Rotating Scheimpflug Topographic Parameters Important in 旋转Scheimpflug地形参数的重要.pptVIP

ROTATING SCHEIMPFLUG TOPOGRAPHIC PARAMETERS IMPORTANT IN DISTINGUISHING NORMAL FROM KERATOCONIC CORNEAL MORPHOLOGICAL FEATURES Clayton Falknor, MD, Orkun Muftuoglu, MD, Steven Verity, MD, James P. McCulley, MD Some of the authors have received consultant reimbursement from Alcon Labs, Inc. None of the authors have financial interest in the subject matter of this poster. Keratoconus Essential to identify keratoconus prior to keratorefractive surgery Keratoconus is characterized by: Non-inflammatory, progressive corneal disease Stromal thinning and anterior bulging of cornea Irregular astigmatism and myopia Potentially severe corneal scarring Keratoconus is identified by: Fleisher ring (corneal iron line at base of cone) Vogt striae (stromal stress lines within cone) Scissoring of retinoscopic reflex Apical scarring and/or subepithelial fibrosis Central or paracentral steepening on topography Subclinical (forme fruste) keratoconus is difficult to identify Identification of keratoconus Traditional method to identify subclinical keratoconus is corneal topography Placido disk-based Measures slopes of anterior corneal surface only Axial curvature method subject to misalignment of corneal apex and corneal sighting point May lead to misleading maps, eg normal eyes may show asymmetric bow-tie or inferior steepening Contribution of posterior corneal surface important Orbscan (Bausch and Lomb, Salt Lake City, Utah, USA) Slit-scanning beam combined with Placido ring technology Posterior surface recreated with triangulation algorithms Not all images include central cornea Pentacam (Oculus Optikgeraete GmbH, Germany) Pentacam Comprehensive Eye Scanner Rotating Scheimpflug camera Monochromatic slit light source rotates with camera 25-50 slit images per acquisition Eye movement monitoring by 2nd camera Less than 0.6mm decentration Rotates 180o in 2 seconds All images include central cornea Corneal elevation data independent of visual axis and corneal apex http://www.oculus.de/