Focimetry. When a patient is dispensed a pair of glasses is important to make sure that the lenses are done according to the patients prescription. To ensure that the patient is getting the right spectacles, the lenses should be checked before th

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Reflection on the process of focimetry

When a patient is dispensed a pair of glasses is important to make sure that the lenses are done according to the patient’s prescription. To ensure that the patient is getting the right spectacles, the lenses should be checked before the patient is collecting them. A method of checking the prescription of a patient’s spectacles is by measuring the powers on a focimeter.

According to the British Standard Institute (2003, p49), a focimeter is “an optical instrument for determining the vertex powers, axis direction and centration of ophthalmic lenses”.

There are three types of focimeters: the projection focimeter, the computerized focimeter and the telescopic focimeter.

The projection focimeter allows the user to view a screen from a distance of about 0.50 meters. The user can use both eyes which can be more comfortable fore some users. However, the screen can be difficult to see in a brightly lit room.

The computerised focimeter is the most automated focimeter and is often seen in optical practices, hospitals and eye clinics. The operator only needs to rest the spectacles up on the centre and to push a button. The focimeter will then read the prescription, in some cases the prismatic effect as well as the PD and will print the results.

The telescopic focimeter is the most often used focimeter as it gives accurate readings and can be used in the bright light or brightly lit room. There are two types of telescopic focimeters target marking in general use: the cross line target and the ring of dots target. Some focimeters are hybrid of both cross line and ring of dots.

The cross line target has two set of lines crossed at 90 degrees from one another. In order to read the axis of the axis drum, it is necessary to understand which of the sets of lines will be the spherical reading. The cross line cannot form a sharp image of either sets of straight lines until one of the sets is aligned with one of the principal meridians of the lens. The axis drum must be turned to make the lines unbroken.

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The ring of dots or “corona” target is sometimes referred to as the European target. It takes the form of a ring of very small dots superimposed over a graticule target indicating a standard axis notation protractor reading from 0 degrees to 180 degrees anticlockwise. When an astigmatic lens is under rest and the target is in focus for either of the principal powers, each dot appears to be drawn out into a focal line which is at right angles to the meridian of power which create them. When checking a spherical lens, the target remains a ring of ...

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