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
This document summarizes guidelines for dispensing progressive lenses. It identifies the best candidates as previous progressive lens wearers, emerging presbyopes with low add powers, and highly motivated individuals. It notes that previous bifocal wearers and those with occulomotor imbalances may require consideration. The document outlines the procedure for fitting progressive lenses, which includes selecting a frame, pre-adjusting it, measuring the fitting height and PD, verifying the cut-out, and taking free form measurements. It provides tips for selecting an appropriate frame, including ones that maintain adjustment and avoid large styles that expose the wearer to distortions.
This presentation is mainly focused on progressive addition lenses along with the brief description of single vision reading lenses ,bifocal and trifocals which are the other options available for the management of presbyopia. It also include a short description on the fitting of the PAL. PAL is the most used option worldwide for the management of presbyopia .PAL is also used in the management of progressive myopia and the studies shows it is more effective than the bifocal lenses. PAL are more effective in myopia management when the myopia comes along with the near esophoria and accommodation lag. In this modern century personalised progressive lenses are the most effective in matching the need of the patients.
progressive addition lenses- optics, designs and performancessabina paudel
Progressive addition lenses (PALs) gradually increase power from the distance to the near zone to provide clear vision at all distances without visible lines. PALs come in various designs like hard and soft to suit patients' needs. Factors like unwanted astigmatism, prism, and binocular vision must be considered for optimal performance. PAL selection depends on lifestyle, occupation, and adaptation needs. They are generally suitable for most presbyopes but some may prefer other options due to visual or physical factors.
Aniseikonia refers to an unequal apparent size of images seen by the two eyes. It can result from differences in refractive errors between the eyes (refractive aniseikonia) or differences in the distribution of retinal elements (basic aniseikonia). Symptoms include headaches, asthenopia, and difficulties with mobility or fusion. Aniseikonia is usually caused by anisometropia above 1.50-2.00 diopters and analyzing ocular components can help determine if it is due to refractive or axial differences.
Decentration of lenses can induce unwanted prism. The amount of induced prism depends on the distance of decentration from the optical center and the power of the lens. For plus lenses, the base of the induced prism is in the direction of decentration, while for minus lenses it is in the opposite direction. Prism power can be calculated using Prentice's rule. The induced prism from decentration can have effects on binocular vision and eye alignment. Careful centration of lenses is important for optimal vision and comfort.
The optical center of a lens is the point where light rays pass through without deviation. It is important for the optical center to be directly in front of the pupil for optimum vision. Decentering a lens, or moving it so the optical center is no longer in front of the pupil, introduces a prismatic effect. The amount of prismatic effect, measured in prism diopters, is calculated by multiplying the distance the lens is decentered in centimeters by the lens power in diopters. Decentering a lens with a spherical prescription or cylinder introduces different prismatic effects depending on the orientation of the cylinder axis relative to the direction of decentration.
This document discusses different types of tinted lenses, including their purposes and materials. It covers integral tints produced during manufacturing by adding metals or metal oxides to glass. Surface coatings deposit metallic oxides onto glass through evaporation. Plastic lenses are dyed by immersing them in organic dyes. Various tint colors like yellow, red, purple, and brown are explained in terms of the materials used and their applications. Integral tints provide consistent tinting while surface coatings and dyes allow tinting of any prescription.
This document discusses frame adjustment and quality checking. It describes 7 off-face adjustments including x-ing, temple spread, pantoscopic angle, temple fold angle, pad angles, face form, and 4-point touch. It also discusses 7 on-face adjustments including horizontal alignment, vertex distance, frame height, segment height, temple bend, pad contact, and skin/lash clearance. Key details are provided about properly adjusting specific angles and alignments during the fitting process.
This document summarizes guidelines for dispensing progressive lenses. It identifies the best candidates as previous progressive lens wearers, emerging presbyopes with low add powers, and highly motivated individuals. It notes that previous bifocal wearers and those with occulomotor imbalances may require consideration. The document outlines the procedure for fitting progressive lenses, which includes selecting a frame, pre-adjusting it, measuring the fitting height and PD, verifying the cut-out, and taking free form measurements. It provides tips for selecting an appropriate frame, including ones that maintain adjustment and avoid large styles that expose the wearer to distortions.
This presentation is mainly focused on progressive addition lenses along with the brief description of single vision reading lenses ,bifocal and trifocals which are the other options available for the management of presbyopia. It also include a short description on the fitting of the PAL. PAL is the most used option worldwide for the management of presbyopia .PAL is also used in the management of progressive myopia and the studies shows it is more effective than the bifocal lenses. PAL are more effective in myopia management when the myopia comes along with the near esophoria and accommodation lag. In this modern century personalised progressive lenses are the most effective in matching the need of the patients.
progressive addition lenses- optics, designs and performancessabina paudel
Progressive addition lenses (PALs) gradually increase power from the distance to the near zone to provide clear vision at all distances without visible lines. PALs come in various designs like hard and soft to suit patients' needs. Factors like unwanted astigmatism, prism, and binocular vision must be considered for optimal performance. PAL selection depends on lifestyle, occupation, and adaptation needs. They are generally suitable for most presbyopes but some may prefer other options due to visual or physical factors.
Aniseikonia refers to an unequal apparent size of images seen by the two eyes. It can result from differences in refractive errors between the eyes (refractive aniseikonia) or differences in the distribution of retinal elements (basic aniseikonia). Symptoms include headaches, asthenopia, and difficulties with mobility or fusion. Aniseikonia is usually caused by anisometropia above 1.50-2.00 diopters and analyzing ocular components can help determine if it is due to refractive or axial differences.
Decentration of lenses can induce unwanted prism. The amount of induced prism depends on the distance of decentration from the optical center and the power of the lens. For plus lenses, the base of the induced prism is in the direction of decentration, while for minus lenses it is in the opposite direction. Prism power can be calculated using Prentice's rule. The induced prism from decentration can have effects on binocular vision and eye alignment. Careful centration of lenses is important for optimal vision and comfort.
The optical center of a lens is the point where light rays pass through without deviation. It is important for the optical center to be directly in front of the pupil for optimum vision. Decentering a lens, or moving it so the optical center is no longer in front of the pupil, introduces a prismatic effect. The amount of prismatic effect, measured in prism diopters, is calculated by multiplying the distance the lens is decentered in centimeters by the lens power in diopters. Decentering a lens with a spherical prescription or cylinder introduces different prismatic effects depending on the orientation of the cylinder axis relative to the direction of decentration.
This document discusses different types of tinted lenses, including their purposes and materials. It covers integral tints produced during manufacturing by adding metals or metal oxides to glass. Surface coatings deposit metallic oxides onto glass through evaporation. Plastic lenses are dyed by immersing them in organic dyes. Various tint colors like yellow, red, purple, and brown are explained in terms of the materials used and their applications. Integral tints provide consistent tinting while surface coatings and dyes allow tinting of any prescription.
This document discusses frame adjustment and quality checking. It describes 7 off-face adjustments including x-ing, temple spread, pantoscopic angle, temple fold angle, pad angles, face form, and 4-point touch. It also discusses 7 on-face adjustments including horizontal alignment, vertex distance, frame height, segment height, temple bend, pad contact, and skin/lash clearance. Key details are provided about properly adjusting specific angles and alignments during the fitting process.
The document provides an overview of optical dispensing. It discusses defining optical dispensing and the steps involved, including frame selection based on facial shape, frame measurements, lens measurements, counseling patients on lens materials and coatings, and the process of fitting lenses into frames which involves marking, cutting, and edging lenses.
The document discusses pantoscopic tilt, which is when the bottom of eyeglass frames are angled toward the cheeks. It describes how proper pantoscopic tilt helps maximize the amount of bridge surface resting on the nose. The document also mentions retroscopic tilt, when the bottom of frames is angled away from the cheeks, and orthoscopic tilt, when frames have no angle. Additionally, it explains how lens tilt improves how glasses look and function for patients, and depends on ear and nose bridge heights, requiring frames to be properly adjusted for individual wearers before measurements.
progressive lenses, multifocal lenses, polyfocal lenses, lenses for presbyopia, bifocal lenses, lenses for near reading, lenses for the elderly, above age 40
This document summarizes the process of subjective refraction for finding the best lens prescription for a patient. It involves monocular refraction of each eye separately to determine the cylindrical lens power and axis and best spherical lens. Techniques described include astigmatic clock dial, Jackson's cross cylinder, and astigmatic fan to refine the cylinder. The spherical lens is refined using fogging or duochrome testing. Binocular balancing is then performed to provide equal focus in both eyes. Near vision correction may also be determined using near vision charts if needed. The overall goal is to obtain the optimal lens prescription to provide clear vision at both distance and near for the patient.
The term ‘‘aniseikonia” comes from the Greek words ‘‘an” (not) ‘‘is” (equal) & ‘‘eikon” (icon or image) so aniseikonia is a binocular condition in which the apparent sizes of the images seen with the two eyes are unequal.
Whenever refractive ametropias in the two eyes of a person are different (i.e., when there is an anisometropia), the corrected retinal images of the two eyes, and consequently the two visual images, differ in size.
This condition has been termed aniseikonia
Optical aniseikonia
Retinal aniseikonia
Cortical aniseikonia
The document discusses the base curve of lenses, which is the surface curve that forms the starting point for the remaining lens curve. It describes the importance of selecting the proper base curve, as it determines lens thickness, aberrations, and cosmetics. The document outlines different lens forms including Wollaston, Oswalt, and meniscus, discussing their optical properties. It notes that the best lens form follows mechanical and optical criteria, providing a thinner lens that is lighter in weight with reduced magnification and aberrations.
This document discusses the fitting of toric contact lenses. It begins with an introduction and discusses preliminary testing, fitting steps, and different toric lens designs. Stabilization techniques for toric lenses like prism ballast, truncation, and reverse prism are explained. The conclusion emphasizes measuring axis mislocation and compensating for lens rotation when determining the final prescription.
This document discusses contact lens manufacturing methods. It outlines desirable properties for lens materials including being homogeneous, dimensionally stable, and durable. Rigid gas permeable and soft lens materials are listed. Common manufacturing techniques include lathing, cast molding, spin casting, and reverse process III. The advantages and disadvantages of each method are provided. Quality assurance testing of preliminary lenses is also mentioned.
Glare testing and dark adaptation assessment are important for evaluating ocular conditions that impact vision in low light or with glare. Glare refers to discomfort or reduced vision caused by excessive brightness in the visual field. There are several types of glare and various instruments to test for its effects. Dark adaptation measures the eye's recovery of sensitivity in low light over time and provides information about rod and cone function. Factors like pre-adaptation light levels and stimulus properties influence the dark adaptation curve. Abnormal curves may indicate conditions affecting the outer retina or retinal pigment epithelium. Management can include absorptive glasses worn before bright light exposure.
The document discusses different measurement systems used for eyeglasses, including the datum system and boxing system. It provides definitions for key optical and frame measurements such as:
- Eye size and lens size refer to the horizontal length of the lens or frame opening.
- Geometric center is the midpoint of the horizontal midline between the lens borders.
- Effective diameter is twice the distance from the geometric center to the lens bevel edge.
- Bridge size is the distance between the two lenses at the narrowest point of the frame.
- Segment height specifies the vertical distance of bifocal or progressive addition lenses.
This document discusses different types of special purpose frames. It describes frames that hold supplementary lenses outside the main frame, frames that contain cells to hold additional lenses behind the prescription, and folding frames with hinges at the bridge and temples to reduce the frame size. It also covers frames with extensions to support the lower eyelid, trial frames without temples, monocular frames that allow viewing through one lens at a time, and frames with flip-down lenses for reading or sunglasses.
Contact lens fitting in keratoconus copykamal thakur
This document discusses keratoconus and contact lens fitting options for keratoconus patients. It begins by describing the different types and stages of keratoconus cones. It then discusses the various contact lens options including soft lenses, rigid gas permeable lenses, and scleral lenses. For rigid gas permeable lenses, it explains the different fitting philosophies of apical bearing, apical clearance, and three point touch. Specific lens designs like Rose K2 and scleral lenses are also summarized. Key factors for determining the appropriate contact lens are also listed.
This document discusses several special types of lenses used in optometry, including lenticular lenses, aniseikonic lenses, aspheric lenses, and Fresnel lenses. Lenticular lenses have a central aperture ground to the needed power surrounded by a peripheral carrier. Aniseikonic lenses address differences in image size between the eyes. Aspheric lenses have non-uniform curvature across the surface to correct aberrations and produce thinner lenses. Fresnel lenses use concentric prismatic sections like lighthouse lenses. High index materials and varifocal lenses are also summarized.
Bifocal lenses have two optical powers, one for distance vision and one for near vision. They are useful for presbyopia. There are several types of bifocal lenses including round, flat-top, and executive styles. Benjamin Franklin is credited with inventing the first bifocal lens in the late 18th century by cutting a single lens in half. Modern bifocals are manufactured using various techniques like fusing, cementing, or making from a single piece of plastic or glass. Proper positioning and design of the near segment is important to reduce issues like image jump and chromatic aberration. Bifocals come in many styles and materials to best suit individual needs and prescription requirements.
This document discusses progressive lenses, including their history, types, features, markings, fitting process, advantages, and disadvantages. It provides details on:
- The four main types of lenses - single vision, bifocals, trifocals, and progressive addition lenses.
- Key features of progressive lenses, including having multiple focal points that change continuously across the lens rather than distinct segments.
- Important temporary and permanent markings on progressive lenses used in fitting, including the fitting cross, distance reference circle, and lateral locator lines.
- The process of accurately relocating the fitting cross from temporary to permanent markings to ensure proper positioning over the pupil.
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)
This document provides guidelines for prescribing glasses in children. It discusses that the pediatric eye is different from the adult eye in terms of axial length, corneal curvature, and lens power. The goals of prescribing glasses in children are to provide a focused retinal image and achieve optimal balance between accommodation and convergence. It is more difficult to prescribe glasses for children due to lack of subjective response and poor attention. American guidelines provide recommendations on refractive errors that warrant correction at different ages. Factors like emmetropization, amblyopia risk, and presence of strabismus are considered. Frame selection depends on the child's condition and age, aiming for correct fit, comfort, safety, and not hindering nasal development.
Subjective refraction is used to find the best corrective lenses for a patient and requires their cooperation. It involves monocular refraction of each eye separately to determine the cylindrical lens power and axis as well as best spherical lens. This is followed by binocular balancing to ensure clear vision with both eyes open. Techniques like fogging, cross-cylinders, and Maddox rods are used in monocular refraction while techniques like fogging with occlusion, duochrome testing, and prism dissociation are used for binocular balancing. Determining the near vision correction involves estimating accommodation amplitude and adding readers if needed for presbyopia.
This document summarizes a review article on progressive addition lenses (PALs). It discusses the design, structures, and optical characteristics of PALs. Key points include:
- PALs provide continuous vision from distance to near without lines or edges by gradually increasing lens power from upper to lower portions.
- Advanced designs incorporate the prescription onto the back surface rather than just the front, reducing distortions and expanding clear vision zones.
- Wavefront technology further optimizes PALs by reducing higher-order aberrations at all distances.
- Different PAL designs are suited for specific needs like reading, computers, or a balance of distances. Patient needs should be considered when selecting a design.
This document provides information about progressive additional lenses (PALs). It discusses the history of PALs dating back to 1907. It describes the construction of PALs including the distance, intermediate, and near zones. The document outlines important markings on PALs and explains the optical design considerations like add power, corridor length, and zone widths. It also discusses different PAL designs, advantages and disadvantages of PALs, limitations of PALs, how to measure and re-mark PALs, fitting considerations, and popular PAL brands available.
The document provides an overview of optical dispensing. It discusses defining optical dispensing and the steps involved, including frame selection based on facial shape, frame measurements, lens measurements, counseling patients on lens materials and coatings, and the process of fitting lenses into frames which involves marking, cutting, and edging lenses.
The document discusses pantoscopic tilt, which is when the bottom of eyeglass frames are angled toward the cheeks. It describes how proper pantoscopic tilt helps maximize the amount of bridge surface resting on the nose. The document also mentions retroscopic tilt, when the bottom of frames is angled away from the cheeks, and orthoscopic tilt, when frames have no angle. Additionally, it explains how lens tilt improves how glasses look and function for patients, and depends on ear and nose bridge heights, requiring frames to be properly adjusted for individual wearers before measurements.
progressive lenses, multifocal lenses, polyfocal lenses, lenses for presbyopia, bifocal lenses, lenses for near reading, lenses for the elderly, above age 40
This document summarizes the process of subjective refraction for finding the best lens prescription for a patient. It involves monocular refraction of each eye separately to determine the cylindrical lens power and axis and best spherical lens. Techniques described include astigmatic clock dial, Jackson's cross cylinder, and astigmatic fan to refine the cylinder. The spherical lens is refined using fogging or duochrome testing. Binocular balancing is then performed to provide equal focus in both eyes. Near vision correction may also be determined using near vision charts if needed. The overall goal is to obtain the optimal lens prescription to provide clear vision at both distance and near for the patient.
The term ‘‘aniseikonia” comes from the Greek words ‘‘an” (not) ‘‘is” (equal) & ‘‘eikon” (icon or image) so aniseikonia is a binocular condition in which the apparent sizes of the images seen with the two eyes are unequal.
Whenever refractive ametropias in the two eyes of a person are different (i.e., when there is an anisometropia), the corrected retinal images of the two eyes, and consequently the two visual images, differ in size.
This condition has been termed aniseikonia
Optical aniseikonia
Retinal aniseikonia
Cortical aniseikonia
The document discusses the base curve of lenses, which is the surface curve that forms the starting point for the remaining lens curve. It describes the importance of selecting the proper base curve, as it determines lens thickness, aberrations, and cosmetics. The document outlines different lens forms including Wollaston, Oswalt, and meniscus, discussing their optical properties. It notes that the best lens form follows mechanical and optical criteria, providing a thinner lens that is lighter in weight with reduced magnification and aberrations.
This document discusses the fitting of toric contact lenses. It begins with an introduction and discusses preliminary testing, fitting steps, and different toric lens designs. Stabilization techniques for toric lenses like prism ballast, truncation, and reverse prism are explained. The conclusion emphasizes measuring axis mislocation and compensating for lens rotation when determining the final prescription.
This document discusses contact lens manufacturing methods. It outlines desirable properties for lens materials including being homogeneous, dimensionally stable, and durable. Rigid gas permeable and soft lens materials are listed. Common manufacturing techniques include lathing, cast molding, spin casting, and reverse process III. The advantages and disadvantages of each method are provided. Quality assurance testing of preliminary lenses is also mentioned.
Glare testing and dark adaptation assessment are important for evaluating ocular conditions that impact vision in low light or with glare. Glare refers to discomfort or reduced vision caused by excessive brightness in the visual field. There are several types of glare and various instruments to test for its effects. Dark adaptation measures the eye's recovery of sensitivity in low light over time and provides information about rod and cone function. Factors like pre-adaptation light levels and stimulus properties influence the dark adaptation curve. Abnormal curves may indicate conditions affecting the outer retina or retinal pigment epithelium. Management can include absorptive glasses worn before bright light exposure.
The document discusses different measurement systems used for eyeglasses, including the datum system and boxing system. It provides definitions for key optical and frame measurements such as:
- Eye size and lens size refer to the horizontal length of the lens or frame opening.
- Geometric center is the midpoint of the horizontal midline between the lens borders.
- Effective diameter is twice the distance from the geometric center to the lens bevel edge.
- Bridge size is the distance between the two lenses at the narrowest point of the frame.
- Segment height specifies the vertical distance of bifocal or progressive addition lenses.
This document discusses different types of special purpose frames. It describes frames that hold supplementary lenses outside the main frame, frames that contain cells to hold additional lenses behind the prescription, and folding frames with hinges at the bridge and temples to reduce the frame size. It also covers frames with extensions to support the lower eyelid, trial frames without temples, monocular frames that allow viewing through one lens at a time, and frames with flip-down lenses for reading or sunglasses.
Contact lens fitting in keratoconus copykamal thakur
This document discusses keratoconus and contact lens fitting options for keratoconus patients. It begins by describing the different types and stages of keratoconus cones. It then discusses the various contact lens options including soft lenses, rigid gas permeable lenses, and scleral lenses. For rigid gas permeable lenses, it explains the different fitting philosophies of apical bearing, apical clearance, and three point touch. Specific lens designs like Rose K2 and scleral lenses are also summarized. Key factors for determining the appropriate contact lens are also listed.
This document discusses several special types of lenses used in optometry, including lenticular lenses, aniseikonic lenses, aspheric lenses, and Fresnel lenses. Lenticular lenses have a central aperture ground to the needed power surrounded by a peripheral carrier. Aniseikonic lenses address differences in image size between the eyes. Aspheric lenses have non-uniform curvature across the surface to correct aberrations and produce thinner lenses. Fresnel lenses use concentric prismatic sections like lighthouse lenses. High index materials and varifocal lenses are also summarized.
Bifocal lenses have two optical powers, one for distance vision and one for near vision. They are useful for presbyopia. There are several types of bifocal lenses including round, flat-top, and executive styles. Benjamin Franklin is credited with inventing the first bifocal lens in the late 18th century by cutting a single lens in half. Modern bifocals are manufactured using various techniques like fusing, cementing, or making from a single piece of plastic or glass. Proper positioning and design of the near segment is important to reduce issues like image jump and chromatic aberration. Bifocals come in many styles and materials to best suit individual needs and prescription requirements.
This document discusses progressive lenses, including their history, types, features, markings, fitting process, advantages, and disadvantages. It provides details on:
- The four main types of lenses - single vision, bifocals, trifocals, and progressive addition lenses.
- Key features of progressive lenses, including having multiple focal points that change continuously across the lens rather than distinct segments.
- Important temporary and permanent markings on progressive lenses used in fitting, including the fitting cross, distance reference circle, and lateral locator lines.
- The process of accurately relocating the fitting cross from temporary to permanent markings to ensure proper positioning over the pupil.
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)
This document provides guidelines for prescribing glasses in children. It discusses that the pediatric eye is different from the adult eye in terms of axial length, corneal curvature, and lens power. The goals of prescribing glasses in children are to provide a focused retinal image and achieve optimal balance between accommodation and convergence. It is more difficult to prescribe glasses for children due to lack of subjective response and poor attention. American guidelines provide recommendations on refractive errors that warrant correction at different ages. Factors like emmetropization, amblyopia risk, and presence of strabismus are considered. Frame selection depends on the child's condition and age, aiming for correct fit, comfort, safety, and not hindering nasal development.
Subjective refraction is used to find the best corrective lenses for a patient and requires their cooperation. It involves monocular refraction of each eye separately to determine the cylindrical lens power and axis as well as best spherical lens. This is followed by binocular balancing to ensure clear vision with both eyes open. Techniques like fogging, cross-cylinders, and Maddox rods are used in monocular refraction while techniques like fogging with occlusion, duochrome testing, and prism dissociation are used for binocular balancing. Determining the near vision correction involves estimating accommodation amplitude and adding readers if needed for presbyopia.
This document summarizes a review article on progressive addition lenses (PALs). It discusses the design, structures, and optical characteristics of PALs. Key points include:
- PALs provide continuous vision from distance to near without lines or edges by gradually increasing lens power from upper to lower portions.
- Advanced designs incorporate the prescription onto the back surface rather than just the front, reducing distortions and expanding clear vision zones.
- Wavefront technology further optimizes PALs by reducing higher-order aberrations at all distances.
- Different PAL designs are suited for specific needs like reading, computers, or a balance of distances. Patient needs should be considered when selecting a design.
This document provides information about progressive additional lenses (PALs). It discusses the history of PALs dating back to 1907. It describes the construction of PALs including the distance, intermediate, and near zones. The document outlines important markings on PALs and explains the optical design considerations like add power, corridor length, and zone widths. It also discusses different PAL designs, advantages and disadvantages of PALs, limitations of PALs, how to measure and re-mark PALs, fitting considerations, and popular PAL brands available.
1. The document discusses presbyopia, which is the age-related loss of accommodation that begins around the age of 40 and leads to difficulty with near vision.
2. It defines presbyopia and explains the physiological changes that cause it, including lenticular and extra-lenticular changes.
3. Various types of multifocal lenses are described that can help with presbyopia, including bifocal, trifocal, and progressive addition lenses, along with their advantages and disadvantages. Precise fitting of these lenses is important to reduce issues like prismatic effects and distortions.
Progressive Additional lenses, also known as Progressive Addition Lenses or Progressive Power Lenses, provide clear vision at all distances without lines or jumps between areas like bifocals. They feature a continuous progression of power from the distance vision zone near the top to the reading zone at the bottom. Some key points covered in the document include:
- Progressive lenses were invented in the 1950s and have since been improved with advances like digital design and personalized fitting.
- They have benefits over bifocals like a continuous field of vision but also challenges like peripheral distortions during adaptation.
- Factors like lens design (hard vs. soft), additions, and prescription are considered for the best vision and comfort.
- Markings
This document discusses the design, optics, and handling techniques of telescopes. It begins by outlining the objectives and layout of the presentation. It then covers the optical principles of telescopes, including the differences between afocal and focal telescopes. The main types of telescopes - Galilean and Keplerian - are described in terms of their optical design and image characteristics. Methods for adapting telescopes for near use and considerations for optical design are also summarized. The document concludes by discussing verification of telescopes and recommended handling techniques.
This document discusses various types of optical aberrations including chromatic aberration, spherical aberration, oblique astigmatism, and coma. It explains how each aberration occurs in optical systems and lenses. It also describes how the human eye corrects for these aberrations through mechanisms like the aplanatic corneal surface and retinal shape. Chromatic aberration is corrected in optical lenses using achromatic lenses made of materials with different dispersive properties. Spherical aberration and coma are reduced by limiting the optical zone or using aspheric surfaces.
This document discusses various types of optical aberrations, including chromatic and monochromatic aberrations. It defines aberration as a defect in image formation and describes longitudinal and transverse chromatic aberration. Five monochromatic aberrations called Seidel aberrations are discussed: spherical aberration, coma, oblique astigmatism, curvature of image, and distortion. Zernike polynomials are introduced as a way to mathematically describe aberrations.
This document provides information on how to use a lensmeter and keratometer to measure eyeglass lenses and corneal curvature. It describes the parts and functions of a lensmeter, including how to focus the eyepiece, position lenses, and measure sphere, cylinder, and prism powers. It also outlines the Javal-Schiotz and von Helmholtz methods used in keratometry to measure corneal curvature based on the shadow cast by the cornea. Step-by-step instructions are provided for using both devices to obtain measurements of patients' lenses and corneas.
Prescribing low vision devices by SURAJ CHHETRISuraj Chhetri
The document discusses prescribing low vision devices, including optical and non-optical devices. It covers prescribing distance optical devices like spectacles, contact lenses, and telescopes. Details are provided on prescribing near optical devices such as microscopes, magnifiers, and closed-circuit television. Non-optical devices and factors to consider in prescribing such as visual needs, age, and cost are also outlined. Examples of calculations for determining magnification needed from telescopes and reductions in brightness are included.
Optics and design of soft contact lens.pptxAshi Lakher
This document provides an overview of optics and design considerations for soft contact lenses. It discusses basics of contact lens optics, various optical properties including effectiveness, magnification, accommodation, convergence, and aberrations. It also covers lens design parameters such as diameter, base curve, thickness, and material properties. Design factors like surface curvature, edge design, and aspheric lenses are summarized. The key points are that soft lens design optimizes vision, comfort and safety by conforming to the cornea while meeting oxygen requirements through material and thickness choices.
The document discusses assessment and correction of refractive errors. It provides information on objective refractive assessment tools like retinoscopy and autorefraction. It also discusses subjective refraction techniques and considerations for different patient types. Key points include using cycloplegic refraction for infants and uncooperative patients, adjusting IPD with the phoropter, and transposing cylinders to determine the spherical equivalent.
Binocular indirect ophthalmoscopy (BIO) allows examination of the retina using a condensing lens held close to the eye. It provides a stereoscopic, wide-field view of the retina. Mastering BIO takes practice due to its technical challenges. Key steps include properly dilating the eye, positioning the patient, choosing the right lens based on desired magnification and field of view, minimizing lens distortions, adjusting the indirect headset, and depressing the sclera for a dynamic view of the peripheral retina.
Magnification is an important tool in dentistry that improves visualization of small structures. While loupes provide 2-5x magnification, microscopes allow for higher magnification of 6-40x as well as enhanced lighting. The key components of a microscope include the supporting structure, body with eyepieces, magnification changers, objective lens, and light source. Microscopes provide superior magnification, illumination, depth of field, and allow for documentation compared to loupes. Accessories like filters, cameras, and assistant scopes further enhance the utility of microscopes for dental procedures.
Fitting an Astigmatic Patient is really a challenging.Though fitting a Toric Cornea is another challenge in CL Dispensing practice.This Slide will give you a basic considerations in RGP Toric lens.
Aberration and Ophthalmic Lens Design.pptJayendra Jha
This document discusses various types of optical aberrations that occur when light passes through lenses and the human eye, including chromatic aberration, spherical aberration, oblique astigmatism, coma, and image distortion. It explains how each aberration leads to imperfect image formation and describes techniques used to reduce their effects, such as using multiple lens elements made of different materials, aspheric surfaces, and the optical properties of the eye itself. The document also provides examples of tests like the duochrome test that evaluate these aberrations during eye exams.
Progressive addition lenses are lenses that gradually change in optical power from the top to the bottom to provide clear vision at all distances without visible lines. They were invented in 1907 and the Varilux 1 was introduced in 1959. Unlike bifocals or trifocals, progressives ensure smooth vision at all distances. The power increase is achieved by gradually decreasing the lens curvature vertically and horizontally. Progressives have advantages over other lenses like continuous vision and no visible lines. Optical design factors like add power, corridor length, and zone widths affect progressives. Proper fitting involves adjusting the frame position and measuring pupil distance and fitting height.
The document describes the components and uses of a trial box, which is a set of lenses, frames, and accessories used to test vision. It contains trial frames that hold spherical, cylindrical, and prismatic lenses in various diopters for refraction testing. Accessories include occluders, filters, Maddox rods, and near charts for additional exams. The trial box is an essential tool for optometrists to objectively and subjectively refract patients and diagnose vision disorders.
The document describes the components and uses of a trial box, which is a set of lenses, frames, and accessories used to test vision. It contains trial frames that hold spherical, cylindrical, and prismatic lenses in various diopters for refraction testing. Accessories include occluders, filters, charts, and tools like Maddox rods and cross cylinders. The trial box is used for objective and subjective refraction, diagnosing conditions like squint, and assessing binocular vision.
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Similar to Progressive addition lenses and brands (20)
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1. Aging has a wonderful beauty and
we should have a respect for that.
Progressive lens
- Anurag shukla
Fellow optom
Dr. Shroff charity eye hospital,Delhi
2. i n t r o d u c t i o n
• Benjamin franklin invented bifocal in 1784.
• Invented in 1959 by Bernard maitenaz, an engineer at Essilor..
• A progressive addition lens has more than one focal point or
dioptric powers, without need to switch the lenses.
3. W h a t i s PA L
• A lens designed for presbyopes with power
gradually increasing from the distance zone,
through a progressive zone to the near zone.
• Curvature of surface increases from its minimum
value in distance zone to maximum value in near
zone.
4. W H Y PA L s ?
• Unlike bifocal or trifocal lenses, progressive lenses ensure
that the presbyopic spectacle wearer finds the right
dioptric power for every distance, guaranteeing smooth and
uninterrupted vision and without any visible line of
demarcation.
• The power increases is achieved by constantly decreasing
the radii of curvature in the vertical and horizontal portion
5. Conti….
• There is no visible reading segment
• No any dividing line between distance and near portion
• No image jump
• Eye rotation is required to see from distance to near vision
area and head movement is required to see across the
lateral areas of astigmatism
6. marking
• Distance reference circle: A stabilized region in the upper
portion of lens provides the specified distance prescription.
• Fitting cross:
• Located exactly at the centre of the pupil.
• Used to measure MPD and fitting height.
• Prism reference circle:
• Used to check amount of prism.
7. marking
• Near reference circle:
• Its used to check the near vision power.
• Lateral circle:
• Two small lateral used to relocate the temporary marking.
• Exactly position is 34mm apart one each on the nasal and
temporal sides.
• Lens logo and material code:
• Lens type is identified with the help of lens logo and it is
located nasally.
• Lens material code is used to identified the lens material
types.
Permanent marking
8. marking
• Addition power
• Located below the temporal locater.
• Umbilical line
• It is a vertex line long which spherical add
power increases towards the bottom of the
lens
• Surrounding the vertex line are increasing the
amount of unwanted astigmatism
Umbilical line
9. marking
• Progressive corridor:
A corridor of increasing power connects these two
zones and provides intermediate or mid range
vision. The length of corridor is the distance from
the center of the fitting cross to the position
where 85% of the near add is achieved.
• The average rate of change in Add power along the
progressive corridor is equal to the total add power
divided by the corridor length of lens.
Add power
Length of corridor
10. Minkwitz’s Theorem
• The rate of change in unwanted cylinder power (Δ Cyl) at a small distance
away from the centerline of progressive corridor is nearly equal to twice the
rate of change in Add power (Δ Add) over an equal distance along the
centerline of the corridor.
11. Sand box analogy
• A round sandbox with the surface of a sand smoothed to a spherical
shape to resemble the front of regular ,single vision lens.
• Suppose we want to change the surface curvature of one area of
sand, to give a new “power” so that it will resemble the near portion
of PALs.
• It can be done by starting at the centre and gradually increasing
the curvature of the surface in the certain area corresponding to
the progressive portion of a lens.
12. Sand box analogy
• In other words, we start shaving the surface
of the sand, removing sand from that area.
• But in sandbox rule, the sand are not allowed
to throw out of the sandbox.
• So sand have to piled on either side of the
progressive zone and then smoothed out.
• This changes curve of the surface and causes
unwanted cylinder.
13. OPTICAL DESCRIPTION OF PROGRESSIVE
LENSES
1. • Power profile
2. • Contour plot
3. • Grid plot
4. • Three dimensional plot
14. Power profile
• The curve represents the power progression
of the lens along its meridional line from
distance to near vision.
15. Contour Plot
• Two dimensional map of the lens
representing either the distribution of power
or of astigmatism
• The map shows lines of equal dioptric values
• Between two consecutive lines, the power or
astigmatism varies by a constant values.
16. Grid Plot
• The grid highlights the distribution of
prismatic
• effects of the lens by showing how they alter
a regular rectangular grid
17. THREE DIMENSIONAL PLOT
• A 3-D representation which plots vertically
the value of a given optical characteristic
at each point of lens in relation to a
reference plane
• May be used to show the distribution of
power,astigmatism, prismatic effects,
gradients of power variations.
• More demonstrative of lens characteristics
than contour plot.
18. Design of PALs
• Aspheric front surface provides power progression.
• Progression determines
• --the length of the intermediate zone
• --the position near addition lens
• --the gradient of peripheral lens abberrations.
• Peripheral surface to provide the comfortable down -gaze vision.
• Advance designs are transitions from “harder” to “soft”.
19. Hard Design of PALs
“Hard” Design
• Wider areas of stable optics in
both distance and near.
• Narrower intermediate
• Longer adaptation
• Some apparent curving of straight
lines.
• Shorter distance down to near
viewing.
•
20. Soft Design of PALs
• Longer distance down to the near
viewing area
• Wider intermediate shorter
adaptation
• Less apparent curving of straight
lines
• Less peripheral distortion than
hard design
Soft Design
21. Pattern of PALs
#Symmetrical patterns
. Available but are less common.
. Right and left lenses are
identical.
. 10 degree rotation requires for
nasal decentration.
. An induced vertical prismatic
effect causes poor adaptation.
.
22. Pattern of PALs
# Asymetrical pattern
. Separate designs for the right and left lenses.
. Incorporate a nasal offset of the near addition.
. Vertical prismatic effect is minimised.
. Better adaptation and visual comforts
23. Mono design
• Describe range of power for a given design.
• It classify hard and soft.
• It describe the characteristics of progressive zone.
• Maintain design principles throughout the range of addition
24. Multi design
• According to add power lens design changes
• It starts from soft design for low add power and as the add power
increases it will turn to hard designs lens.
25. Unwanted cylinder
• Unwanted cylinder is the greatest problem inherent in progressive
additional lenses.
• Although the progressive zone gives clear vision when properly fitted.
• This cylinders varies in amount and orientation depending on design
and add power.
• There are certain design characteristics that change the amount of
unwanted cylinder in the periphery of the lens.
• To help understand how this works, we use an oversimplified example
of a sandbox.
26. • Continuous vision from distance and near
• Comfortable vision for all intermediate
distance.
• No image jump
• Continous support for accommodation.
Advantage1
Optical aberration
Some adaptation time
Cost factor
More chair time.
Limitation2
Advantage and Limitation of PAL
27. PATIENT SELECTION FOR PAL
Who are good candidate ?
• Those who require add power for certain
task but prefer edge not visible
• Presbyope complaining image jump
• Emerging presbyopes
• Person needing trifocal
Who are poor candidate ?
• Having motion sickness
• Satisfied with bifocal
• High add requirement(3.00D)
• Significant vertical muscle imbalance
• Anisometropia (>3Ds
29. Fitting progressive lens
When fitting progressive lenses, use the following procedure
1 select the frame
2 pre-adjust the frame
3 measure the fitting heights
4 measure the distance monocular PD
5 verify lay out card
30. Frame selection
• The frame must have sufficient vertical depth, if there is not
enough vertical depth , then either different frame must be
chosen, or a special short corridor lens that is designed for
frame with a narrow vertical dimensions should be used.
• The frame must have sufficient lens area in the nasal
portions where the near progression optics is found.
• The frame must have short vertex distance.
• The frame must be able to be adjusted for pantascopic
angle. .
31. Pre- adjustment of the frame
• Ensure a minimal vertex distance.
• Ensure at least 8 degree or more of pantoscopic tilt.
• Adjust frames with demo lenses in place.
Effect of vertex distance
• Shorter vertex distance increases the field of view through the
viewing zones of the lens.
32. Pre adjustment of the frame
Effect of pantoscopic tilt
• Pantoscopic tilt brings the near zone closer to the eye and
increases the field of view through the near zone of the lens.
Measure the fitting height
• The fitting cross on progressive additional lens must coincide
with the pupil centre of the wearers in their natural posture.
33. `
The following procedure is used to measure the fittings heights
• Fitting height should be measure with Fit and fully adjusted frame.
• Place your self opposite and at the same height as the wearers.
• Ask the wearers looks straight ahead
• Ask the wearers to looks at your left eye.
• Hold a pen torch just below your left eye.
• Close your RE to avoid parallax error.
• Observe the position of the light reflection in the wearers RE
relative to vertical PD line already marked on the lens.
• Place a small horizontal marks on PD line corresponding to the
pupil centre
34. Conti….
• Ask the wearers to look at your RE and complete the
procedure for the other eye.
• Move the frame up and down slightly , let it settle, and
report for both eyes,
35. Fitting Cross Heights for Children
• progressives might be used for children is in the case of
accommodative esotropia.
• A fitting cross height 4 mm higher than the pupil center.
36. Distance PD measurment
• Monocular PD is most important.
• Measure from the centre of nose to centre of the pupil.
• Another method include:
Pupillometer
Pd ruler
Direct pupillary reflex marking method
38. Verify cut out card
• Use the correct cut-out card for the lens design
• Place the dotted demo lens on the fitting point of the
lay out card and ensure that the frame will cut-out at
the desired measurement
• Mark the pt.’s fitting height and distance PD on the
sample lens creating a cross
• Place the lens cross over the layout chart cross to
verify that the lens will fit within the lens diameter
circle
• If the lens does not fit choose another, more suitable
frame that will accommodate the lens
39. CONFIRM MEASURMENT AND PRESCRIPTION
• Using the centration chart ,centered the frame
over the inverted V
• Confirm the monocular PD and fitting height
• Confirm the distance prescription with the
lensometer
• Confirm prism at prism reference point [PRP]
40. RECREATE FITTING CROSS [IF NEED]
• Mark the lens micro-circles with a felt tip pen.
• Lay the glasses over the cut out chart and align the micro
circle to the microcircle on the cut out chart.
• Mark the fitting cross with the felt tip pen.
41. Confirm fit on patient
• With the lenses marked or using decals,verify that the
fitting cross is at center pupil
• Adjust the frame to raise or lower the fit if necessary
• .
42. Part 03
T R O U B L E S H O O T I N G
I N P R O G R E S S I V E
47. COMPLAIN AND REMEDIES
• Problem:
• Blurring of distance vision
• Difficulty in outdoor activities.
Possible causes
• Fitting to high
• Wrong priscription
Remedies
• Open the nose pads
• Remake the lenses
48. Problems:
Near vision blur
Possible causes;
• Fitting to low
• Inadequate pantoscopic tilt
• Incorrect RX
REMEDIES;
• Bring in nose pad
• Frame adjustment
• Remake lenses
COMPLAIN AND REMEDIES
49. TROUBLESHOOTING IN PROGRESSIVE
• Problem:
• Blurring of distance vision in one eye.
• Difficulty to walking the stairs
(poor depth perception)
Possible causes
• temples are not correctly aligned
• Wrong priscription
Remedies
• Adjust the temples correctly
• Remake the lenses
50. LOOK AT THE BLACK LINE BEHIND THE LENS
PRISMATIC EFFECT
51. COMPLAIN AND REMEDIES
PROBLEM
• Different widths of clear zone.
POSSIBLE CAUSES
• Different vertex distance
• Inadequate pantoscopic tilt
REMEDIES;
• Adjust the frame.
• Pantoscopic tilt.
52. COMPLAIN AND REMEDIES
PROBLEM
• Blurred vision for D&N ,
Swimmy sensation,small field
of view .
POSSIBLE CAUSES
• Incorrect PD and heights
• Adaptation
REMEDIES;
• Remake new glass.
53. COMPLAIN AND REMEDIES
Problem
• Reading area too small
Possible causes
• Incorrect PD
• Fitting height too low
Remedies
• Frame adjustment
• Refit lens
54. COMPLAIN AND REMEDIES
Problems
Having too look to the side to read
Possible causes
Incorrect PD
Swapped lenses
Remedies
Refit to correct the PDs
Swap the lens if frame symmetrical
55. COMPLAIN AND REMEDIES
• problems :
• Having to tilt head too far back to read
Possible causes
• add too weak
• Change in design
Remedies
• Bring in nose pad
• Increase the add
• Refit lenses
56. Part 04
B ra n d s a n d s p e c ia l
d e s ig n o f PA L s
57. Many Brand's progressive lenses available in the market
1. Hoya
2. Ziess
3. Essilor
4. Kodak
5. Nikon
58. Design features
• New free-form aspherization process
• Clear, natural vision in all directions
and at all distances
• Dramatically reduces swimming
sensations
• No special fitting parameters needed
Name Corridor
length
MFH
Clarity 15 mm 18 mm
Clarity cd 11 mm 14 mm
Harmony 14 mm 18 mm
General purpose PAL
59. Drive safe : new technology
Develop with Luminance Design®
Technology by ZEISS.
Reduced glare at night. : DuraVision®
DriveSafe Coating by ZEISS.
Accurate vision of road, dashboard and
mirrors.
Name Corridor
length
MFH
Precision pure 13, 15, 17, 19
and 21mm.
17 - 26 mm
Gradal HS 14 mm 18 mm
Zeiss
Individual
10 - 16 mm 13 - 35 mm
ZEISS
DriveSafe 14 ,15 mm 17- 19mm
60. Design elements :
Sphere to asphere
Multidesign
Asymmetric
Name Corridor
length
MFH
Adapter 14 mm 18 mm
Varilux comfort 12mm 18 mm
Varilux
panamic
12mm 18 mm
Varilux physio 12mm 17mm
61. GENERAL PURPOSE PALs
Relaxsee neo :Accosupport
32.4% of adults and 9.1% of children
report experiencing eye strain. ( The
Vision Council reports on digital eye
strain,2019.)
Recommend for relief eye strain and
for support to accommodation.
Name Corrido
r length
MFH
Add
power
Range
Presio
Power
17 mm 21 mm +0.50D to
+4.00D i
Presio
Balance
15 , 17
mm
18, 21 mm +0.50D to
+4.00D i
Move
digital
13, 15 mm 16, 18
mm
+0.50D to
+4.00D i
Relaxsee
Neo
17 mm 21 mm +0.37 D to
+0.95 D
62. GENERAL PURPOSE PALs
Kodak unique :
Available in 36 material.
KODAK Unique Lenses are not
available with Rx prism.
Name Corridor
length
MFH
Add power
Range
KODAK
Unique
13 ,14 ,15 ,16
,17 ,18 mm
Starting at 13 +0.75 to +
3.50 D
KODAK
Precise
13.5 mm 17 mm +0.50 to
+3.00 D
KODAK
Concise
14 mm 17 mm +0.75 to +
3.50 D
63. Special PALs
Short corridor progressive lenses
Near variable progressive lenses
Occupational progressives that
include distance powers
64. Short Corridor progressive lens
Allows a PAL to be worn in a frame with a small vertical
dimension.
Faster transition from the distance and near portion of lens.
Wearer is quickly into the near portion when looking
downward.
Minimum fitting height should be suitable for the frame
65. Benefits
• Cosmetically appears good
Disadvantages
• Slightly more expensive than
standard progressive lenses
• difficulty adapting
• distortion
Short Corridor progressive lens
66. Short Corridor progressive lens
NAME MANUFACTURE
R
CORRIDOR
LENGTH
MINIMUM FITTING
HEIGHT
Hoyalux summit cd Hoya 11 mm 14 mm
Harmony cd Hoya 10.5 14
Varilux Ellipse Essilor 9.5 mm 14 mm
Gradal Brevity Carl Zeiss Optical 12 mm 16 mm
Kodak precise short Kodak 10 mm 13 mm
68. Near variable progressive lenses
Name Manufacturer Add power
range
iD LifeStyle 3 Indoor Hoya + 0.75 to +3.50 D
Zeiss business Zeiss Upto +3.50 D
Essilor interview Essilor Upto +3.00 D
Home and Office Neo Nikon +0.50D to +4.00D.
69. Benefits
• great for people needing
Intermediate and near view
• Provide wider Intermediate
zone
• help alleviate visual fatigue
(CVS)
Disadvantages
• Slightly more expensive than
standard progressive lenses
• Difficulty to carry
Near variable progressive lenses
70. OCCUPATIONAL PROGRESSIVES WITH DISTANCE
POWER
Used for small office environments and
computer viewing.
Include a small distance portion located at
the top of lens.
Intermediate area of the lens positioned in
front of eye.
Intermediate and near zones considerably
wider than standard progressives but not
as wide as near variable focus lenses