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Optometry · NBEO · Healthcare and Nursing

Optometry Boards: Contact Lens Fitting and Care

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

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35 basic cards for NBEO Optometry. Set 4 of 11 in Optometry Boards. It opens with "What does Dk/t measure for a contact lens?" and "What does Dk measure for a contact lens material?". More Healthcare and Nursing decks are listed below.

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What does Dk/t measure for a contact lens?
Show answerOxygen transmissibility of the lens, accounting for material permeability and lens thickness.
What does Dk measure for a contact lens material?
Show answerOxygen permeability of the material itself, independent of lens thickness.
Which has higher oxygen permeability: silicone hydrogel or conventional hydrogel lens material?
Show answerSilicone hydrogel.
What monomer forms the base of conventional (non-silicone) soft contact lens material?
Show answerHEMA (hydroxyethyl methacrylate).
In conventional hydrogel lenses, how does water content generally relate to Dk?
Show answerHigher water content generally means higher Dk (oxygen permeability).
What does a steep fluorescein pattern look like under an RGP lens?
Show answerCentral 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?
Show answerBright central touch with minimal dye pooling and a darker periphery.
What fluorescein pattern indicates a well-aligned RGP lens fit?
Show answerEven, thin, uniform dye distribution across the lens.
Why should sodium fluorescein generally not be instilled while a soft contact lens is on the eye?
Show answerThe 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?
Show answerFit on or slightly steeper than flat K.
What lens movement pattern suggests an RGP lens is fit too steep (tight)?
Show answerReduced or minimal lens movement with blinking.
What signs suggest an RGP lens is fit too flat (loose)?
Show answerExcessive lens movement and 3 and 9 o'clock corneal staining.
What commonly causes 3 and 9 o'clock staining in RGP wearers?
Show answerPoor edge alignment or incomplete blink coverage causing localized nasal and temporal corneal drying.
What is a Superior Epithelial Arcuate Lesion (SEAL) associated with?
Show answerSilicone 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.
Show answerextended or overnight

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