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
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Student Name: ___ [Insert Student’s Name] _____
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Examination
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Instructions:
1. Read each question carefully.
2. Answer all questions.
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NCLEAC Advanced NCLE Certification Exam Questions
with Answers and Rationales | 100% Pass Guaranteed |
Graded A+ |
2025- 2026
NCLE- AC National Contact Lens Examiners Advanced
Certification
NCLE - AC Advanced NCLE Certification Exam
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
40. When fitting a patient with a pterygium that
impinges on the cornea by 2 mm at the 9 o'clock area,
which of the following designs should be
considered.first?
A. Soft contact lens
B. 9.8 mm diameter RGP lens
C. 8.8 mm diameter RGP lens
D. Prism ballasted soft lens - =Answer>> The answer is C.
Due to the irregular surface that often results from this
vascular growth, the patient's best chance of optimum
vision will come with a rigid gas permeable lens. A
smaller diameter lens will also have less chance of
irritating the pterygium than a larger diameter lens.
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41. When fitting an alternating design RGP multifocal
lens, the primary function of a truncation is to:
A. Center the lens better
B. Make the lens more comfortable
C. Allow the lens to translate more efficiently
D. Lower the bifocal segment - =Answer>> The answer is
A.
Just as the thickness of a rigid gas permeable lens will
affect its transmissbility, the thickness of a soft lens will
have the same effect. A thicker lens of the same
material or thicker parts of a lens (i.e. prism) will be
less permeable to oxygen.
42. The thickness of a soft contact lens will affect the:
A. Oxygen transmissibility of the lens
B. Power
C. Opaque Tint
D. Patients visual acuity - =Answer>> The answer is B.
An inverted or flat fitting lens will often display edge lift
or stand off.
43. Soft lens fitting should result in:
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A. Three point touch
B. Apical clearance
C. Upper lid attachment
D. None of the above - =Answer>> The answer is A.
Three point touch refers to the relationship of the soft
lens to the cornea. The lens should make contact
centrally with the corneal apex, vault the limbus, and
have its edges rest on the sclera. Ultra-thin soft lenses,
due to their flexure, may drape the cornea completely.
A soft lens should never be fit with apical clearance, as
this will result in fluctuating vision and seal off in the
periphery, resulting in a tight fit.
44. If the HVID (Horizontal Visible Iris Diameter) is
11.0mm, the minimum diameter soft lens you should
choose is:
A. 14.5 mm
B. 14.3 mm
C. 14.0 mm
D. 13.0 mm - =Answer>> The answer is D.
The general rule of thumb in choosing a soft lens
diameter is that it should be at least 2.0 mm larger
than the HVID. If the HVID is 11.0mm, the smallest soft
lens diameter should be 13.0 mm.
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