Biometry-2 | Measurement of Axial length | Smart Optometry

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37.1 هزار بار بازدید - 5 سال پیش - AXIAL LENGTH: Axial length is
AXIAL LENGTH: Axial length is the distance between anterior and posterior pole of eyeball
                                At birth 17 mm
                               In adult 24 mm
                               In myopia more than 24 mm
                               In hyperopia less than 24 mm
METHODS:    There  are two methods
                                  A. Ultrasonic
                                  B. Optical
ULTRASONIC METHOD:
           i. It contain a 10MHz solid probe with inbuilt fixation
          ii. It has to be aligned with optical axis of the eye for accurate measurement
         iii. This can be done in two technique :
                                                                        A. Immersion technique
                                                                        B. Contact technique
  1. IMMERSION TECHNIQUE:
--------Patient lie in supine position looking a fixation at the ceiling  
--------A scleral shell is applied to the eye filled with 1% OR 2% Methylcellulose
--------Probe is Immersed in the solution keeping 5-10 mm away from the cornea
--------Probe is gently moved intil properly aligned with optical axis
--------Echo spike will displayed in the monitor.

ECHO SPIKES ARE:-
                               --- IS = INITIAL SPIKE PRODUCED BY PROBE
                               --- C1  = ANTERIOR CORNEAL SPIKE
                               --- C2 = POSTERIOR CORNEAL SPIKE
                               --- L1 = ANTERIOR LENS SPIKE
                               --- L2 = POSTERIOR LENS SPIKE
                               --- R = RETINAL SPIKE
                               --- S = SCLERAL SPIKE
                               --- O = ORBITAL SPIKE
2. CONTACT TECHNIQUE:
           i. Alternative to immersion technique doesn’t use scleral shell
          ii. Probe directly contact with cornea
         iii. These can be done in two methods:
                                                  1. Hand held
                                                  2. Attaching with slit lamp or applanation tonometer

PROCEDURE:  
------ Patients seated after applying local anesthetic drop
------ Asked to fixed a target straight  with non-testing eye
------ Probe is properly aligned along with visual axis & brought forward to touch the cornea
------ Five spike will be displayed on the screen.

ECHO SPIKES ARE:
                              --- C = POSTERIOR COrNEAL SPIKE
                              --- A = ANTERIOR LENS SPIKE
                              --- P = POSTERIOR LENS SPIKE
                              --- R = RETINAL SPIKE
                              --- S = SCLERAL SPIKE
B.. OPTICAL TECHNIQUE:
           i. Use partial coherence laser
           ii. Biometer measure the time required for infrared light to travel to retina
          iii. This technique doesn’t have contact with cornea,  so corneal compression
                artifacts are eliminated.

FOR DETAILS NOTE;
VISIT OUR WEBSITE:  https://www.smartopto.blogspot.com
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5 سال پیش در تاریخ 1398/07/26 منتشر شده است.
37,143 بـار بازدید شده
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