A trial box, also known as a trial case or trial set, contains lenses and other devices used to test vision and diagnose refractive errors and eye pathology. It includes trial lenses in various prescriptions, prisms, filters, occluders, and other accessories. Trial lenses are arranged in pairs ranging from -20D to +20D in steps, and cylinders from -6D to +6D. The trial frame holds the lenses and allows adjustment for pupil distance and lens height. A trial box is used for objective and subjective refraction, diplopia testing, diagnosing strabismus, and assessing binocular vision.
3. TRIAL BOX OR TRIAL CASE OR TRIAL SET
It is a box containing set of lenses, arranged in
pairs, a trial spectacle frame, and other devices
used in testing vision.
Or
It is a box containing two types of lenses; optical
and accessory lenses use to treat the refractive
error and to diagnose the pathology.
1. Optical lenses
2. Accessory lenses
4. Uses of Trial box
Objective refraction
Subjective refraction
Diplopia charting
Diagnosis of squint
Assess binocular vision
5. Types of lenses
1. Optical lenses
Use to correct the refractive errors.
2. Accessory lenses
Use to diagnose the pathology.
7. TRIAL LENS
During refraction the practitioner utilize a set of
known lenses.
Power ranging in spherical lens
Pair of positive lens range 0.12 / 0.25 20 D
Pair of negative lens range 0.12 / 0.25 20 D
8. RANGES
SPHERICAL LENSES
o-0.12 / 0.25 D
o 0.25 D to 10.00 D sphere in 0.25 D steps
o 10.50 D to 16.00 D sphere in 0.50 D steps
o 17.00 D to .18.00 D sphere in 1.00 D steps
o 18 D to 20.00 D sphere in 2.00 D steps
9. RANGES
Cylindrical lenses
o 6 pairs of Cylindrical lenses
o Pair of positive lenses ranging +0.12 -
+6.00D
oPair of negative lenses ranging -0.12 - 6.00D
o -0.25 DC to -3.00 DC in -0.25 steps
o -3.50 DC to -6.00 DC in -0.50 steps
10. PRISM
Power range of :
遜(0.5)D
1- 6.00D in 1D steps
6- 12.D in 2D steps Base of prism
Uses
To correct & measure Strabismus
Exercising prism
Measure the fusional range
13. ACCESSORIES
PLANO LENS
It is used for satisfy & identify the malingering
patients.
OCCLUDER
It is an opaque plastic disc, occlude one eye to
relax accommodation.
Used to dissociate fusion & Used to close one eye
while the other eye can be tested for visual acuity.
14. ACCESSORIES
MADDOX ROD
It is made up of several series of high plus Plano cylindrical lenses.
Patient sees streak of light through this lens
Available in red and white in colour
Used as single and double Maddox rod depends upon the test
USES
To detect heterophoria
To detect cyclophoria
To measure the squint deviation
To detect orthophoria
15. ACCESSORIES
STENOPAEIC SLIT
It has slit of 1mm width & 25mm in length
It allows strip of light to pass through the cornea.
USES
To find out axis of cylinder + or
To find out weather patient is having astigmatism
Vertex distance can also measureable
16. ACCESSORIES
RED AND GREEN FILTER
Red in RE & Green in LE
Used for color dissociation
Used to find out suppression of eyes
To find out diplopia
To do worth 4 dot test & FRIEND test
Used to measure the Fusion , squint
17. FROSTED LENS
This is a kind of half-transparent or translucent
plane cover lens which mainly replace black
lens for baby and outdoor activity.
18. CROSS LENS
There are two mutual vertical lines on the
plain lens.
Optical use
It can be used for looking for the pupil center
and measuring intraocular distance.
19. CROSS CYLINDER LENS
It is a sphero-cylindrical lens, in which the power
of cylinder is twice the power of sphere with
opposite signs placed with their axis at right
angles to each other and mounted in a
handle.
USE
Used to examine the axis and power of cylinder
20. Trial frame
Trial frame is an adjustable frame that is used
with trial lenses when measuring the patients
for spectacle lenses.
The pupillary distance,lens height ,cylinder axis
can be set to accommodate the patients size.
It consist of 4 case. Front case is for cylindrical
lens, back case for high myopic lens, other for
additional lens and Occluder.
21. Pinhole
Pinhole consist on opaque disc with a Pinhole.
Optical function of Pinhole: Pinhole allows the
passage of central rays of light. This permits the
formation of clear image.
Uses of Pinhole:
If patients vision improves with pinhole,
patient is having uncorrected refractive error.
If patients vision is not improving then patient
may have any pathological defect or neurological
defect of the eye.