Answer Key _MST_1_2020_OMT_354_CL2

Section A

1.

a) Holden & Mertz criteria : 87 ( Suggested person name ½ mark and Value 1½
mark)

b) Mucin ball: Small discrete particles or plugs seen between contact lens and
corneal surface, composed mainly of mucin, tear proteins and lipids. Mucin balls
are round and vary in size and clarity. Smaller mucin balls are generally 10-20µm
in diameter and typically transparent. Larger mucin balls, 20-50µm in diameter,
tend to appear opalescent. These ‘deposits’ may be either scattered or clumped.
They do not move as the lens moves, so they seem to be trapped against the
corneal surface. Lens removal and/or subsequent blinking causes them to be
dislodged leaving an indentation in the corneal surface which resolves rapidly

c) DW lens: A daily wear lens is one that must be removed before sleeping,
because it's not FDA approved for overnight wear. Such a lens might be
replaced daily, weekly, monthly or quarterly, depending upon the brand. These
lenses can be worn daily on average 8-12 hours/day. E.g: Acuvue 2 (J&J) or
Proclear ( Cooper vision) or any name of DW lens . ( Definition : 1½ mark, e.g: ½
mark)

Section B

2. Verification of RGP lens like BC, Power, TD, CT, Tint, Edge profile, Materials etc
( 11 marks), Importance (4 marks )

3. Discuss about case mostly about high modulus Sih CL ( Advantage and
disadvantage) along with other possible reason like allergy or care regime , lens
imperfection then other option like low modulus Sih CL, care regime, hydrogel CL
( water content), DD

4. Advantage and disadvantage of OK Vs Refractive Sx ( Age, myopia control,

dryness, power options, Complications etc)