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Ian Marshall Explain emmetropia and ametropia in real eyes, the simplified schematic eyes and the reduced eye. Explain spherical ametropia (myopia and hypermetropia), axial, curvature and index ametropia in schematic, reduced and real eyes. The growth of the human eye in emmetropia, spherical ametropia and progressive myopia. Describe the correction of spherical ametropia in the reduced eye with a thin lens. Define ocular refraction, spectacle refraction and vertex distance and use equations relating to them. Ametropia will be considered in terms of the standard +60 D reduced eye Draw and label a reduced eye Since there is only a single refracting surface, the eye is said to have an equivalent power which is +60 D In myopia the positive power of the eye is too great to bring the focus onto the macula How can we solve myopia without artificial correction? Axial myopia: axial length > 22.22 mm Fe = +60 D ne = 4/3 Curvature myopia: axial length = 22.22 mm Fe = >+60 D ne = 4/3 Index myopia: axial length = 22.22 mm Fe = +60 D ne = >4/3 Axial length reaches its adult size at about 13 years of age For babies and young people? Myopia of more than 10D in young persons Axial length continues to grow past 13 years of age Axial hyperopia: axial length <22.22 mm Fe = +60 D ne = 4/3 Curvature hyperopia: axial length = 22.22 mm Fe = <+60 D ne = 4/3 Index hyperopia: axial length = 22.22 mm Fe = +60 D ne = <4/3 K = Vergence incident at the reduced surface when the rays appear to come from M K is called the ocular refraction K=1/k K’ would be the vergence of light leaving the reduced surface What is the equation for the power of the eye? The vergence leaving the lens is equal to the lens power f’= k + d refers to optical distances, whereas we are more interested in optical powers. Rearranging the equation by taking reciprocals of both sides gives: This is the step back equation Rearranging to make K the subject gives the step along equation To correct hyperopia, a positive spectacle lens is placed at a point where its focus F’ coincides with M In emmetropia K = 0 K is a constant for a particular eye, and the power of the spectacle lens F is dependent on the distance, d it is from the front of the eye: For a given myopic eye, the further the spectacle lens is placed away from the eye the more powerful it must become For a given hyperopic eye, the further the spectacle lens is placed away from the eye, the less powerful it must become