OEP-21步驗(yàn)光法簡(jiǎn)介

2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校1OEP–21步驗(yàn)光法簡(jiǎn)介2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校2#1.眼底鏡(Ophthalmoscopy)在驗(yàn)光之前先需區(qū)分屈光不正性和非屈光不正性視覺(jué)異常.如無(wú)眼病給予以下處理,如有眼病應(yīng)及時(shí)轉(zhuǎn)診再進(jìn)行驗(yàn)光.#2.角膜曲率儀(Keratometry)測(cè)量角膜屈光力,計(jì)算角膜散光,角膜折射率按1.3375計(jì)算#3.遠(yuǎn)方慣用斜位(HabitualPhoriaatFar)舊鏡或裸視下遠(yuǎn)方斜位R:12ΔBIL:3ΔBU2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校3#4.靜態(tài)視網(wǎng)膜鏡(6m)StaticRetinoscopy調(diào)節(jié)靜止時(shí)眼的屈光不正性質(zhì)與度數(shù),結(jié)果需扣除人工近視#5.動(dòng)態(tài)視網(wǎng)膜鏡(0.5m)DynamicRetinoscopyat20Inches眼動(dòng)用調(diào)節(jié)力時(shí)屈光度數(shù),結(jié)果不需扣除人工近視度#13A.近方慣用斜位(HabitualLateralPhoriaatNear)舊鏡或裸視下的近方斜位R:15ΔBIL:6ΔBU2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校4#6.動(dòng)態(tài)視網(wǎng)膜鏡(1m)DynamicRetinoscopyat40Inches眼動(dòng)用調(diào)節(jié)力時(shí)屈光度數(shù),無(wú)需扣除人工近視度#7.遠(yuǎn)用自覺(jué)式驗(yàn)光(DistantSubjectiveTest)霧視、散光表、交叉圓柱鏡、紅綠試驗(yàn)、雙眼平衡#8.遠(yuǎn)方誘發(fā)性斜位(InducedPhoriaatDistance)#7光度下的遠(yuǎn)方斜位其方法同#32023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校5#9.遠(yuǎn)方實(shí)際內(nèi)轉(zhuǎn)力(TrueAdductionatDistance)#7光度下雙眼等量的BO棱鏡度至模糊點(diǎn)位置,用于測(cè)量調(diào)節(jié)與集合之間緩沖區(qū)的大小#10.遠(yuǎn)距離最大輻輳(ConvergenceatDistance)#7光度下雙眼等量的BO棱鏡度至破裂點(diǎn)和恢復(fù)點(diǎn)#11.遠(yuǎn)距離最大開(kāi)散力(AbductionatDistance)#7光度下雙眼等量的BI棱鏡度至破裂點(diǎn)和恢復(fù)點(diǎn)2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校6#12.遠(yuǎn)距離垂直雙眼分離斜位(VerticalPhoriaandDuctionsat

Distance)(1)R:10~15ΔBIL:6~8ΔBU測(cè)量垂直斜位(2)雙眼棱鏡調(diào)至U/D位,先調(diào)右眼BD至上轉(zhuǎn)破裂點(diǎn)和恢復(fù)點(diǎn)再調(diào)BU至下轉(zhuǎn)破裂點(diǎn)和恢復(fù)點(diǎn)#13B.近方誘發(fā)性斜位(InducedPhoriaatNear)#7光度下R:15ΔBIL:6ΔBU其步驟同#13A2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校7#15A.誘發(fā)性交叉圓柱鏡斜位測(cè)量(InducedPhoriaThroughtheUnfusedCross-Cylinder)保留#14A時(shí)光度R:15ΔBIL:6ΔBU看分離后的交叉格子視標(biāo),減低BI棱鏡至上下對(duì)齊,所剩棱鏡為斜位量#14A.分離式交叉圓柱鏡法(DissociatedCross-Cylinder)R:3ΔBDL:3ΔBU看40cm處的交叉格子視標(biāo),加球鏡分別至橫豎等清.再加入±0.50DC至豎線(xiàn)清再退回至橫豎等清2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校8#14B.雙眼交叉圓柱鏡(BinocularCross-cylinder)#15A下去除棱鏡雙眼看一個(gè)交叉格子圖,加足量正球鏡至豎線(xiàn)清楚再退回至橫豎等清.#15B.誘發(fā)性雙眼斜位檢查(InducedPhoriaThroughFusedCross-cylinder)#14B下去除交叉圓柱鏡R:15ΔBIL:6ΔBU看單列視標(biāo),減低BI棱鏡至上下對(duì)齊,所剩棱鏡度為斜位量2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校9#16B.正的相對(duì)性殘余融像力(PositiveFusionalReserve)近方的雙眼BO棱鏡至破裂點(diǎn)和恢復(fù)點(diǎn)#16A.正的相對(duì)性輻輳(PositiveRelativeConvergence)近方的雙眼BO棱鏡至模糊點(diǎn)#17A.負(fù)的相對(duì)性輻輳(NegativeRelativeConvergence)近方的雙眼BI棱鏡至模糊點(diǎn)2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校10#17B.負(fù)的相對(duì)性殘余融像力(NegativeFusionalReserve)近方的BI棱鏡至破裂點(diǎn)和恢復(fù)點(diǎn)#18.近距離垂直雙眼分離斜位(VerticalPhoriaandDuctionatNear)與#12步不同的是40cm檢查(1)R:10~15ΔBIL:6~8ΔBU測(cè)量垂直斜位(2)雙眼棱鏡調(diào)至U/D位,先調(diào)右眼BD至上轉(zhuǎn)破裂點(diǎn)和恢復(fù)點(diǎn)再調(diào)BU至下轉(zhuǎn)破裂點(diǎn)和恢復(fù)點(diǎn)2023/7/29江蘇金陵眼鏡職業(yè)技術(shù)學(xué)校11#20.正的相對(duì)性調(diào)節(jié)(PositiverelativeAccommodation)近距離看1.0單排視標(biāo),加負(fù)球鏡至所能保持清晰的最高光度#21.負(fù)的相對(duì)性調(diào)節(jié)(Negativerela