This document provides information about bifocals, including their history, types, advantages, disadvantages, fitting considerations, and optical characteristics. Some key points:
- Benjamin Franklin invented the first bifocal in 1784 by splitting a distance and near lens. Solid upcurve bifocals were the first patented design in 1837.
- Types include solid upcurve, perfection, cemented, fused Kryptok, and fused bifocals. Fused bifocals permanently bond the segment using heat fusion.
- Optical characteristics like jump effect, prismatic effect, and chromatic aberration must be considered. Proper fitting involves measuring segment inset, width, and height.
- Both mechanical stability
Presentation containing information about all types of absorptive lenses its manufacturing, uses, advantages and disadvantages and some information about lens coatings.
discussion about Aspheric lens, fitting, indication,advantage and Disadvantages with traditional aspheric lens,need of Asphericity,Aspheric Lens Design, identification, troubleshooting
Presentation containing information about all types of absorptive lenses its manufacturing, uses, advantages and disadvantages and some information about lens coatings.
discussion about Aspheric lens, fitting, indication,advantage and Disadvantages with traditional aspheric lens,need of Asphericity,Aspheric Lens Design, identification, troubleshooting
Ophthalmic Prisms: Prismatic Effects and DecentrationRabindraAdhikary
Ophthalmic Prisms: Prismatic Effects and Decentration
here we discuss about the ophthalmic prisms, the prismatic effects as caused by the decentration( moving the optical center away from the visual axis)
How to protect your eye?
With sunglasses? Mirror glasses? Tinted or polarized glasses?
What is right tint colour for you?
What are antireflection coat glasses?
Ophthalmic Prisms: Prismatic Effects and DecentrationRabindraAdhikary
Ophthalmic Prisms: Prismatic Effects and Decentration
here we discuss about the ophthalmic prisms, the prismatic effects as caused by the decentration( moving the optical center away from the visual axis)
How to protect your eye?
With sunglasses? Mirror glasses? Tinted or polarized glasses?
What is right tint colour for you?
What are antireflection coat glasses?
progressive addition lenses , needs of PAL, permanent and temporary marking of PAL, parts of PAL, design of PAL, Progressive corridor and their importance ,theory behind the PAL,Sand box analogy,OPTICAL DESCRIPTION OF PROGRESSIVELENSES,patterns of PAL,Advantage and Limitation of PAL,fitting of PAL and Frame selection for PAL,measurements for fitting,verification of PALs,
traubleshooting in PALs,Brands and special design of PALs
Retinitis pigmentosa (RP) is a group of inherited eye disorders characterized by progressive degeneration of the retina, specifically affecting the light-sensitive cells known as photoreceptors. This condition typically begins with symptoms of night blindness and gradually leads to a loss of peripheral and, in advanced stages, central vision.
Pathophysiology:
Retinitis pigmentosa primarily affects the rod cells, responsible for vision in low-light conditions and peripheral vision. Mutations in specific genes lead to the degeneration and eventual death of these cells, resulting in the characteristic symptoms of the disease.
Symptoms:
Night Blindness: Individuals with RP often experience difficulty seeing in low-light environments, particularly during nighttime or in dimly lit spaces.
Tunnel Vision: Peripheral vision diminishes, creating a sensation of looking through a tunnel. This can gradually progress to severe narrowing of the visual field.
Photopsia: Some individuals may report seeing flashes of light or floating spots, known as photopsias.
Difficulty Adapting to Changes in Lighting: Transitioning from well-lit areas to darker environments or vice versa can be challenging.
Progressive Vision Loss: Over time, central vision may also be affected, leading to significant visual impairment.
Ophthalmologic Findings:
Pigment Deposits: Clumps of pigment in the retina, often resembling bone spicules, are a hallmark feature, giving the disorder its name.
Vessel Attenuation: Blood vessels in the retina may appear narrower than usual, and the optic disc may show signs of atrophy.
Genetics:
RP is primarily a genetic disorder, with mutations in several genes contributing to its development.
It can be inherited in an autosomal dominant, autosomal recessive, or X-linked recessive manner.
Classification:
RP can be classified into various types based on the pattern of inheritance, age of onset, and associated genetic mutations.
Usher syndrome is a specific form of RP that also involves hearing loss.
Management:
There is currently no cure for RP, but management focuses on preserving remaining vision and improving quality of life.
Low-vision aids, orientation and mobility training, and assistive technologies can be beneficial.
Research into potential treatments, including gene therapies and retinal implants, is ongoing.
Prognosis:
The progression of RP varies from person to person, and the rate of vision loss can be slow or rapid.
In severe cases, individuals may experience legal blindness or complete blindness, but some retain limited vision throughout their lives.
A multidisciplinary approach involving ophthalmologists, genetic counselors, low vision specialists, and support groups is crucial to effectively manage and support individuals with retinitis pigmentosa.
Grading the anterior segment of the eye involves a systematic assessment of various structures at the front part of the eye, which includes the cornea, anterior chamber, iris, and lens. This evaluation is critical for diagnosing and monitoring various eye conditions. Here's a description of the grading process for the anterior segment of the eye:
Cornea:
Evaluate corneal clarity, assessing for opacities, scars, or irregularities.
Grade corneal transparency, considering any edema, dystrophies, or degenerations.
Assess corneal thickness and curvature for any abnormalities or variations.
Anterior Chamber:
Measure the depth of the anterior chamber using appropriate instruments and grading scales.
Examine the angle structures (e.g., trabecular meshwork, iris insertion) for signs of narrow or open angles, which are important in glaucoma evaluation.
Iris:
Assess iris color, noting any heterochromia or abnormal pigmentation.
Examine the iris structure, looking for anomalies such as synechiae, atrophy, or abnormalities in pupillary shape and size.
Evaluate for signs of iritis or anterior uveitis, such as cells or flare in the anterior chamber.
Lens:
Grade the clarity and transparency of the lens, considering any opacities (e.g., cataracts) and their location.
Evaluate the lens position and mobility, checking for signs of dislocation or subluxation.
Assess the presence of any abnormalities in lens shape, size, or color.
Pupillary Response:
Evaluate the size, shape, and reactivity of the pupils to light and accommodation.
Note any anisocoria (unequal pupil size) and abnormalities in the pupillary reflexes.
Tear Film and Conjunctiva:
Assess the integrity and quality of the tear film, looking for signs of dry eye or excessive tearing.
Examine the conjunctiva for signs of inflammation, hyperemia, or foreign bodies.
Overall Grading:
Assign a comprehensive grade for the overall anterior segment health, considering all assessed parameters and any specific abnormalities found.
A standardized grading system, often utilizing scales or scoring systems, helps in documenting the findings consistently, allowing for accurate tracking of changes over time and aiding in treatment decisions and prognosis for various ocular conditions.
Optometers are subjective if the patient judges the clarity of the retinal image or objective when the machine or examiner does it.
Subjective optometers control the focus of the retinal image and are used to determine when a target is conjugate to the retina.
Objective optometers measure the defocus or disconjugacy of the retinal image and the stimulus target.
There are also measures of accommodation that measure characteristics of the crystalline lens such as front surface curvature via the third Purkinje image.
SIMPLE OPTOMETER:
The simple optometer is a plus lens placed in the anterior focal plane or spectacle plane of the eye.
The virtual image of objects placed before the lens can be imaged from infinity to close to the spectacle plane, simply by moving the target from the anterior focal plane of the lens to the lens plane respectively.
The virtual image distance is calculated from the Gaussian equation
1/u + F = 1/v where: u= object distance, v=image distance, F = focal power
One problem with the simple optometer in the measurement of accommodation is that the image increases in size with proximity so that you have both size and blur cues to accommodation.
BADAL OPTOMETER:
Invented by Jules Badal in 1876, who is French scientist
The Badal optometer utilizes a plus lens placed so that its posterior focal plane is coincident with the anterior focal plane of the eye.
This instrument keeps image size constant while varying target distance and stimulus to accommodation.
The optical system is telecentric in both the object and image space, that is, the rays are parallel.
NAGEL OPTOMETER:
The Nagel optometer is based on a similar concept.
Here ,a plus lens whose posterior focal plane is coincident with the nodal point of the eye. It also keeps image size constant with changing object distance.
SUBJECTIVE OPTOMETERS
For Δz = 0, the light emerging from the lens is collimated (i.e. object at infinity)
For Δz > 0, the light emerging from the lens is diverging. The object appears in front of eye, so will be in focus for myopes.
For Δz < 0, the light emerging from the lens is converging. The virtual image is behind the eye, so will be in focus for hyperopes.
STIGMATOSCOPY:
Combine of Simple and Badal lens optometers with various visual stimuli to enhance the sensitivity of subjective measures by improving sensitivity to blur detection.
The stigmascope enhances blur perception with a small point source as the target viewed through the optometer lens.
When the image of the point source is seen clearly and sharply, it is optically conjugate to the fovea.
At the same time, this image may be introduced so that the eye can be fixating some other target which acts as the stimulus to accommodation such as Snellen chart.
Bracketing the measures of positive and negative blur of the stigma allows you to estimate the accommodative response.
SCHEINER’S PUPIL:
Scheiner developed a double pupil that causes images viewed through it to app
Toxoplasmosis is systemic disease caused by the organism toxolplasma gondii
Mostly patients have no symptoms and develop immunity to the organism
Congenital or acquired
It is the most common cause of infectious retinochorditis in both adults and children
Cats are definitive hosts
Humans and a variety of other animals serve as intermediate hosts
Transmission:
Through undercooked, infected meat, contaminated water, fruits and vegetables, unpasteurized goat milk from infected animal
Contact with cat feces, cat litter or soil containing oocysts
Transplacental transmission during pregnancy
Blood transfusion or organ transplantation
PENETRATION:
Toxoplasma organisms invade intestinal mucosal cells and initiate infection
Ocular Toxoplasmosis:
CONGENITAL TOXOPLASMOSIS:
It is bilateral in 65-85% and involves macula in 58%
Toxoplasmic infection in consecutive siblings is rare
PRESENTATION OF CONGENITAL TOXOPLASMOSIS:
Retinochoroiditis
Hydrocephalus
Intracranial calcification
Microcephaly
Developmental delay
Vision will be compromised
ACQUIRED TOXOPLASMOSIS:
Acute acquired toxoplasmosis presents with acute febrile illness associated with cervical lymphadenopathy
Hilar and submental lymph node enlargement also may occur
PRESENTATION:
A unifocal area of acute-onset inflammation adjacent to an old chorioretinal scar
Retinal vessels in vicinity of an active lesion may show perivasculitis with diffuse venous sheathing and segmental arterial sheathing
Ocular findings:
Involves; Retina, choroid, retinal vessels, macula, optic nerve, vitreous and anterior uvea
Retinitis with fuzzy retinal edema
Retinochoroiditic scar
Vitreous cells and exudates
Focal retinal vasculitis
Hyperemia of optic nerve head
Cells and flares in anterior chamber
Anterior uveitis
Tretment:
ANTIBIOTIC TREATMENT:
Trimethoprim/sulfamethozaxole
Clindamycin
Pyrimethamine
Azithromycin
Metabolism of human lens.
In the lens the biological energy necessary for the maintenance of the transparency ,synthesis, and ,repair .
In the lens the biological energy necessary for the maintenance of the transparency ,synthesis, and ,repair.
Glucose from the aqueous and vitreous diffuses into the lens and is rapidly metabolized.
CONTINUOUS SUPPLY OF ATP REQUIRED FOR:
Active transport of ions and aminoacids
Maintenance of lens dehydration
Lens transparency
Continuous protein synthesis
GSH synthesis
MAJOR SITE: epithelium
Glucose is rapidly metabolized through four main pathways:
-Anaerobic glycolysis
-Krebs cycle(oxidative)
-Hexose monophosphate shunt
-Sorbitol pathway
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
2. INTRODUCTION
• Eyes age along with rest of us .
• A presbyopic patient requires a separate correction for distance and near.
• So that two prescriptions may be provided as one pair of spectacle in the
form of bifocal lenses.
3. HISTORY
• In 1784 ,Benjamin Franklin described a pair of spectacles that which
he called them as double spectacles.
• They were made by a very crude method of splitting a distance and
near lens.
• Mounted the top half of the distance and bottom half of the near
together , fitting edge to edge in a single rim.
5. SOLID UPCURVE BIFOCALS
• It was the first patented bifocal made from a single piece of glass.
• It was invented by Issac Schnaitnamm in 1837.
• It was manufactured by grounding the near prescription in lens , and
more distance correction was then grounded into the upper back
surface.
6. ADVANTAGES
• Better cosmetic appearance than franklin’s bifocal.
• Wide field of view for reading
• Less chromatic aberrations
• Structurally stronger
• Easier to manufacture
7. DISADVANTAGES
• Limited choice of surface power
• Optical center cannot be easily adjusted
• Resurfacing of upper portion of back surface moves the optical center
• Distance portion provides a strong base down prismatic effect and
image jump
• No base curve is available for surfacing?
8. PERFECTION OF BIFOCALS
• It was invented in the year 1888 by august Marick.
• The two portions were joined by bevling the contact edges , such that
they fitted together at the junction.
• The distance portion was larger than the near portion .
9. ADVANTAGES
• The lens was stronger
• It did not come out easily
DISADVANTAGES
• Difficult and expensive manufacturing
• Dividing lens tend to connect dirt
• Reflections due to dividing line
10. CEMENTED BIFOCALS
• Invented by Morick.
• A thin wafer of glass with same RI as major lens was cemented to back
surface.
• Canada balsam was used as an adhesive agent.
• Front surface of wafer has same curvature as back surface of major lens
• Back surface of wafer as made lens concave than back surface of major
lens.
• Add power is difference between the curvatures of back surface of
major lens and wafer.
11. ADVANTAGES
• Cosmetically more appealing
• Less optical aberrations
• It can be made of any power ranges and can be positioned anywhere
into the main lens
DISADVANTAGES
• Dividing lines tend to collect dirt
• Adherence of wafer is affected by changes in temperature
• Wafer had a tendency to fall off
12. CEMENTED KRYPTOK BIFOCAL
• It was invented by John.L.Borsch in 1899.
• It was first bifocal lens to make use of two different materials.
• It was manufactured by grinding a countersink curve into front
surface of the major lens of ophthalmic crown glass
• Then a wafer of flint glass was cemented into the countersink area,
and the surface was covered with a thin meniscus of glass cemented
into place.
• Add power will be because of RI of the segment and the concave
interface between the segment and major portion
13. DISADVANTAGES
• Difficult to manufacture because six surfaces had to be ground and
polished
• Cemented surfaces tend to darken
• Thin and fragile cover plate
• Wafer used to come apart after some time
14. FUSED BIFOCALS
• The first fused bifocal was the fused Kryptok invented by borsch in
the year 1908.
• The segment is permanently bonded onto the convex surface of the
lens by heat fusion process and required addition depends on:
• The refractive index of the two glass materials
• The depression curve
• The curve worked on the segment side of the lens
15. • To fuse the segmented bifocal , a countersink cavity is produced on
the front surface or the convex side of lens having a RI of 1.523.
• Then , flint button was placed on countersink curve & heated to 600-
700 c at which it softened and fused.
• Any cylindrical component has to be ground on the back surface of
the lens.
17. ADVANTAGES
• Segment edges do not collect dirt
• Segment do not fall out, discolour or chip
• Lenses can be produce in large quantity with low cost
• Relatively it is light weight
DISADVANTAGES
Chromatic aberrations are because of flint glass
Strains and tension produced
18. BIFOCAL SEGMENT SHAPES
• Segments vary from tiny B segment to E style in which the whole
bottom half of the lens is used for near portion.
• The most commonly used bifocal shape are D segment, E style, and
round segment bifocal.
• B segment and C segment are relatively rare.
19. ROUND SHAPED BIFOCAL
• They are also called down curve bifocal lenses.
• They have a segment with a dividing line that is single circular are
which is least visible compared to others.
• As this Round segment placed much below from top rise to “jump” at
the edge of the segment when the line gaze passes from distance to
near.
20. D SHAPED BIFOCALS
• Available in solid plastics and fused glass forms
• Wide reading area at the point of visual entry into segment
• C shaped segment is the modified D shaped segment which has
advantage of glazing and surfacing over D shaped segment.
21. E-STYLE BIFOCAL
• It is one piece bifocal lens with two different curves ground usually on
the front surface
• The optical centre for both distance and near are lie on the dividing
line.
• It is classified as monocentric lens.
• These are popularly known as Executive bifocals.
• The big advantage of E-style is that entire bottom half of lens is for
near vision.
• Thickness can be problem in hypermetropic prescription
24. JUMP EFFECT:
• When looking from distance to near portion of a bifocal lens, sudden
change in the prismatic effect due to the introduction of base down
prism by the segment causes the world to “jump”.
• Jump = Segment radius (cms)x reading addition
25. PRISMATIC EFFECT:
• When a wearer uses single vision lens and he gazes down to read
through the lens, he encounters a prismatic effect.
• Prism controlled bifocals
26. CHROMATIC ABERRATION:
• Transverse chromatic aberration (TCA) arising out of the oblique rays
is potential problem for the wearers of the single vision lenses as well
as bifocal lenses.
MAGNIFICATION:
• Small magnification difference between the distance and the reading
portion.
27. BIFOCAL FITTING:
• Bifocal segments must be positioned such that the distance and near
positions of the lens provide adequate fields of view for distance and
near vision respectively.
• While fitting the bifocal into a spectacle frame three factors must be
considered :
1) Segment inset
2) Segment width
3) Segment height
28. Segment inset:
• Difference between the subjects distance and near PD(2mm for each
lens)
• To ensure:reading fields for two segments will coincide with one
another.
Segment width:
• Different segment widths are usually available for straight toped
segments 22,25,28 and 35 mm respectively.
Segment height:
• Segment top is tangential to the lower edge of the iris.
29. PROCEDURE FOR TAKING MEASUEMENTS:
• Choose the final frame and adjust it to fit the subject correctly.
• If the frame is without demonstration lens,attach a vertical strip of
transparent adhesive tape to each eye of the frame to enable
reference points to be marked.
• Replace the frame on the subjects face and direct the subject to look
straight into your eyes.
• Your eyes are on exactly the same level as those of the subjects.
• Place dots at the same height as lower edge of subjects left and right
iris margin.
30. • IPD marking: draw a straight line from dot to another.
• Segment top: straight line to the lower eye wire of the frame(mm).
• Put back the frame on the face and verify.
31. Mechanical requirement of bifocal lenses:
• Spectacles should mot be unduly heavy or unsightly.
• Dividing line should be as inconspicuous as possible.
• Mechanically stable.
Optical requirement of bifocal lenses:
• Reading portion should be as clear as distance portion.
• Distance optic centre should coincide with distance visual portion.
• Near optic centre should coincide with near visual portion.
• There should not be introduction of prismatic effect by the segment
dividing line.
32. Points to be considered while dispensing
bifocals:
• Frame size and shape
• Type of bifocal and lens material
• Distance and near power
• Optical centre and segment inset
• Pantascopic tilt and facial wrap