Cross Cylinder
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Cross Cylinder
The Jackson cross cylinder (JCC) is an instrument used by ophthalmologists, orthoptists and optometrists in their routine eye examination, particularly in determination of corrective lens power in patients with astigmatism. It is also used for testing near point of the eye. Instrument Jackson cross cylinder is a single low power lens, which is a combination of a plus cylinder and a minus cylinder of equal power with axis perpendicular to each other, with a handle placed between the two axes at 45 degrees. Therefore JCC is a spherocylindrical lens in which the power of the cylinder is double the power of the sphere and of opposite sign e.g. +0.5DS/-1.0DC or +0.25DS/-0.5DC. JCC are available in different powers including +/-1.00, most commonly used are of +/- 0.25 and +/- 0.50. There are dots or lines to indicate axis of minus and plus powers. Indications The Jackson cross cylinder is used to determine corrective lens power and its axis in patients with astigmatism. It is al ...
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Astigmatism
Astigmatism is a type of refractive error due to rotational asymmetry in the eye's refractive power. This results in distorted or blurred vision at any distance. Other symptoms can include eyestrain, headaches, and trouble driving at night. Astigmatism often occurs at birth and can change or develop later in life. If it occurs in early life and is left untreated, it may result in amblyopia. The cause of astigmatism is unclear; however, it is believed to be partly related to genetic factors. The underlying mechanism involves an irregular curvature of the cornea and protective reaction changes in the lens of the eye, called lens astigmatism, that has the same mechanism as spasm of accomodation. Diagnosis is by an eye examination called autorefractor keratometry (objective, allows to see lens and cornea components of astigmatism) and subjective refraction, but subjective methods are almost always inaccurate, if lens astigmatism is not fully removed first with a week of e ...
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Trial Frame
A trial frame is a tool used by ophthalmic professionals like ophthalmologists and optometrists. It is basically an adjustable spectacle frame with multiple cells, used to hold corrective lenses, and other accessories in subjective refraction (finding the correct spectacle power) and retinoscopy. Uses To measure a patient's refractive error, squint and presbyopia, it is used to hold lenses, prism or other tools like pinhole occluder. The cells of the trial frame allow holding lenses in correct position. Although phoropters, which contains lenses allow a quicker refraction, the trial frame help to test near vision at the patient's preferred working distance and position. Since it is portable, a trial frame is ideal for vision and refraction screening during home (domiciliary) visits and outreach camps. Since it allows more natural vision, trial frame refraction is preferred for patients with low vision patients. Parts An ideal trial frame have minimum 3 cells, one each for holding ...
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Ophthalmic Equipment
Ophthalmic means pertaining to the eye, and can refer to: * Ophthalmology * Ophthalmic nerve * Ophthalmic artery * Ophthalmic veins * Ophthalmic drug administration, as with eye drops See also * Ophthalmia Ophthalmia (also called ophthalmitis) is inflammation of the eye. It results in congestion of the eyeball, often eye-watering, redness and swelling, itching and burning, and a general feeling of irritation under the eyelids. Ophthalmia can have d ...
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Cylindrical Lens
A cylindrical lens is a lens which focuses light into a line instead of a point, as a spherical lens would. The curved face or faces of a cylindrical lens are sections of a cylinder, and focus the image passing through it into a line parallel to intersection of the surface of the lens and a plane tangent to it along the cylinder's axis. The lens converges or diverges the image in the direction perpendicular to this line, and leaves it unaltered in the direction parallel to its cylinder's axis (in the tangent plane). A toric lens combines the effect of a cylindrical lens with that of an ordinary spherical lens. Uses Uses in optometry * Cylindrical lenses are prescribed to correct astigmatism. * Cross cylinder, which is a combination of two cylindrical lenses with equal strength and opposite power, is used in subjective refraction to diagnose astigmatism, and assess the strength and axis of the astigmatic power etc. * Maddox rods, made up of cylindrical lenses arranged in parallel, ...
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Edward Jackson (ophthalmologist)
Edward Jackson (March 30, 1856 - October 29, 1942) was an American ophthalmologist better known for popularizing retinoscopy in the United States. He also described detecting astigmatism and its correct axis using a cross-cylinder. The modified Stokes lens he made was later known as Jackson's cross-cylinder. Biography Edward Jackson was born March 30, 1856, in West Goshen Township, Chester County, Pennsylvania, the son of Holiday and Emily Jackson. He completed his Bachelor of Science in Civil Engineering from Union College, New York in 1874, and in 1878 received his medical degree from the University of Pennsylvania. Jackson married Jenny L. Price in 1878. After she died in 1896, he settled in Denver in 1898, where he married Emily Churchman. Jackson died of heart block on October 29, 1942, at the age of 86. Career Jackson, who served as Professor of Ophthalmology at the Penn Medicine Rittenhouse (previously Philadelphia Polyclinic) and surgeon at Wills Eye Hospital later bec ...
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Stokes Lens
Stokes lens also known as variable power cross cylinder lens is a lens used to diagnose a type of refractive error known as astigmatism. Lens design The Stokes lens also known as variable power cross cylinder lens, in its standard version, is a lens combination consisted of equal but opposite (one plano-convex and other plano-concave) power cylindrical lenses attached together in a way so that the lenses be rotated in opposite directions. When the axes are parallel, the two powers cancel each other out to achieve the resulting power zero; When the axes are vertical, a sphero-cylindrical lens with maximum power is obtained. Uses Stokes lens is a lens used to diagnose and measure astigmatism. Adaptations American ophthalmologist Edward Jackson (ophthalmologist), Edward Jackson revised the Stokes lens concept and made a cross cylinder lens to refine power and axis of astigmatism. This lens combination is known as Jackson cross cylinder. Based on the Stokes lens, James P. Foley and C ...
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Sir George Stokes, 1st Baronet
Sir George Gabriel Stokes, 1st Baronet, (; 13 August 1819 – 1 February 1903) was an Irish English physicist and mathematician. Born in County Sligo, Ireland, Stokes spent all of his career at the University of Cambridge, where he was the Lucasian Professor of Mathematics from 1849 until his death in 1903. As a physicist, Stokes made seminal contributions to fluid mechanics, including the Navier–Stokes equations; and to physical optics, with notable works on polarization and fluorescence. As a mathematician, he popularised "Stokes' theorem" in vector calculus and contributed to the theory of asymptotic expansions. Stokes, along with Felix Hoppe-Seyler, first demonstrated the oxygen transport function of hemoglobin and showed color changes produced by aeration of hemoglobin solutions. Stokes was made a baronet by the British monarch in 1889. In 1893 he received the Royal Society's Copley Medal, then the most prestigious scientific prize in the world, "for his researches and ...
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George Biddell Airy
Sir George Biddell Airy (; 27 July 18012 January 1892) was an English mathematician and astronomer, and the seventh Astronomer Royal from 1835 to 1881. His many achievements include work on planetary orbits, measuring the mean density of the Earth, a method of solution of two-dimensional problems in solid mechanics and, in his role as Astronomer Royal, establishing Greenwich as the location of the prime meridian. Biography Airy was born at Alnwick, one of a long line of Airys who traced their descent back to a family of the same name residing at Kentmere, in Westmorland, in the 14th century. The branch to which he belonged, having suffered in the English Civil War, moved to Lincolnshire and became farmers. Airy was educated first at elementary schools in Hereford, and afterwards at Colchester Royal Grammar School. An introverted child, Airy gained popularity with his schoolmates through his great skill in the construction of peashooters. From the age of 13, Airy stayed frequ ...
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Presbyopia
Presbyopia is physiological insufficiency of accommodation associated with the aging of the eye that results in progressively worsening ability to focus clearly on close objects. Also known as age-related farsightedness (or age-related long sight in the UK), it affects many adults over the age of 40. A common sign of presbyopia is difficulty reading small print which results in having to hold reading material farther away. Other symptoms associated can be headaches and eyestrain. Different people will have different degrees of problems. Other types of refractive errors may exist at the same time as presbyopia. This condition is similar to hypermetropia or far-sightedness which starts in childhood and exhibits similar symptoms of blur in the vision for close objects. Presbyopia is a typical part of the aging process. It occurs due to age related changes in the lens (decreased elasticity and increased hardness) and ciliary muscle (decreased strength and ability to move the len ...
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Accommodation (eye)
Accommodation is the process by which the vertebrate eye changes optical power to maintain a clear image or focus on an object as its distance varies. In this, distances vary for individuals from the far point—the maximum distance from the eye for which a clear image of an object can be seen, to the near point—the minimum distance for a clear image. Accommodation usually acts like a reflex, including part of the accommodation-vergence reflex, but it can also be consciously controlled. Mammals, birds and reptiles vary their eyes' optical power by changing the form of the elastic lens using the ciliary body (in humans up to 15 dioptres in the mean). Fish and amphibians vary the power by changing the distance between a rigid lens and the retina with muscles. The young human eye can change focus from distance (infinity) to as near as 6.5 cm from the eye. This dramatic change in focal power of the eye of approximately 15 dioptres (the reciprocal of focal length in metres) ...
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Retina
The retina (from la, rete "net") is the innermost, light-sensitive layer of tissue of the eye of most vertebrates and some molluscs. The optics of the eye create a focused two-dimensional image of the visual world on the retina, which then processes that image within the retina and sends nerve impulses along the optic nerve to the visual cortex to create visual perception. The retina serves a function which is in many ways analogous to that of the film or image sensor in a camera. The neural retina consists of several layers of neurons interconnected by synapses and is supported by an outer layer of pigmented epithelial cells. The primary light-sensing cells in the retina are the photoreceptor cells, which are of two types: rods and cones. Rods function mainly in dim light and provide monochromatic vision. Cones function in well-lit conditions and are responsible for the perception of colour through the use of a range of opsins, as well as high-acuity vision used for task ...
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Circle Of Confusion
In optics, a circle of confusion (CoC) is an optical spot caused by a cone of light rays from a lens not coming to a perfect focus when imaging a point source. It is also known as disk of confusion, circle of indistinctness, blur circle, or blur spot. In photography, the circle of confusion is used to determine the depth of field, the part of an image that is acceptably sharp. A standard value of CoC is often associated with each image format, but the most appropriate value depends on visual acuity, viewing conditions, and the amount of enlargement. Usages in context include ''maximum permissible circle of confusion'', ''circle of confusion diameter limit'', and the ''circle of confusion criterion''. Real lenses do not focus all rays perfectly, so that even at best focus, a point is imaged as a spot rather than a point. The smallest such spot that a lens can produce is often referred to as the circle of least confusion. Two uses Two important uses of this term and concept n ...
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