CHAPTER IV

IMPORTANT POINTS IN CONNECTION WITH THE USE OF THE SKI-OPTOMETER

The Ski-optometer is equipped with an adjustable head-rest, permitting

its lenses to be brought as close as possible to the eye without

touching the patient’s lashes, a matter of importance in every

examination.

[Illustration: Fig. 11—The nasal lines of the Ski-optometer fit the

contour of face with mask-like perfection, patient remaining in

comfortable position.]

ELIMINATION OF TRIAL-FRAME DISCOMFORT

Where the Ski-optometer is correctly fitted to the face, the patient

invariably remains in a comfortable position (Fig. 11). The instrument

is shaped to fit the face like a mask, so that even with a pupillary

distance of but 50 m/m (that of a child) there still remains, without

pinching, ample room for the widest nose of an adult.

Before making an examination, the correct pupillary distance should

always be obtained by drawing an imaginary vertical line downward

through the center of each eye from the 90° point on the Ski-optometer

axis scale. The pupillary distance will then register in millimeters on

the scale of measurements for each eye separately. If the Ski-optometer

is correctly adjusted, the patient is securely held in position, the

cumbersome trial-frame being entirely eliminated.

RIGIDITY OF CONSTRUCTION

Illustration on following page (Fig. 11a) shows the reinforced double

bearing arms which hold the Ski-optometer lens batteries at two points.

This eliminates possibility of the instrument getting out of alignment,

and prevents wabbling or loose working parts.

The broad horizontal slides shown in the cut, move in and out

independently so that the pupillary distance is obtained for each

eye separately by turning the pinioned handle on either side of the

instrument. The scale denotes in millimeters the P.D. from the median

line of the nose outward, the total of both scales being the patient’s

pupillary distance.

Fig. 11a also serves to show the staunch construction of the base of

the Ski-optometer.

[Illustration: Fig. 11a—Showing staunch construction of Ski-optometer

base.]

HOW TO PLACE THE SKI-OPTOMETER IN POSITION

The patient should be placed in a comfortable position with “chin up,”

as though looking at a distant object. The instrument should then be

raised or lowered by the adjustable ratchet wheel of the bracket. The

wall bracket gives best results when suspended from the wall, back

of the patient, as shown on page 135. This bracket should be placed

about ten inches above the head of the average patient. When the

Ski-optometer is placed in position for use, its lower edge will barely

touch the patient’s cheeks. It is sometimes advisable to request the

patient to lightly press toward the face the horizontal bar supporting

the instrument. Particularly good results are secured where a chair

with a head-rest is employed in conjunction with the Ski-optometer.

(See illustration of Model Refraction Room, Page 112).

CLEANING THE LENSES

The time-waste of perpetually cleaning lenses is overcome where the

Ski-optometer is employed. For the convenience of the operator and

protection of Ski-optometer lenses, the latter are concealed in a

dust-proof cell, overcoming all dust and finger-print annoyances. When

not in use, the instrument should be covered with the standardized hood

forming part of the equipment.

The instrument should not be taken apart under any circumstances. To

clean its lenses, not a single screw need be removed, as the lenses of

each disk may be cleaned individually through the opening of the other

disks. These openings are conveniently indicated by the white zeros

(Fig. 2). The Ski-optometer contains but eleven spherical and eight

cylindrical lenses on each side, so that the actual work of cleaning

should not require over ten minutes at the most, cleaning the lenses

every other week proving quite sufficient.

ACCURACY ASSURED IN EVERY TEST

Loss of refraction is completely eliminated through the use of the

Ski-optometer. The most casual examination of the trial-frame or

any other instrument shows that the construction necessitates the

placing of the spherical lens next to the eye with the cylinder lens

outermost—a serious fault wholly overcome in the Ski-optometer.

Not only do the cylindrical lenses of the Ski-optometer set directly

next to the patient’s eye, thus overcoming any possible loss of

refraction, but the strong spherical lenses of the supplementary disk

are set directly next to the cylinder. There is apparently but a hair’s

distance between these lenses; the two disks containing the spherical

lenses of the Ski-optometer likewise setting close together.

In a word, the Ski-optometer’s cylinder lenses set directly next to the

patient’s eye, followed by the stronger sphericals, so that the weakest

spherical or +.25 (the lens of least importance) sets farthest away.

This is 3½ m/m closer than any trial-frame manufactured, however, and

at least 10 m/m closer than any other instrument—another reason for

implicitly relying on the Ski-optometer for uniformly accurate results.

BUILT TO LAST A LIFETIME

[Illustration: Fig. 12—(A. and B.)—This unique, patented split-spring

device of screwless construction, securely holds all movable parts. In

case of repair, they may be removed with the blade of a knife.]

The Ski-optometer is built on the plan of ¹/₁₀₀₀″, insuring absolute

rigidity and accuracy and a lifetime of endurance. Particular and

detailed attention has been given to the novel means of eliminating

screws which either bind, create friction or continually work loose,

causing false indications of findings on scales of measurements; hence

correct and accurate indications are insured in the Ski-optometer by

means of a split-spring washer construction similar to that of an

automobile tire’s detachable rim (Fig. 12).

This patented spring washer construction securely holds the phorometer

lenses, the rotary prism and the revolving cylinder lens cells.

Whenever necessary, or in case of repair, these parts may be readily

removed with the blade of a knife.

Refraction and muscular imbalance, as simplified through the use of the ski-optometer · 第 4 / 17 章