This document discusses the differences between spectacle refraction and ocular refraction. Spectacle refraction is the power of a correcting lens needed to focus light clearly on the retina, while ocular refraction is the refraction produced by the eye's refractive media. It provides examples of calculating ocular refraction power from given spectacle refraction values for myopia and hyperopia, taking into account the vertex distance. The objective of clinical refraction is to determine the spectacle plane power, making spectacle refraction more clinically relevant than ocular refraction.
2. BEFORE WE MOVE TO THIS WE NEED TO
UNDERSTAND…
REFRACTION
PHYSICS- The change in the direction of the ray of light,
sound, heat passing obliquely from one medium into
another in which its wave velocity is different.
OPTHALMIC- The ability of the eye to refract light that
enters it so as to form an image on the retina.
3. SPECTACLE REFRACTION
The power of the correcting lens, specified at the same
plane in order to refract light to be focused clearly on the
RETINA is termed as spectacle refraction.
• The power which is required to correct any refractive
error of the eye such as Myopia, Hypermetropia or
Astigmatism by the help of correcting lens.
4. MYOPIA- When a parallel rays of light coming from
infinity are focused in front of the retina due to the
mismatch between the axial length of the eye or refractive
power of the eye is known myopia.
It is corrected by…
a) Gasses – Concave lenses
b) Contact lens
c) Surgical
5. HYPEROPIA- When a parallel rays of light coming from
infinity are focused behind the retina due to the
abnormality between the refractive power of the eye or
the axial length of the eye is known as hypermetropia.
It is corrected by..
a) Glasses – Convex lenses
b) Contact lenses
6. ASTIGMATISM- In this type of refractive error wherein
the refraction varies in two different meridian, in which
distortion of image affecting at all distance. So
astigmatism literally means lack of focal point.
It is corrected by..
a)spectacle
b) contact lens
c)surgery
d)laser
7. OCULAR REFRACTION
The refraction brought about by the refractive media of the
eye…
• Cornea (1st principle plane of ocular refn.)
• Aqueous humor
• Crystalline lens
• Vitreous body
The refraction of light produced by the media of the normal
eye and resulting in the focusing of images upon the retina
Which usually takes place in emmetropic or normal eye
8. COMING TO THE POINT
So far we have discussed in the previous slides about the
refraction that takes place through two different plane…
• The spectacle plane
• The Ocular plane Cornea.
The amount of refraction which takes place in different
case of refractive errors correction can be calculated
9. CALCULATING THE OCULAR REFRACTION POWER
IN CASE OF MYOPIA / CONCAVE LENS-
• If the spectacle refraction is -20.00D
• At a vertex distance of 12mm
• The ocular refraction of the eye will be:-
OCULAR REFRACTION (OR) = FOCAL LENGTH (FL) – VERTEX DISTANCE (VD)
OR= - 5-1.2 ( FL - VD)
OR= -6.2
OR= 100/-6.2
OR= -16.12
THINGS TO REMEMBER
Convert VD- MM into CM by dividing 10
Convert FL by dividing total diopter by 100
10. IN CASE OF HYPERMETROPIA / CONVEX LENS-
• If the spectacle refraction is +20.00D
• At a vertex distance of 12mm
• The Spectacle refraction of the eye will be:-
OCULAR REFRACTION (OR) = FOCAL LENGTH (FL) + VERTEX
DISTANCE (VD)
OR= +5-1.2 (FL - VD)
OR= +3.8
OR= 100/+3.8
OR= +26.31
THINGS TO REMEMBER
Convert VD- MM into CM by dividing 10
Convert FL by dividing total diopter by 100
11. NOTE’S
When a contact lens is placed on the cornea , the
difference between ocular refraction and contact lens
refraction is very small because the distance between the
corneal apex and the first principal plane of the eye is
slightly more than 1mm.
The objective of a clinical refraction is to determine the
power of the correcting lens in the spectacle plane.
spectacle refraction is therefore of greater interest to
clinicians than is ocular refraction.
So as we get the spectacle power we can convert it into
ocular power.