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Fitting & Verification
Practice Exercises

For ease of reference it is best to print this page before completing the following optional practice exercises. But first we should make the following observation for fitting rigid contact lenses according to the Dyer nomogram. That is the following: flatter base curves call for lenses with larger diameters, while steeper base curves call for lenses with smaller diameters. This would stand to reason since larger corneas are generally flatter while smaller corneas are steeper in curvature. Using the data found in the following exercises, indicate the lens parameters by filling in the table below. Refer to the charts and vertex distance table found on page 9. The answers may be found on the bottom of this page.

1)
Spectacle Rx: -4.75 - 0.50 x 170
Vertex distance = 12 mm
K: 45.50/46.00
2)
Spectacle Rx: -2.50 - 0.25 x 045
Vertex distance = 8 mm
K: 43.00/43.25
3)
Spectacle Rx: +3.50 + 1.50 x 90
Vertex distance = 10 mm
K: 46.75/48.25
4)
Spectacle Rx: +2.75 - 0.75 x 30
Vertex distance = 12 mm
K: 44.37/45.12
5)
Spectacle Rx: -8.75 - 2.25 x 65
Vertex distance = 8 mm
K: 41.25/43.50
6)
Spectacle Rx: -5.50 + 1.75 x 120
Vertex distance = 10 mm
K: 43.00/44.75
7)
Spectacle Rx: +3.75 + 0.50 x 135
Vertex distance = 12 mm
K: 47.75/48.25

 

Exercise #
1
2
3
4
5
6
7
Total power at
Corneal Plane (D)*
-4.50 . . . . . .
Base Curve (D) 45.75 . . . . . .
Power of
Tear Lens (D)
+0.25 . . . . . .
Power of
Contact Lens (D)
-4.75 . . . . . .
Overall
Lens Diameter (mm)
8.1 . . . . . .
Optical Zone (mm) 6.7 . . . . . .
Peripheral Curve (D) 42.00 . . . . . .
Center Thickness (mm)** 0.10 . . . . . .

 

* Round off power to nearest 0.25 diopter

**Use closest diameter indicated on thickness chart

 

Answers to Practice Exercises

 

Exercise #
1
2
3
4
5
6
7
Total power at
Corneal Plane (D)*
-4.50 -2.50 +5.25 +2.75 -8.25 -3.75 .+4.50
Base Curve (D) 45.75 43.25 47.50 45.00 42.25 45.75 48.00
Power of
Tear Lens (D)
+0.25 +0.25 +0.75 +0.63 +1.00 +0.75 +0.25
Power of
Contact Lens (D)
-4.75 -2.75 +4.50 +2.12 -9.25 -4.50 +4.25
Overall
Lens Diameter (mm)
8.1 8.6 7.9 8.2 8.8 8.5 7.9
Optical Zone (mm) 6.7 7.2 6.7 6.8 7.3 7.1 6.7
Peripheral Curve (D) 42.00 39.50 44.00 41.50 38.50 40.00 44.50
Center Thickness (mm)** 0.10 0.14

0.27

0.21

0.10

0.11 0.27

 

 

 


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