Limbus A.42.50-2.50 8. B.41.50-1.50 8. C. 42.00-2.00 9. D.41.50-1.50 9.5 - =Answer>> 42.50-2.50 8. Which contact lens would best correct this patient's visual needs, given the following information K's 46.00 at 180/45.50 @ Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com RX -3.00-1.50 X 90 - =Answer>> Soft toric lens The average HVID for a patient is - =Answer>> 11. mm If a patient has 1.50 D of refractive cylinder and keratometer readings of 44.00 @ 180/44.50 @ 90, you would expect a spherical gas permeable lens to - =Answer>> Result in residual astigmatism Application in fluorescein should be used in which following situations? Evaluation of gas permeable lens Evaluation of soft contact lens parameters Evaluation of vascularization of the cornea Evaluation of gas permeable lens over-refraction - =Answer>> Evaluation of gas permeable lenses fit If the diagnostic gas permeable lenses placed on the eye results and minimal movement, which of the following will increase the movement on the lens ordered for the patient? A.Decreasing overall length diameter B.Increasing overall length diameter C.Increasing optic zone diameter D.Increase sagittal depth - =Answer>> Decrease in overall length diameter Contact lens technicians work with prescriptions in minus cylinder form because? - =Answer>> The lacrimal lens is a minus cylinder lens RX OU -3. 00-0.50 X 180, Add +1.25. If spherical soft lenses are being used to fit using the monovision Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com The following gas permeable diagnostic lens is placed on a patients eye: 43.50-2.00 9. An over refraction is performed with the following results: Plano +1.50X 95. Which of the following lens parameters would you order for this patient? - =Answer>> 43.50-0.50-1.50X5 9. The following soft lenses placed on the patients eye : 8.8-4.00 14. An over refraction is preformed resulting in -0.75D sphere which of the following lems parameters would you order for this patient? A.8.8-3.25 14. B. 8.8-4.00 14. C.8.8-4.75 14. D.8.8-5.25 14.0 - =Answer>> 8.8 -4.75 14. In a GP lens, a poorly finished transitional zone between the optic zone and the lens edge can be evaluated by? - =Answer>> Profile analyzer During the diagnostic evaluation of the following patient you observe that the lens rotates 10° to the right. Which of the following lens parameters would you order for the patient? Patients refraction -2.50-1.00 X 170 Diagnostic Lens 8.7-2.50-1.00X170 - =Answer>> 8.7- 2.50-1.00X What lens design would not provide a good visual results for this patient? K's 42.50 @ 180/44.00 @ 90 RX -2.50+1.50X 90 Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com A. Soft toric lens B. Soft spherical lens C.Spherical gas permeable lens D.Aspheric gas permeable lens - =Answer>> Soft spherical lens In prescriptions of 4.00 D or greater, fitting contact lenses requires compensating the power for the change in vertex distance. When moving from the spectacle plane to the corneal plane, the compensated power will be? - =Answer>> More plus A prism ballast GP lens requires how much prism for proper orientation? - =Answer>> 0.75 to 1.50 D The longer the radius of curvature of a contact lens? - =Answer>> The flatter the lens The following soft lens is placed on a patient's eye : 8.4-2.00 14. An over refraction is performed with the following results: -1.00-0.50X174. Which of the following lens parameters would you order for this patient? - =Answer>> 8.4-3.25 14. Given the following information K's 45.00 @ 180/44.00 @ 90 RX -3.00+1.00X 180 Upper lid positioned at superior limbus. Which of the following sets of lens specifications would best simulate an intrapalpebral GP lens fit? A.43.50-1.50 8. B.43.50-1.50 9. C.44.50-2.00 8. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com Given the following information, which of the following GP lens designs would you order to best correct this patient's vision? K's 45.00 @ 180/42.00 @ 90 Rx-2.00-4.25X A.45.00-2. B.42.00-2.00-4.25 X 90 prism ballasted C.42.00-2. D.42.00/45.00-2.00/-5.75 (drum readings) - =Answer>> 42.00/45.00-2.00/-5.75 (drum readings) Given the following information, which of the following GP lens designed would best correct this wearers' vision? K's 42.50 @180 /42.50@ Rx-3.00 -1.00X90 - =Answer>> Anterior toric design Given the following refraction and K readings, select the correct base curve and power readings (drum readings): K's 44.00 at 180/41.00 at 90 RX -1.00-3.00X 90 - =Answer>> 41.00/44.00-1.00 /-4. Fitting soft lenses steeper than K will usually result in - =Answer>> Fluctuations in vision following the blink A bifocal lens in which the power gradually changes from the central area of the lens to the periphery is known as - =Answer>> An aspheric lens How many diopters of power will bring parallel rays of incident light to a focus at a distance of 1 m? - =Answer>> One diopter Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com The patient has a horizontal visible iris diameter (HVID) of 12.5mm. The best choice of a diameter would be a. 13.0mm b. 13.5mm c. 14.5mm d. 15.5mm - =Answer>> c. 14.5mm Always add 2 In which of the following types of corneal astigmatism is a GP lens most indicated? - =Answer>> irregular astigmatism Spherical equivalent powers position which of the following on the retina - =Answer>> Circle of least confusion Keratoconus and penetrating keratoplasty fittings are best accomplished by which of the following methods? a. nomogram b. Ks and Rx c. diagnostic fitting d. molded impression - =Answer>> c. diagnostic fitting The following ametropia frequently results in high riding rigid lenses - =Answer>> High myopia A good example of a bifocal contact lens that may rotate without vision impairment is - =Answer>> Aspheric A toric soft lens will correct: A. Residual astigmatism Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com Which of the following are two methods of stabilizing the rotation of rigid bifocal contact lenses - =Answer>> Truncation and prism ballast The FDA classification for disposable lenses means: - =Answer>> The lens is disposed of after removal Given the following information: K's 42.00 @180/42.00 @ 90 RX -3.00-2.00X 180 A. A back surface toric GP lens will probably be necessary to achieve optimum visual acuity B. A bi toric GP lens will probably be necessary to achieve optimum visual acuity C.A soft spherical lens will provide the best fit and visual acuity because the patient has a spherical cornea D.A front surface toric GP lens will probably be necessary to correct the patient's residual astigmatism
- =Answer>> A front surface toric GP lens will probably be necessary to correct the patient's residual astigmatism A patient's k reading are. 43.50 @ 180/41.50 @ 90.A spherical GP lens can be expected to: - =Answer>> Displays down and in, or down and out with each blInk Which special GP lens design would be beneficial for this patient given the following information? K's 44.00 @ 180 / 46.50 @ 90 Rx -11.00+2.500 x 90 - =Answer>> Hyperflange Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
🤔Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 🤔 Chat with us here: 🤔 Hybridgrades101@gmail.com During the diagnostic evaluation of the following patient you know that the lens rotates 10° to your left. Which of the following parameters would you order for the patient? Patients refraction -3.00-1.25 X 160 Diagnostic Lens 8.4-3.00-1.25X 180 14.5 - =Answer>> 8.4-3.0-1.25X 1 70 14. A patient is diagnostically fit with the gas permeable lens With the following parameters: 42.50-3.00 9.5. If you wish to flatten the lens to cornea relationship, which of the following lenses would you order? A. 42.00-2.00 10. B.42.50-3.00 9. C.43.0-3.50 9. D.43.50 -3.50 9.0 - =Answer>> B. 42.00 -3.00 9. When are soft lenses contraindicated? - =Answer>> When the patient has irregular corneal astigmatism The tolerance for the over all lens diameter according to the ANSI standards is: - =Answer>> +/-0.05 mm All of the following will enable the practitioner to verify the overall gas permeable lens diameter except A. Slot gauge B.Shadow graph C.Measuring magnifier D. Radius scope - =Answer>> Radiuscope Placing the concave side of a gas permeable lens against the lens stop of the lensometer will provide you with which of the following - =Answer>> back vertex power Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
