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The Care and Management of a Dissatisfied Refraction Patient

Barry Milder, MD

Click on each slide to view a larger image.

	Slide 1. A form to organize evaluation of glasses problems.
	Slide 2. Tape measure, scaled in inches and millimeters. Small hand-held ruler.
	Slide 3. Lens clock and lens calipers.
	Slide 4. Distometer with conversion guide.
	Slide 5. Accommodative ruler.
	Slide 6. Measuring the optimal reading distance.
	Slide 7. Measuring vertex distance of spectacles with distometer.
	Slide 8. Pupillometer.
	Slide 9. Ruler measurement of interpupillary distance.
	Slide 10. Facial asymmetry with left eye significantly higher than right eye.
	Slide 11. Bifocal position relative to pupil height.
	Slide 12. Measuring spectacle lens dimensions.
	Slide 13. Measuring lens base curve with lens clock.
	Slide 14. Measuring lens thickness with lens calipers.
	Slide 15. Mild orbital asymmetry. Ruler highlights the 2mm difference in vertical ocular position.
	Video 1. How to measure optimal reading point.
	Video 2. The use of the accommodative ruler to measure accommodative amplitude.