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Corneal pachymetry is the process of measuring the thickness of the cornea.A pachymeter is a medical device used to measure the thickness of the eye's cornea.It is used to perform corneal pachymetry prior to refractive surgery, for Keratoconus screening, LRI surgery [1] and is useful in screening for patients suspected of developing glaucoma among other uses.
The Schiotz tonometer consists of a curved footplate which is placed on the cornea of a supine patient. A weighted plunger attached to the footplate sinks into the cornea. A scale then gives a reading depending on how much the plunger sinks into the cornea, and a conversion table converts the scale reading into IOP measured in mmHg.
The central corneal power is the second important factor in the calculation formula. To simplify the calculation, the cornea is assumed to be a thin spherical lens with a fixed anterior to posterior corneal curvature ratio and an index of refraction of 1.3375. Central corneal power can be measured by keratometry or corneal topography.
Impression tonometry (also known as indentation tonometry) measures the depth of corneal indentation made by a small plunger carrying a known weight. The higher the intraocular pressure, the harder it is to push against and indent the cornea. For very high levels of IOP, extra weights can be added to make the plunger push harder. [14]
Measured values of intraocular pressure are influenced by corneal thickness and rigidity. [ 5 ] [ 6 ] As a result, some forms of refractive surgery (such as photorefractive keratectomy ) can cause traditional intraocular pressure measurements to appear normal when in fact the pressure may be abnormally high.
Theoretically, average corneal rigidity (taken as 520 μm for GAT) and the capillary attraction of the tear meniscus cancel each other out when the flattened area has the 3.06 mm diameter contact surface of the Goldmann prism, which is applied to the cornea using the Goldmann tonometer with a measurable amount of force from which the IOP is ...
Charts for vision - •Distant vision: to determine visual acuity of distant vision ••Snellen's distant vision chart-do-; for those who can read in English ••Regional language charts-do-; for those who can read in their local language ••E Chart-do-; for those who can not read ••Landolt's broken ring chart-do-; for those who can ...
Visual acuity with Near chart without correctors Visual acuity with eye chart at Near 15.7 inches (400 mm) and without (sc: Latin sine correctore) correctors (spectacles); Ncc is with (cc: Latin cum correctore) correctors. See Visual_acuity#Legal_definitions: VA OS Left visual acuity VA OD Right visual acuity VDU Visual display unit VF Visual field