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Developed by Australian ophthalmologist Noel Alpins and introduced in 1993, the Alpins Method provides a coherent basis for reporting astigmatism results, and on this basis became the standard in the major ophthalmology journals, [9] [10] [11] and was accepted worldwide for studies that include refraction and corneal astigmatism measurements.
Against-the-rule astigmatism – the horizontal meridian is steepest (a rugby ball or American football standing on its end). [17] Oblique astigmatism – the steepest curve lies in between 120 and 150 degrees and 30 and 60 degrees. [17] Irregular astigmatism – principal meridians are not perpendicular.
In order to determine if the patient has astigmatism at a particular meridian, the -0.50 JCC is presented at the following axes: 90°, 180° and then check the oblique axes at 35° and 145°. [ 6 ] As the JCC is a combination of two cylindrical lenses, any cylindrical power that is added must be accompanied by a spherical lens equivalent, to ...
Astigmatism is when the refractive power of the eye is not uniform across the surface of the cornea because of asymmetry. In other words, the eye focuses light more strongly in one direction than another, leading to distortion of the image.
Astigmatism can be often corrected by glasses with a lens that has different radii of curvature in different planes (a cylindrical lens), contact lenses, or refractive surgery. [5] Astigmatism is quite common. Studies have shown that about one in three people suffers from it. [6] [7] [8] The prevalence of astigmatism increases with age. [9]
The Stokes lens also known as variable power cross cylinder lens, in its standard version, is a lens combination consisted of equal but opposite (one plano-convex and other plano-concave) power cylindrical lenses attached together in a way so that the lenses be rotated in opposite directions.
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This lens consisted of two cylindrical lenses, one plano-convex and one plano-concave, which be rotated in opposite directions. In 1887 Edward Jackson described the use of modified Stokes' lens in detecting astigmatism, and in 1907 he described the determination of the axis of a correcting cylinder in astigmatism using a cross cylinder. [7]
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