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MCQ – 92249

Question

A patient’s refraction is +1.00 DS / −2.00 DC × 180°.
Which type of astigmatism does this represent?
A.

With the rule astigmatism

B.

Against the rule astigmatism

C.

Simple astigmatism

D.

Mixed astigmatism

Show Answer

Correct Answer » D

Explanation

Prescription is in minus-cylinder form.

At 180° meridian:
+1.00 − 2.00 = −1.00 D → myopic

At 90° meridian:
+1.00 D → hypermetropic

So This defines mixed astigmatism.

With-the-rule astigmatism
→ This describes axis orientation, not refractive type.

Against-the-rule astigmatism
→ Axis here is 180° in minus-cylinder form → WTR, not ATR.

Simple astigmatism
→ Would require one meridian emmetropic and the other ametropic.
Here both meridians are ametropic.

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