眼科波前相差对新技术.pptVIP

* * * 常见的有意义的高级波差 Coma 球面异常 Trefoil LASIK手术后病人主诉有夜间眩光6mm 扫描 (未散瞳) “裸眼视力” “最佳矫正视力” 总波差 仅有高级波差 病人 T.M. (OD)6 mm 扫描 – 视网膜点 “裸眼视力” “最佳矫正视力” 总波差 仅有高级波差 病人T.M. (OD)6 mm Scan 病人 T. M. (OD)偏中心切削 COMA 病人T. M. (OD) Vertical Coma 病人T.M. (OD)不同瞳孔大小扫描的PSF效果 仅有高级波差 4 mm 6 mm 裸眼视力 (总波差) 最佳矫正视力(仅有高级波差) 病人 T. M. (OS)6.5mm 扫描 – P S F COMA SPHERICAL SPHERICAL ABERRATION HORIZONTAL COMA 病人T.M.由于存在球面波差导致夜间近视 瞳孔大小 (未散瞳) 近视度 (D) 0.85 2.49 1.99 1.66 OS 病人T. M. (OS)由于存在球面波差病人有夜间近视 4 mm 5 mm 6 mm 6.5 mm 病人T. M. (OS) – P S F由于存在球面波差,因此高级波差会随瞳孔大小而改变 4 mm 5 mm 6 mm 6.5 mm 小结在暗光下瞳孔变大 OD 垂直的 Coma (离心)伴轻度球面 波差 OS 水平的Coma伴球面波差 病人 S. P. 主诉明显的夜间眩光6.5mm 扫描 未散瞳的瞳孔: 7.0 –7.5mm 病人S. P. (OD)明显的夜间眩光 4.0 mm Scan RMS = 0.261 4.5 mm Scan RMS = 0.407 6.0 mm Scan RMS = 1.1 6.5 mm Scan RMS = 1.83 病人 S. P. (OD)明显夜间眩光 4.0 mm RMS = 1.83 PATIENT S. P. (OD)Severe Night Glare 6.5 mm RMS = 1.83 病人 S. P. (OD) 0.5 D Steps 屈光图 SPHERICAL 4 mm 6.0 mm 病人 S. P. (OD)严重夜间眩光 Lower Higher J. C. D. D. RK 手术后 病人J. C.大部分为高级波差 – Trefoil, Tetrafoil 病人T. P. IOL植入手术后出现严重的眩光 5.1 mm Scan 5.4 mm Scan 1.5 D STEPS 3.0 D STEPS 病人T. P. IOL植入手术后出现严重的眩光 All Aberrations Higher Order Only 总 结 Tracey系统能将角膜地形图与波差计结合分析,是一种很有价值的诊断仪 能提高对视光学的理解,帮助发现造成视力困难的原因 必将促进定制式个体化屈光手术技术进一步提高 * The lower right hand corner shows a standard EyeSys corneal topography map demonstrating a normal spherical cornea. The upper right hand corner is a wavefront map of the total higher order aberrations in the same eye from a Tracey measurement. Horizontal coma with a little trefoil are seen as the major higher order aberrations in this eye. By performing Zernike analysis on the corneal topography map the higher order aberrations generated by the cornea which are shown to be mostly spherical aberration. By subtracting this map from the higher order aberration map of the total eye measured by the Tracey a wavefront map of the higher order aberrations of the lens is produced. This map in the upper left hand cor