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Optometry · NBEO

Optometry Boards: Contact Lens Fitting and Care

Contact lens material selection, fitting parameters, and lens-related complication recognition tested on the NBEO.

35 cards · basic cards · AI-written, checked twice. Edit anything.

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What does Dk/t measure for a contact lens?
Oxygen transmissibility of the lens, accounting for material permeability and lens thickness.
What does Dk measure for a contact lens material?
Oxygen permeability of the material itself, independent of lens thickness.
Which has higher oxygen permeability: silicone hydrogel or conventional hydrogel lens material?
Silicone hydrogel.
What monomer forms the base of conventional (non-silicone) soft contact lens material?
HEMA (hydroxyethyl methacrylate).
In conventional hydrogel lenses, how does water content generally relate to Dk?
Higher water content generally means higher Dk (oxygen permeability).
What does a steep fluorescein pattern look like under an RGP lens?
Central pooling (dark area) of dye with a bright peripheral ring, indicating apical clearance.
What does a flat fluorescein pattern look like under an RGP lens?
Bright central touch with minimal dye pooling and a darker periphery.
What fluorescein pattern indicates a well-aligned RGP lens fit?
Even, thin, uniform dye distribution across the lens.
Why should sodium fluorescein generally not be instilled while a soft contact lens is on the eye?
The dye can absorb into and permanently stain the soft lens material.
How is the base curve of an RGP lens typically selected relative to flat keratometry?
Fit on or slightly steeper than flat K.
What lens movement pattern suggests an RGP lens is fit too steep (tight)?
Reduced or minimal lens movement with blinking.
What signs suggest an RGP lens is fit too flat (loose)?
Excessive lens movement and 3 and 9 o'clock corneal staining.
What commonly causes 3 and 9 o'clock staining in RGP wearers?
Poor edge alignment or incomplete blink coverage causing localized nasal and temporal corneal drying.
What is a Superior Epithelial Arcuate Lesion (SEAL) associated with?
Silicone hydrogel contact lens wear, often from a tight or stiff lens edge under the upper eyelid.
Contact Lens Acute Red Eye (CLARE) is associated with ____ lens wear and bacterial endotoxins trapped behind the lens.
extended or overnight

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