Cornea and Cornea Topography

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Presentation Description

Lecture on how to read Orbscan IIz

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Presentation Transcript

Cornea and Cornea Topography : 

Cornea and Cornea Topography

5 Layers of Cornea : 

5 Layers of Cornea Epithelium Bowman’s Membrane Stroma Descemet’s Membrane Endothelium

Epithelium : 

Epithelium Provides Protection Provides a smooth surface so that nutrients and oxygen can transfer to the cornea. A lot of nerve endings

Bowman’s Membrane : 

Bowman’s Membrane Composed of strong collagen tissue Helps to maintain the cornea’s shape Helps anchors down the epithelium

Stroma : 

Stroma Contains mostly of water and protein The alignment of collagen fibers help the cornea retain its clarity.

Descemet’s Membrane : 

Descemet’s Membrane Filters out infections and disease Helps with the stroma in maintaining the rigid shape of the cornea

Endothelium : 

Endothelium Helps pumps fluid out of the Stroma

Corneal Topography : 

Corneal Topography 3D view of Cornea Aids in diagnosis various cornea conditions and disease Used in Laser Refractive Surgeries

K Readings : 

K Readings Measures is Diopters K< 41D is consider flat K>46D is consider Steep K>41 but <46 is consider average Important in determining LASIK K readings are also used in IOL master to calculate IOL’s

Anterior Map : 

Anterior Map

Posterior Map : 

Posterior Map

Keratometric Map : 

Keratometric Map

Regular Astigmatism : 

Regular Astigmatism

Irregular Astigmatism : 

Irregular Astigmatism

Pachemetry Map : 

Pachemetry Map

Normal Topography : 

Normal Topography

Abnormal Topography : 

Abnormal Topography

Abnormal Topography : 

Abnormal Topography

Keratoconus : 

Keratoconus Abnormal Cornea condition where the cornea protrudes out more; Instead of a Dome like Figure, it becomes like a cone Distorts and reduces vision Usually bilaterally but asymmetrical Usually Myopic with large amounts of Irregular astigmatism No corneal refractive surgeries can be done As the cornea steepens, the cornea pachemtry gets thinner

Keratoconus cont… : 

Keratoconus cont…

3D Anterior Map of KC : 

3D Anterior Map of KC

3D Posterior Map of KC : 

3D Posterior Map of KC

How to take Topographies : 

How to take Topographies Have the patient sit at a comfortable level Inform the patient on what test you are doing Try to have a good tear film Let the patient know they cannot move doing this test

Demonstration of Topography : 

Demonstration of Topography

How to take Pachs with Ultrasound : 

How to take Pachs with Ultrasound Always have pt look at a fixation point Carefully touch the central cornea with tip Try not to indent the cornea Always get a consistent reading

Demonstration of US Pachs : 

Demonstration of US Pachs

Keep in your head : 

Keep in your head Consistency is the answer Knowing what is normal and abnormal Good tear film Being comfortable with the machine will make the patient more comfortable with you When in doubt always ask