Quiz For Therapeutic and Bandage Contact Lenses

What material was tried for ocular healing in the 1930’s?

Blown glass

Correct Incorrect Correct answer

Hydrogel

Correct Incorrect Correct answer

PMMA

Correct Incorrect Correct answer

RGP

Correct Incorrect Correct answer

What contact lens is the bandage of choice for post-operative use?

PMMA

Correct Incorrect Correct answer

Scleral RGP

Correct Incorrect Correct answer

Amniotic

Correct Incorrect Correct answer

High water soft lens

Correct Incorrect Correct answer

Which of the following is an indication to use a bandage contact lens?

To inhibit blinking

Correct Incorrect Correct answer

To protect the cornea

Correct Incorrect Correct answer

To provide hypoxia

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To prevent tear production

Correct Incorrect Correct answer

Which lens is preferred to avoid buckling?

Thicker, high water lens

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Ultra-thin, soft lens

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Nanodisc

Correct Incorrect Correct answer

Hydrogel

Correct Incorrect Correct answer

When is occluding an eye with an external bandage recommended?

Only for hyperopia

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To prevent diplopia

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To provide better cosmesis

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To provide a rare and little used treatment

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What is neovascularization?

Swelling of the conjunctiva

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Inflammation of the ocular cells

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Formation of new blood vessels

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Ocular redness

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What is true about filamentary keratitis?

It is rarely seen with Sjögren’s Syndrome

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It can cause a foreign body sensation

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It is never painful

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It will typically disappear within 1 to 2 weeks with treatment

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What is another term for curve conform?

Occluder

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Surgical

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Suture

Correct Incorrect Correct answer

Splinting

Correct Incorrect Correct answer

What type of contact lens should be used post-operatively?

Only a hydrogel lens

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Only an RGP lens

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Every type of contact lens can be used post-operatively

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No contact lenses should be used post-operatively

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What lens system has a soft lens with an RGP on top?

Splinting lenses

Correct Incorrect Correct answer

Scleral lenses

Correct Incorrect Correct answer

Piggyback lenses

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Hydrogel lenses

Correct Incorrect Correct answer

Striae means __________.

folds

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penetrating

Correct Incorrect Correct answer

healing

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retention

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Which of these is a likely result of exposure keratopathy?

Epiphora

Correct Incorrect Correct answer

Dessication

Correct Incorrect Correct answer

Nystagmus

Correct Incorrect Correct answer

Aphakia

Correct Incorrect Correct answer

Bullae are _________________.

not unusual

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not uncomfortable

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dry areas of the cornea

Correct Incorrect Correct answer

fluid filled

Correct Incorrect Correct answer

What will help control bullae?

A flatter fit

Correct Incorrect Correct answer

Topical dehydrating agents

Correct Incorrect Correct answer

Corneal transplant

Correct Incorrect Correct answer

Any of these will help control bullae

Correct Incorrect Correct answer

What is true regarding Fuch’s dystrophy?

Genetics is rarely a factor

Correct Incorrect Correct answer

It has undetectable symptoms

Correct Incorrect Correct answer

Bullous keratopathy is a possible symptom

Correct Incorrect Correct answer

It has little possibility of remission

Correct Incorrect Correct answer

Thin, high water contact lenses can often improve _______________________.

aphakia

Correct Incorrect Correct answer

patient comfort in a case of entropion

Correct Incorrect Correct answer

the blink rate

Correct Incorrect Correct answer

trigeminal neuralgia

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What is a progressive, non-inflammatory degeneration of the cornea?

Epiphora

Correct Incorrect Correct answer

Entropion

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Keratitis

Correct Incorrect Correct answer

Keratoconus

Correct Incorrect Correct answer

What is another term for C3-R?

RGP

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PMMA

Correct Incorrect Correct answer

CXL

Correct Incorrect Correct answer

HEMA

Correct Incorrect Correct answer

When is corneal ectasia considered to be severe?

When topography is greater than 53D

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When corneal thickness is 350 microns or greater

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When photophobia is not present

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When there is no scarring

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Which of these could cause a corneal opacity?

Vitamin A deficiency

Correct Incorrect Correct answer

Photophobia

Correct Incorrect Correct answer

Corneal normality

Correct Incorrect Correct answer

Anemia

Correct Incorrect Correct answer

What is true about a patient with aniridia?

Light entering the eye is restricted

Correct Incorrect Correct answer

The patient should avoid using tinted lenses

Correct Incorrect Correct answer

The patient experiences photophobia

Correct Incorrect Correct answer

A contact lens with a transparent base will give comfort

Correct Incorrect Correct answer

What condition needs optical images to be “equalized”?

Aphakia

Correct Incorrect Correct answer

Presbyopia

Correct Incorrect Correct answer

Anisometropia

Correct Incorrect Correct answer

Dry eye

Correct Incorrect Correct answer

What is true for a patient who once had generalized problems with contact lenses?

History of lens use is never important

Correct Incorrect Correct answer

The patient must be refused all services

Correct Incorrect Correct answer

The patient is better served with a different healing treatment

Correct Incorrect Correct answer

The patient should refrain from using any refractive correction devices

Correct Incorrect Correct answer

What are the best choices for a dry eye patient?

RGP’s and low water soft lenses

Correct Incorrect Correct answer

High water soft lenses

Correct Incorrect Correct answer

PMMA lenses

Correct Incorrect Correct answer

Any lens is fine for this patient

Correct Incorrect Correct answer

As the population ages, what is expected?

Contact lenses will no longer be dispensed

Correct Incorrect Correct answer

Demand for dry eye treatment will increase

Correct Incorrect Correct answer

More patients may stop using all eyewear

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Contact lenses will be considered an unwise option

Correct Incorrect Correct answer

____________ can be a problem with any contact lens worn on an extended wear basis.

Transparency

Correct Incorrect Correct answer

Frequent lens loss

Correct Incorrect Correct answer

Deposits

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Pain

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What is necessary for a well fit bandage lens?

Allowing the contact lens to be much smaller than the cornea

Correct Incorrect Correct answer

Extreme lens movement

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Restricted tear exchange

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Good centration

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The most common cause(s) of lack of success with bandage or therapeutic lenses are:

Dry eye

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Deposits

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Secondary infection

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All of these can contribute to the lack of success

Correct Incorrect Correct answer

When non-compliance is expected, what is a prudent step to take?

Do lens replacement in-office

Correct Incorrect Correct answer

Just give the patient written instructions

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Let the patient set up their own schedule

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Have the patient call you every day

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What will cause exophthalmos?

Hormone therapy

Correct Incorrect Correct answer

Thyroid imbalance

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Dry eye syndrome

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Diabetes

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Is there ever a reason for daily patient visits?

No, once a week is good enough

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No, that is too inconvenient for the patient

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Yes, some extreme conditions might require daily visits

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Yes, every bandage lens patient should be seen daily

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When should you test for visual acuity and repeat K readings?

Only if the patient complains

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If you suspect non-compliance

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If the patient reports better vision

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At each check up

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Which lenses mold to the shape of the cornea and dissolve over time?

Hydrogel

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Collagen

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HEMA

Correct Incorrect Correct answer

Silicone

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How thick is a nanowafer lens?

The same as any standard soft lens

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1/10th the thickness of a standard soft lens

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1/20th the thickness of a standard soft lens

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The thickness cannot be measure on this lens

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When is a pie-cut lens used?

For bifocal vision

Correct Incorrect Correct answer

To change the color of the iris

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To dispense eye drops

Correct Incorrect Correct answer

For protection during orbital surgery

Correct Incorrect Correct answer

Nystagmus is often seen concurrently with what condition?

Aphakia

Correct Incorrect Correct answer

Ocular albinism

Correct Incorrect Correct answer

Cataracts

Correct Incorrect Correct answer

Glaucoma

Correct Incorrect Correct answer

What is squint syndrome?

When a patient partially or totally closes one eye

Correct Incorrect Correct answer

Prolapsed eyelid that is annoying to the patient

Correct Incorrect Correct answer

Missing eyelashes on the upper eyelid

Correct Incorrect Correct answer

A condition that only occurs following LASIK

Correct Incorrect Correct answer

How is an amniotic membrane held in place?

With an eye patch

Correct Incorrect Correct answer

Glue or sutures

Correct Incorrect Correct answer

With sterile saline

Correct Incorrect Correct answer

With ointment

Correct Incorrect Correct answer

What is the CPT code for placement of an amniotic membrane?

There is no current code for this new procedure

Correct Incorrect Correct answer

65000

Correct Incorrect Correct answer

65778

Correct Incorrect Correct answer

65711

Correct Incorrect Correct answer

Which of these will preserve an amniotic membrane?

Saline

Correct Incorrect Correct answer

Scaffolding

Correct Incorrect Correct answer

Dehydration

Correct Incorrect Correct answer

Hydration

Correct Incorrect Correct answer

Quiz For Therapeutic and Bandage Contact Lenses

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