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Medical Forum / General / Vision / June 2007

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Why do opthalmologists use plus cylinder phoropters, while optometrists use minus cylinder phoropters?

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DarkProtoman - 18 Jun 2007 04:19 GMT
Why do opthalmologists use plus cylinder phoropters, while
optometrists use minus cylinder phoropters?

And why are those glasses they sell in boxes at the store never minus
power lenses; they're always plus power lenses?

And since a minus lens has a negative diopter, and diopters are the
reciprocal of focal length, how can a minus lens exist? That would
mean a negative focal length, and distance can't be negative --what
would that mean?--

Do they make any lenses w/ a refractive index higher then 1.8? Like an
RI of 2.00 or more?

What would happen if a lens had an *imaginary* refractive index?

Thank you!!!!
Dave Bell - 18 Jun 2007 05:39 GMT
> Why do opthalmologists use plus cylinder phoropters, while
> optometrists use minus cylinder phoropters?

Tradition?

> And why are those glasses they sell in boxes at the store never minus
> power lenses; they're always plus power lenses?

Because more people need assistance in reading, thus close-up, thus plus
diopters.

> And since a minus lens has a negative diopter, and diopters are the
> reciprocal of focal length, how can a minus lens exist? That would
> mean a negative focal length, and distance can't be negative --what
> would that mean?--

It's a geometric thing. Instead of parallel rays being focused to a
point a given distance past a positive lens (its focal length), the rays
diverge, as if coming from a point some distance *beyond* the lens (its
negative focal length.) See:
http://hyperphysics.phy-astr.gsu.edu/hbase/geoopt/image3.html

> Do they make any lenses w/ a refractive index higher then 1.8? Like an
> RI of 2.00 or more?

I don't think so, but there are people on here far more knowledgeable
about available lens options.

> What would happen if a lens had an *imaginary* refractive index?

Oddly enough, all real (as in 'actual') materials *do* have an imaginary
component to their refractive index! It's explained a little, here:

"The refractive index of any substance is best described as a complex
number, such as 1.34 + i 0.00067.  The real part of this number is the
"ordinary" refractive index as discussed above, whilst the imaginary
part indicates the amount of absorption.  If the imaginary part is zero,
the substance is non-absorbing."

http://www.philiplaven.com/p20.html
http://en.wikipedia.org/wiki/Refractive_index

Dave
DarkProtoman - 18 Jun 2007 21:08 GMT
> > Why do opthalmologists use plus cylinder phoropters, while
> > optometrists use minus cylinder phoropters?
[quoted text clipped - 37 lines]
>
> Dave

OK, what if a substance had a refractive index of -1.00+0.00i? I think
I heard about this somewhere in a science magazine. A lens made out of
such a material would absorb no light, bend light backwards, and, if
it was placed in a vacuum, the refractive index of the lens and the
vacuum --which is 1.00+0.00i-- would cancel out, making the image be
the actual object. Perfect focusing and resolution!
Churie. - 18 Jun 2007 11:26 GMT
> Why do opthalmologists use plus cylinder phoropters, while
> optometrists use minus cylinder phoropters?
[quoted text clipped - 13 lines]
>
> Thank you!!!!

Hi
I have my own doubts as there is any difference of lens that is used
by an Optometrist or Opthalmologist.Check on this.The optometrist
dispenses lens for Presbyiopia and not for Myoipia or Astigmatism for
that matter.
Mike Tyner - 18 Jun 2007 12:41 GMT
> I have my own doubts as there is any difference of lens that is used
> by an Optometrist or Opthalmologist. Check on this.

The actual lens comes out the same no matter which notation is used.

> The optometrist
> dispenses lens for Presbyiopia and not for Myoipia or Astigmatism for
> that matter.

In the US, lenses for presbyopia are sold without prescription. Optometrists
prescribe all sorts of lenses, as well as drugs to treat medical conditions.

-MT, OD
p.clarkii@gmail.com - 18 Jun 2007 13:09 GMT
> > Why do opthalmologists use plus cylinder phoropters, while
> > optometrists use minus cylinder phoropters?
[quoted text clipped - 19 lines]
> dispenses lens for Presbyiopia and not for Myoipia or Astigmatism for
> that matter.

regardless of whether a prescription is written in plus cylinder form
or minus cylinder form the final glasses that are dispensed are
identical.  the two forms of prescription writing (i.e. plus vs. minus
cyl) are simply a traditional difference between optometrists and
ophthalmologists.  and yes, different phoropters are used by
optometrists and ophthalmologists in that the JCC lens inside is
different.

and in the US, optometrists and ophthalmologists measure and write
prescriptions for all types of refractive errors be it presbyopia,
astigmatism, myopia, or whatever.  and they both can treat the primary
eye diseases as well.  the difference comes in the treatment of the
eye involving actual surgical intervention where only ophthalmologists
are licensed to perform those therapies.  this difference may not
apply to where you live.
Salmon Egg - 18 Jun 2007 20:13 GMT
On 6/17/07 8:19 PM, in article
1182136761.560870.56540@n15g2000prd.googlegroups.com, "DarkProtoman"
<Protoman2050@gmail.com> wrote:

> Why do opthalmologists use plus cylinder phoropters, while
> optometrists use minus cylinder phoropters?
[quoted text clipped - 13 lines]
>
> Thank you!!!!

It seems that before being concerned about the minutia that distinguish the
optical practices of optometrists from those of ophthalmologists, you should
first learn some basic optics yourself.

Bill
Signature

Iraq: About three Virginia Techs a month

p.clarkii@gmail.com - 19 Jun 2007 05:34 GMT
> Iraq: About three Virginia Techs a month

wow salmon egg-- i noticed your signature and i like it.  its powerful
and helps people put things into perspective doesn't it?
so if it's about three virginia techs a month for US casualties, I
wonder how it could be expressed for Iraqi casualties.  Maybe three
world trade centers a month.
Salmon Egg - 19 Jun 2007 06:39 GMT
On 6/18/07 9:34 PM, in article
1182227668.239119.220940@o61g2000hsh.googlegroups.com, "p.clarkii@gmail.com"

>> Iraq: About three Virginia Techs a month
>
[quoted text clipped - 3 lines]
> wonder how it could be expressed for Iraqi casualties.  Maybe three
> world trade centers a month.

You know, I don't care that much about Iraqi casualties. At this point I do
not consider them my friends. There may be innocents among those casualties,
but that is a problem the Iraqis should solve for themselves. Enough
American blood and treasure has been unwisely spent to help what seems to be
a helpless or antagonistic government.
Signature

Iraq: Now more than three Virginia Techs a month

 
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