Astigmatism is a condition where the eye's refractive power varies in different meridians, causing blurred vision. It is caused most commonly by corneal irregularities, and results in light rays forming an image called the Sturm's conoid instead of focusing on the retina. Astigmatism can be regular, irregular, or oblique depending on the orientation of the steepest meridians. It is classified and treated based on whether the refractive error causes light to focus in front of, on, or behind the retina. Treatment options include corrective lenses, contact lenses, and refractive surgeries like astigmatic keratotomy.
Gives a very brief review of how to evaluate a case of squint in day to day clinical practice. How to diagnose a basic abnormality of the movement of eye.
Presbyopia/ Methods of Presbyopic Addition Determination (healthkura.com)Bikash Sapkota
DIRECT DOWNLOAD LINK ❤❤https://healthkura.com/presbyopia-near-addition/❤❤
Dear viewers Check Out my other piece of works at ❤❤❤ https://healthkura.com ❤❤❤
Presbyopia and techniques of measurement
A fantastic presentation in the topic "Presbyopia and techniques of measurement"
A detailed information about presbyopia, techniques of presbyopic add determination and different correction methods.
Informative slide presentation on presbyopia for ophthalmology residents, ophthalmologists, optometrists, ophthalmic assistants, ophthalmic technicians, ophthalmic nurses, medical students, medical professors, teaching guides.
Presentation Contents:
--Introduction to presbyopia
-Types of presbyopia
-Risk factors
-Symptoms and signs
-Refractive error and presbyopia
-Methods of determining near add.
-Management of presbyopia
In a nutshell..
- The evaluation and management of presbyopia are important because significant functional deficits can occur when the condition is left untreated
- Undercorrected or uncorrected presbyopia can cause significant visual disability and have a negative impact on the pt.'s quality of life
- Finally, every tentative addition should be adjusted according to the particular needs of the patient
For Further Reading:
-Clinical Procedures in Optometry by J.D. Bartlett, J.B. Eskridge, J.F. Amos
-Primary Care Optometry by Theodere Grosvenor
-Borish’s Clinical Refraction by W.J. Benjamin
-Clinical Procedures for Ocular examination by Carlson et al
-American Academy of Ophthalmology
-Optometric Clinical Practice Guideline by American Optometric Association
-Internet
Follow me to get in touch with optometric and ophthalmic updates.
The term ‘‘aniseikonia” comes from the Greek words ‘‘an” (not) ‘‘is” (equal) & ‘‘eikon” (icon or image) so aniseikonia is a binocular condition in which the apparent sizes of the images seen with the two eyes are unequal.
Whenever refractive ametropias in the two eyes of a person are different (i.e., when there is an anisometropia), the corrected retinal images of the two eyes, and consequently the two visual images, differ in size.
This condition has been termed aniseikonia
Optical aniseikonia
Retinal aniseikonia
Cortical aniseikonia
Gives a very brief review of how to evaluate a case of squint in day to day clinical practice. How to diagnose a basic abnormality of the movement of eye.
Presbyopia/ Methods of Presbyopic Addition Determination (healthkura.com)Bikash Sapkota
DIRECT DOWNLOAD LINK ❤❤https://healthkura.com/presbyopia-near-addition/❤❤
Dear viewers Check Out my other piece of works at ❤❤❤ https://healthkura.com ❤❤❤
Presbyopia and techniques of measurement
A fantastic presentation in the topic "Presbyopia and techniques of measurement"
A detailed information about presbyopia, techniques of presbyopic add determination and different correction methods.
Informative slide presentation on presbyopia for ophthalmology residents, ophthalmologists, optometrists, ophthalmic assistants, ophthalmic technicians, ophthalmic nurses, medical students, medical professors, teaching guides.
Presentation Contents:
--Introduction to presbyopia
-Types of presbyopia
-Risk factors
-Symptoms and signs
-Refractive error and presbyopia
-Methods of determining near add.
-Management of presbyopia
In a nutshell..
- The evaluation and management of presbyopia are important because significant functional deficits can occur when the condition is left untreated
- Undercorrected or uncorrected presbyopia can cause significant visual disability and have a negative impact on the pt.'s quality of life
- Finally, every tentative addition should be adjusted according to the particular needs of the patient
For Further Reading:
-Clinical Procedures in Optometry by J.D. Bartlett, J.B. Eskridge, J.F. Amos
-Primary Care Optometry by Theodere Grosvenor
-Borish’s Clinical Refraction by W.J. Benjamin
-Clinical Procedures for Ocular examination by Carlson et al
-American Academy of Ophthalmology
-Optometric Clinical Practice Guideline by American Optometric Association
-Internet
Follow me to get in touch with optometric and ophthalmic updates.
The term ‘‘aniseikonia” comes from the Greek words ‘‘an” (not) ‘‘is” (equal) & ‘‘eikon” (icon or image) so aniseikonia is a binocular condition in which the apparent sizes of the images seen with the two eyes are unequal.
Whenever refractive ametropias in the two eyes of a person are different (i.e., when there is an anisometropia), the corrected retinal images of the two eyes, and consequently the two visual images, differ in size.
This condition has been termed aniseikonia
Optical aniseikonia
Retinal aniseikonia
Cortical aniseikonia
Real subjective refraction in astigmatismBipin Koirala
hope it will be beneficial for the students in eye care system . please like it and share it if you think it is beneficial for your studies. It will motivate me to upload more slides ..
“sturm Conoid is just a representation of how rays are refracted through two different powered meridians” (eg: a sphero- cylindrical lens). So, instead of one focal point, they form two focal lines.
Sturm’s Conoid/Interval:
Etiology of Sturm’s Conoid :
Focus of Sturm’s Conoid AC/to The Types of Astigmatism:
When parallel rays of light enter the eye ((with accommodation relaxed) and do) and do not come to a single point focus on or near the retina.
Types of Astigmatism:
Sign & Symptoms:
Management:
Topic:- Astigmatic error
This presentation only explained about Definition, types, classification of astigmatism, It did not explained about correction.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
2. Term astigmatism (from a, meaning
"privativate" or "lacking," and stigma,
meaning "a point") was suggested to
describe this anomaly by Dr. William
Whewell (1794-1866)
The refractive power of the astigmatic
eye varies in different meridians.
The image is formed as a Sturm's
conoid
3. The configuration of rays refracted through a
toric surface is called the Sturm’s conoid.
At point D, the divergence of vertical rays is
exactly equal to the convergence of the
horizontal rays from the axis. So here the
section is a circle, which is called the circle of
least diffusion.
The distance between the two foc (B and F) is
called the focal interval of Sturm
4. Astigmatism may be classified as
follows:
As regular or irregular
With respect to the contributing
ocular component
By orientation
With respect to the refractive error
5. If the principal meridians are at 90°
to each other, this is called regular
astigmatism.
If the principal meridians are at 90°
to each other but do not lie at or near
90° and 180°, the term oblique
astigmatism is used.
If the principal meridians are not at
90° to each other, this is called
irregular astigmatism
6. Corneal astigmatism is the result of abnormalities
of curvature of cornea. It constitutes the most common
cause of astigmatism.
Lenticular astigmatism is rare. It may be:
i. Curvatural due to abnormalities of curvature of lens as
seen in lenticonus.
ii. Positional due to tilting or oblique placement of lens
as seen in subluxation.
iii. Index astigmatism may occur rarely due to variable
refractve index of lens in different meridia.
Retinal astigmatism due to oblique placement of
macula may also be seen occasionally
7. With-theRule
This is when
the vertical
meridian is
steepest.
Againstthe-Rule
This is when
the
horizontal
meridian is
steepest.
Oblique
This is
when the
steepest
curve lies
in
between
120 and
150
degrees
and 30
and 60
degrees.
8. Retina a = Compound hypermetropic
astigmatism – rays in all meridians
come to a focus behind the retina.
Retina b = Simple hypermetropic
astigmatism – rays in one meridian
focus on the retina, the other focus
lies behind the retina.
9. Retina c = Mixed astigmatism – one line
focus lies in front of the retina, the other
behind the retina.
Retina d = Simple myopic astigmatism –
one line focus lies on the retina, the
other focus lies in front of the retina.
Retina e = Compound myopic
astigmatism – rays in all meridians come
to a focus in front of the retina.
12. Jackson cross cylinder test Used to confirm the cylinder power & for
refining axis of the cylinder
Combination of two cylinders of equal
strength, but with opposite sign placed
with their axis at right angles to each
other and mounted in a handle
Commonly used cross cylinders are of
±0.25 and ±0.50D
13. Following steps are used in cross
cylinder refraction:
i. Adjust the sphere to the most plus
or least minus that gives the best
visual acuity
ii. Discovering the astigmatism
iii.Refinement of the axis
iv.Refinement of cylindrical power
14. Astigmatic fan test The fan block test consists of series of radiating
lines spaced at 10° interval & arranged after the
manner of the rays of rising sun
There is a central panel carrying a ‘V’ & two sets
of mutually perpendicular lines (the blocks)
The V & block simultaneously can be rotated
through 180°
15. Steps of fan & block technique:
-Obtain best visual acuity using sphere only
-Add positive sphere equal to half of estimated
amount of astigmatism
-Refer patient to fan chart, ask which group of
lines appear clearest & darkest
-Directing attention to maddox arrow
-Directing attention now to blocks, add negative
cylinder at appropriate axis until both blocks
equally clear
16. Treatment Optical treatment
-comprises prescribing the appropriate
cylindrical lens, discovering after
accurate refraction
-correction may be in the form of
spectacles, hard contact lenses, toric
contact lenses
20. Irregular astigmatism
characterized by an irregular change of
refractive power in different meridian
There are multiple meridian which
admit no geometric analysis
21. Aetiological types Corneal irregular astigmatism found in patients
with extensive corneal scars or keratoconus
Lenticular irregular astigmatism seen due to
variable refractive index in different parts of
crystalline lens & rarely during maturation of
cataract
Retinal irregular astigmatism due to distortion
of macular area due to- scarring or tumours of
retina and choroid pushing macular area
22. Symptoms Defective vision, distortion of objects and
polyopia
Treatment Optical treatment consists of prescribing
contact lens which replaces the anterior surface
of the cornea for refraction
Surgical treatment
-indicated in extensive corneal scarring (when
vision does not improve with contact lenses)
-consists of penetrating keratoplasty