If the patient's object is at the focal point of the lens then he/she mustn't wear a near add. NB If a patient doesn't seem to be achieving the expected magnification their current specs may not have a +4.00D reading add and the baseline acuity may be incorrect. Always measure vision at 25cm with a +4.00D add to determine a correct baseline acuity.
For younger patients who can accommodate adequately the magnification =
Visual angle subtended by magnified image/angle subtended by object viewed at 0.25m
If the object is at F then the image the patient looks at will be at infinity.
- Object at F, L=F and L'=0
- Image is at infinity so no near add is required
- The Eye to magnifier distance has no effect on magnification
1. General Case
M= qL/1-dL'
where q = 0.25m assumed near point
d = lens to eye distance
L = incident vergence
L' = emergent vergence
M depends both on the distance of the lens from the eye and the distance of the object from the lens.
2. Image at near point
M = 1 + F/4
The object is between F and the Lens. The image is produced at 0.25m ie the near point so a +4.00D add or accommodation is required. The magnifier is held close to the Px's eye (d=0). This is known as maximum magnification/manufacturer's magnification
No comments:
Post a Comment