Portable Refractor Unit*

Portable Refractor Unit*

NOTES CASES INSTRUMENTS PORTABLE REFRACTOR UNIT* G. PETER HALBERG, M.D. New York Many ophthalmologists still have the old De Zeng type refractor in ...

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NOTES CASES INSTRUMENTS PORTABLE REFRACTOR UNIT* G. PETER HALBERG,

M.D.

New York Many ophthalmologists still have the old De Zeng type refractor in their offices. I found that the refractor cells of this instru­ ment fit the palm of the hand comfortably (glove size 7l/>) and practically without any further transformation (except a rather delicate dismantling and cleaning job) a sin­ gle refractor cell can be used as a quite flexi­ ble aid for retinoscopy, providing a fairly complete battery of lenses. Each refractor cell contains four inde­ pendent lens-discs. Disc 1 contains the fol­ lowing lenses: +0.25, +0.50, +0.75, +1.00, + 1.25, +1.50, +1.75. Disc 2 contains a -0.25, -0.50, -0.75, -1.00, -1.25, - 1 . 5 0 , - 1 . 7 5 . Disc 3 contains a +2.00, +4.00, +6.00, - 2 . 0 0 , - 4 . 0 0 , - 6 . 0 0 , -8.00. The examiner easily manipulates Discs 1, 2, and 3 by the index finger or thumb. Direct reading of the lens values is quite satisfac­ tory. A fourth auxiliary disc contains the fol­ lowing lenses: +8.00, -10.00, +0.12,

Fig. 2 (Halberg). Instrument in use.

Fig. 1 (Halberg). ( A ) Patient's side. ( B ) E x ­ aminer's side. ( C ) Side view of instrument.

—0.12, and a +1.50 lens for retinoscopy at 66 cm. All lenses are spheres of good optical qual­ ity. They can be used individually or in com­ binations. Recently a wooden tool handle, painted with black lacquer, was added. The total weight of the instrument is less than one pound (10% ounces). It is a handy unit to have in the medical bag for clinic or bedside use. In the office, in addition to its use for ret­ inoscopy, it is helpful in the selection of strong reading additions for low visual acu­ ity cases. 936 Fifth Avenue (21).

* Aided by a grant from the Ophthalmological Foundation, Inc. 218

ACKNOWLEDGMENT

The technical assistance of Mr. Frank Fencl, Old Brookville, New York, is gratefully acknowledged.