Astigmatism is an optical condition where the cornea and lens have different refractive powers in different meridians, resulting in two focal points instead of one. The distance between focal points is called the Sturm's conoid interval. Astigmatism can be caused by abnormalities in the cornea or lens. It can be regular, where the meridians are perpendicular, or irregular. Symptoms include blurry vision, asthenopia, and headaches. Treatment options include glasses, contact lenses, and refractive surgery like LASIK or LASEK.
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2. • DEFINITION • TYPE OF NYSTAGMUS • HISTORY • HOW TO TAKE THE VISUAL ACUITY • HOW TO MEASURE THE FREQUENCY • HOW TO MEASURE THE AMPLITUDE • WHAT IS NULL POINT • WHAT IS NEUTRAL ZONE • DOCUMENTATION • TREATMENT OBJECTIVE
3. DEFINITION • Nystagmus is rhythmic rapidity to and fro movement of two eyes is called nystagmus type of nystagmus described based on certain characteristics like – rate (rapid or slow), – amplitude ( coarse or fine), – direction (horizontal , – vertical or rotational). C L I N I C A L M A N A G E M E N T O F B i n o c u l a r V i s i o n Heterophoric, Accommodative, and Eye Movement D i s o r d e r s(c) 2015 Wolters
EVALUATION OF A CASE OF NYSTAGMUS Presenter-Himanshu Sapra Moderator-Mrs-Sagun Jha (Consultant Optometrist)
2. • DEFINITION • TYPE OF NYSTAGMUS • HISTORY • HOW TO TAKE THE VISUAL ACUITY • HOW TO MEASURE THE FREQUENCY • HOW TO MEASURE THE AMPLITUDE • WHAT IS NULL POINT • WHAT IS NEUTRAL ZONE • DOCUMENTATION • TREATMENT OBJECTIVE
3. DEFINITION • Nystagmus is rhythmic rapidity to and fro movement of two eyes is called nystagmus type of nystagmus described based on certain characteristics like – rate (rapid or slow), – amplitude ( coarse or fine), – direction (horizontal , – vertical or rotational). C L I N I C A L M A N A G E M E N T O F B i n o c u l a r V i s i o n Heterophoric, Accommodative, and Eye Movement D i s o r d e r s(c) 2015 Wolters
Topic:- Astigmatic error
This presentation only explained about Definition, types, classification of astigmatism, It did not explained about correction.
Topic:- Astigmatic error
This presentation only explained about Definition, types, classification of astigmatism, It did not explained about correction.
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:
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2. It
is an optical condition in which refractive
power of cornea and lens is not the same in
all meridians therefore instead of single focal
point there are two focal points separated by
focal interval,this is called sturms conoid.
The
distance between two focal points is
called sturms conoid interval.
3.
4. Corneal
causes
It occurs due to abnormalities of curvature of
cornea.
Most common cause of astigmatism
e.g eyelid pressure,pterygium,corneal
scars,corneal degeneration,keratoconus,mild
corneal opacities.
5. Lenticular
causes
It is comparatively rare.
It may be
Curvatural…..lenticonus
Positional…….congenital
tilting & traumatic
subluxation of lens
Index……………developing cataract/nuclear
sclerosis/index astigmatism.
6. Regular
astigmatism
The astigmatism is said to be regular when
horizontal and vertical meridians are at right
angle to each other.
Simple astigmaism
Compound astigmatism
Simple myopic astigmatism
Simple hyperopic astigmatism
Compound myopic astigmatism
Compound hyperopic astigmatism
Mixed astigmatism
Oblique astigmatism
7. Simple astigmatism
In simple astigmatism,one of the foci falls on
retina & other foci falls infront or behind the
retina.
This leads to one meridian being emmetropic
& other being myopic(one focus on retina &
other focus falls infront of retina) or
hyperopic(one focus falls on retina & other
falls behind the retina)so called as simple
myopic astigmatism and simple hyperopic
astigmatism respectively.
8.
9. Compound astigmatism
Neither of two foci falls on retina.
If both foci are infront of retina,the
condition is known as compound myopic
astigmatism.
If both foci are behind the retina, the
condition is known as compound hyperopic
astigmatism.
10.
11. Mixed astigmatism
In mixed astigmatism,one of the two foci lies
at the back while other at infront of retina.
Oblique astigmatism
A type of astigmatism in which principle
meridia are not horizontal or vertical but are
at right angle to each other.
12.
13. Irregular
astigmatism
There are so many irregularities in the
curvature of cornea that no geometrical
figure of focus is formed on the retina.
14. Asthenopia
Blurring
of vision
Decrease vision
Headache
Half closure of lid occurs due to achieve
good vision.
Head tilt possible
15. History
Blurring of vision
Asthenopia : near or distance
Distorsion
Head tilt
Diplopia
Family history ; glasses,squint.
16. Examination
VA, pinhole examination
Keratometry
Astigmatic fan test
Cycloplegic refraction