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# How do you use a Phoropter with retinoscopy?

## How do you use a Phoropter with retinoscopy?

Set up for Retinoscopy—Minus Cyl Phoropter

1. Before putting the phoropter in front of the patient, clear the phoropter, set the cylinder axis at 180 degrees and unocclude both eyes.
2. After positioning the phoropter in front of the patient, level the phoropter and make sure the interpupillary distance is properly adjusted.

How do you use retinoscopy without Phoropter?

Retinoscopy Without a Phoropter

1. Neutralize the most minus meridian. You will be holding up spherical lenses only in front of the eye.
2. Neutralize the meridian 90 degrees away from the one that was just neutralized.
3. Use the optical cross to compute the refractive error.

What are the two types of retinoscopy?

There are two types of retinoscopes:

• Streak retinoscopes have a light source that produces a line or streak of light. The streak of light can be changed by moving the slide knob or sleeve (Figure 1).
• Spot retinoscopes have a light source that produces a spot of light.

### How is retinoscopy calculated?

Formula GR value = WD lens value + NR value So, the power of the lens with which reflex is neutralized (irrespective of the power of WD lens) i.e NR value is taken as the final retinoscopy value. Here, -3.00DS is taken as the final power of retinoscopy.

How do you find the axis on a phoropter?

When using a plus cylinder phoropter, you will “Chase the white dot” to determine cylinder axis. For cylinder corrections of 2.00D or less, initially rotate the cylinder axis knob 15 degrees towards the white dot. Make smaller changes, initially 5 degrees, when the starting cylinder power is greater than 2.00D.

What are the advantages of phoropter?

The main advantages of phoropters are: A quicker refraction: As the lenses are all contained within the phoropter, it is much quicker to change lens powers for both retinoscopy and subjective refraction than with a trial frame. This may also provide less back strain for the examiner.

#### What does a phoropter do?

A phoropter is used to manually determine “refraction” – exactly how a lens must be shaped and curved to correct your vision to a normal state, nothing more. Phoropters are subjective however, based on your visual perception and response to your eye doctor’s questions.

What does a Phoropter do?

What is the working distance in retinoscopy?

The working distance typically used when performing retinoscopy is 67cm (26″). This creates a working distance lens of 1.50D. For those with shorter arms, a 50cm (20″) working distance is used.

## What is neutral point in retinoscopy?

When one speaks of the neutral point in retinoscopy, one ordinarily refers to the point where the emergent rays from the patient’s eye meet. This may be called the “emergent neutral” point. But there is another neutral point which concerns the incident light and may be called the “incident neutral” point.