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.
6. This test has a time limit, The test will save and submit automatically when the
time expires
7. This is Exam which will assess your knowledge on the course Learning
Resources.
Good Luck!
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NCLE Advanced Certification NCLE - AC Exam Review
Questions and Answers | 100% Pass Guaranteed |
Graded A+ |
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: -
When is it ok for practitioner to not release a contact
lens rx? - =Answer>> When contact fitting is not finalized
According the Federal contacts regulation contacts RX
should be written? 1 year, 2 year, practioner discretion
etc. - =Answer>> 1 Year
What causes SEAL? - =Answer>> Mechanical GP injury,
higher DK lenses, more common on steeper corneas
What is VLK? - =Answer>> Vascularized Limbal Keratitis
Where does VLK commonly occur? - =Answer>> 3 and 9
o'clock
Longer GP use
Lens tends to sit centrally and low movement
What triggers VLK? - =Answer>> Low edge lift
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Which instrument can provide simultaneous
information about the cornea, lids, conjunctivitis,
lashes, contact lens surface and fit?
A. Radius scope
B. Corneascope
C. Slitlamp
D. Keratometer - =Answer>> Slit lamp
The classic model of the pre-corneal tear film is
composed of three layers what are they? - =Answer>>
Lipids aqueous mucin
The average ph value of the human tear is
a. 6.6
b. 7.4
c. 7.8
d. 10.0 - =Answer>> B. 7.4
If the manufacturers guidelines suggest a minimum of
four hours for this disinfection, what would you suggest
to the patient
A.Never leave lenses in disinfectant overnight
B.2 to 3 hours is probably enough
C.Use surfactant cleaner and preserved saline
D. A minimum of four hours is required - =Answer>> A
minimum of four hours is required
The main supply of oxygen to the corneal epithelium is
derived from the
A.Stroma
B.Collagen fibrils
C.Basal membrane
D.Tear film - =Answer>> Tear film
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What is the term for the condition in which there is loss
of vision without any apparent disease to the eye? -
=Answer>> amblyopia
Which auxiliary lens will extend the keratometer range
to approximately 30.00D? - =Answer>> -1.00
What causes mucin balls underneath lens? - =Answer>>
High dk or lens dehydration
How to insert scleral lenses? - =Answer>> Plunger
How to remove scleral lenses? - =Answer>> Plunger
What solution to use in Scleral lenses? - =Answer>> Non
preservative or saline
How do you check scleral lenses under fluorescein? -
=Answer>> Fill lens with saline and then fluorescein and in
a perpendicular position insert the lens
Corneal edema characteristics - =Answer>> Smoky vision,
spectacle blur, increase and K readings
When blending peripheral curves in the office what are
used - =Answer>> Polishing compound radius tools suction
cups
Prism thickness to excessive or toogreat can cause -
=Answer>> Corneal edema in for inferiorly
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