for Opticians
NCLEAC National Contact Lens Examiners Advanced
Certification
NCLE - AC Advanced NCLE Certification Exam
Course Title and Number: NCLEAC Advanced Certification Exam
Exam Title: Advanced Certification Exam
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you have completed
the Exam.
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7. This is Exam which will assess your knowledge on the course Learning
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2025- 2026
NCLEAC National Contact Lens Examiners Advanced
Certification
NCLE - AC Advanced NCLE Certification Exam
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Ch1-1. Which layer of the cornea makes up 10% of the
structure's total thickness?
A. Epithelium
B. Bowman's membrane
C. Endothelium
D. Stroma - =Answer>> D. Stroma
Ch1-2. The vertical measurement of the palpebral
fissure for an average eye is
A. 5mm.
B. 10mm.
C. 15mm.
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D. 20mm. - =Answer>> D. 20mm.
Ch1-3. The eyelid muscle responsible for closure of the
lids is the
A. dilator pupillae.
B. orbicularis oculi.
C. levator superioris.
D. pectoral blephari. - =Answer>> A. dilator pupillae
Ch1-4. The anterior cornea's main source of oxygen is
the
A. atmosphere.
B. short posterior ciliary arteries.
C. aqueous humor.
D. central retinal vein. - =Answer>> C. Aqueous humor
Ch1-5. A dense opacity of the cornea is called a
A. dendrite.
B. nebula.
C. fovea.
D. leukoma. - =Answer>> B. nebula
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Ch1-6. The refractive index of the tear film is
A. 0.1336.
B. 1.336.
C. 13.36.
D. The tear film does not have an index of refraction. -
=Answer>> B. 1.336
Ch1-7. The most common manifestation of
keratoconjunctivitis sicca is
A. Riley-Day Syndrome.
B. Sjogren's Syndrome.
C. Aqueous Tear Deficiency.
D. Mucin Deficiency. - =Answer>> C. Aqueous Tear
Deficiency
Ch1-8. Contact lens wear has been associated with
decreased tear production most possibly due to
A. The pressure from the lens on the lacrimal gland.
B. Decreased corneal sensation associated with contact
lens wear.
C. Increased bacteria found in the tear film from
contact lens use.
D. The lens absorbing the tear film. - =Answer>> B.
Decreased corneal sensation associated with
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