THE INSTRUCTION OF USING TRIAL LENS SET

Ani

Background
Trial lens sets are the lenses used in the field of ophthalmology to assess
the status of a person's dioptry, such as the nearsightedness,
farsightedness, old eyes, astigmatism, and other refractive disorders. To
facilitate the examination, an ophthalmologist or refractionist should know
the type and function of the lenses inside the trial lens set.

Aim

To recognize the type and function of the lens in the trial lens set.

Key words

Trial lens, Trial lens set, myopia, hypermetropia, presbyopia, astigmatism

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Background USE OF INSTRUCTION

Trial lens set is a lens used in the field
of ophthalmology to assess the status
of a person's dioptry, such as the state
of myopia, myopia, hypermetropia,
prebyopia, astigmatism, and others. In
a set of trial lenses usually consist of
positive and negative spherical lenses,
positive and negative cylinder lenses,
prism lenses, and other lens
accessories. To improve the accuracy
of the examination, the patient should
be in good health and be able to
cooperate well. Should avoid
examination in patients with unhealthy
conditions, headaches, fatigue, red
eyes and infected, or other eye
diseases.
1. Spherical Lens
Spherical lenses are lenses that have
the same strength across their axes.
After passing through the lens, the
rays will focus on a single point (or
virtual focus). The spherical lens
consists of a concave lens (-) and a
convex lens (+), which is used to
correct refraction anomaly such as
myopia, hypermetropia, and
presbyopia.

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 Picture 1. Spherical lens on trial lens Picture 3. Prism lens on trial lens
2. Cylinder Lens
4. Occluder lens
Cylindrical lens is a lens that
has unequal strength on all the axis. The black lens or ocluder lens is used
After passing through the lens, the to cover the unexamined eye.
light will be focused into a straight line.
The cylinder lens consists of a
concave and convex cylindrical lens
that can be used to correct
astigmatism.

Picture 2. Cylindrical lens on trial lens
3. Prism Lens
Picture 4. Occluder
5. Cross Lens
Cross lenses are used to
determine the central pupil and
measure the distance between the two
eyeballs (interocular distance).

Prism lenses are triangular

pieces made of plastic or transparent 6. Frosted lens
glass and have apex and base. After Frosted lenses are semi-
passing through the lens, the light will transparent lenses that are used to
be deflected to the base and the replace black lenses in infants or for
shadow will fall on the edge of the outdoor activities.
lens. This lens is used to correct
strabismus so that it can train the
eyeball muscles.

A B
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Picture 5. Frosted lens. A. Frosted
lens on trial lens; B. Examples of
using the frosted lenses in everyday
life.
7. Slit lens
This lens has a gap in the
middle so that light can only enter
through the gap. By rotating the
position of the lens in front of the eye,
astigmatism can be examined where
there will be sharp changes in the
engagement either worsened or
improved in accordance with the
position of the axis. If there is no
change, then it can prove that there is
no astigmatism.
Picture 6. Slit lens on trial lens
8. Plane lens
This lens is a lens that does not have
power so that when the light gets
through the lens, then the light will be
directly forwarded. This lens is used to
assess false blindness, and others.
9. Color lens
This lens has red, green, yellow, and
dark brown. This color lens is used to
assess the sensitivity to color. For
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example, in patients with cataracts is
suitable to used lens with red or green.
This color lens is also suitable for the
assessment of vision correction and
color blindness examination.
10. Cross cylinder lens
This lens has opposing
dioptric powers on 2 different axes.
This lens is used to assess the degree
and position of the cylindrical lens axis
in patients with astigmatism. Put the
lens before the cylinder lens and
coincide with the position of the axis,
then turn the cross cylinder 90' lens
counter clockwise and see there is any
change in vision. If there is no change
of vision, then the position of the
cylindrical lens axis used is correct.
However, if there is a change then the
position of the axis can be repaired
again.
Picture 7. Cross cylinder lens
11. Maddox Lens
The maddox lens is a lens
that has waves, made from a collection
of glass rods that have the ability to
convert light dots into a light line. This
lens is used to measure eye muscle
strength and assessment in
strabismus.
 Picture 8. Maddox lens
12. Pin hole lens
This lens has a small hole in
the middle. This hole forms a fake
pupil and is used to improve the
refractive status of a person.

Picture 9. Pin hole lens

13. Polariscope lens

A 135° lens is used to assess
visual function, balance both eyes, and
other functions. While the lens with
degree 45° is used to assess latent
strabismus, stereoscopic vision, and
others.

Referensi:
1. American Academy of
Ophthalmology. Clinical Optics.
San Fransisco: AAO. 2014.
2. Benjamin, WJ. Borish’s Clinical
Refraction 2nd ed. Missouri:
Elsevier. 2006.
3. Bhootra, AK. Ophthalmic Lenses.
India: Jaypee Brothers. 2009.