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    Aphakia PDF

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    Pradita Dhriti Indriyani
    The document discusses aphakia, or the absence of the eye's natural lens. It describes various causes of aphakia including congenital absence, dislocation of the lens, or surgical removal. It then covers the changes to the eye's optical properties in the aphakic state, including high hyperopia. Various correction options for aphakia are presented, including thick spectacle lenses, contact lenses, or intraocular lenses, each with their advantages and disadvantages. Surgical procedures like keratophakia or epikeratophakia as well as refractive surgery are also mentioned as potential options.

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    Aphakia PDF

    Uploaded by

    Pradita Dhriti Indriyani
    396 views61 pages
    The document discusses aphakia, or the absence of the eye's natural lens. It describes various causes of aphakia including congenital absence, dislocation of the lens, or surgical removal. It then covers the changes to the eye's optical properties in the aphakic state, including high hyperopia. Various correction options for aphakia are presented, including thick spectacle lenses, contact lenses, or intraocular lenses, each with their advantages and disadvantages. Surgical procedures like keratophakia or epikeratophakia as well as refractive surgery are also mentioned as potential options.

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    Pdg

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    Aphakia pdf

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    The document discusses aphakia, or the absence of the eye's natural lens. It describes various causes of aphakia including congenital absence, dislocation of the lens, or surgical removal. It then covers the changes to the eye's optical properties in the aphakic state, including high hyperopia. Various correction options for aphakia are presented, including thick spectacle lenses, contact lenses, or intraocular lenses, each with their advantages and disadvantages. Surgical procedures like keratophakia or epikeratophakia as well as refractive surgery are also mentioned as potential options.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    396 views61 pages

    Aphakia PDF

    Uploaded by

    Pradita Dhriti Indriyani
    The document discusses aphakia, or the absence of the eye's natural lens. It describes various causes of aphakia including congenital absence, dislocation of the lens, or surgical removal. It then covers the changes to the eye's optical properties in the aphakic state, including high hyperopia. Various correction options for aphakia are presented, including thick spectacle lenses, contact lenses, or intraocular lenses, each with their advantages and disadvantages. Surgical procedures like keratophakia or epikeratophakia as well as refractive surgery are also mentioned as potential options.

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    © All Rights Reserved
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    You are on page 1of 61

     The lens is absent from the pupillary area

     Congenital absence
     Dislocation into the vitreous
     Extruded outside the eye
     Surgically removed
     Absorption of the lens matter
     Changes in the cardinal data of the eye

     Image formation in the aphakic eye

     Visual acuity in aphakia

     Accommodation in aphakia

     Binocular vision in aphakia


     Eye is highly
    hypermetropic
     Power is reduced to
    44D (60D)
     Anterior focal point is
    23.2 mm in front of
    cornea
    (17.2mm)Posterior
    focal point is 31mm
    behind cornea
    (24.4mm)
     Principal points are at
    the anterior surface of
    cornea ( 1.5mm
    behind)
     Nodal points are 7.75
    mm behind anterior
    surface of cornea
    (7.2mm)
     Image size in aphakia corrected with
    spectacles is 30% magnified

     Image size in aphakia corrected with contact


    lens is magnified by 4.5 to 5%
     Visual acuity of spectacle corrected eye is
    recorded better than actual visual acuity in
    terms of visual angles
     Total loss of accommodation

     Bifocal or progressive spectacles

     Multifocal IOLs
     Monocular aphakia corrected with spectacles
    will result in aniseikonia

     Can be corrected with IOL or Contact lens


     Operative scar at limbus
     Deep AC
     Iridodonesis
     Jet black pupil
     Absent Purkinje images
    (3,4)
     Associated
    abnormalities
     High hyperopia
     Fundus exam -small disc
     Spectacle

     Contact lens

     Intra-ocular lens

     Refractive corneal surgery


    Total dioptric power = +58 D Cornea= +42 D Lens=
    +16 D Refractive state = Emmetropia

    07/18/19
    Total dioptric power = +42 D Cornea= +42 D Lens=
    +0 D Refractive state = High Hypermetropia

    07/18/19
    A high power (thick) convex lens is required to correct
    vision

    07/18/19
    • +10 D lens with correction of associated
    astigmatism ( usually ATR )
    • Add + 3 D for near vision ( Total +13D )

    Advantages
    • Cheap
    • Easy
    • safe
     Many disadvantages

     Heavy glasses

     Poor cosmetic appearance


    07/18/19
    07/18/19
     Many disadvantages

     Magnification of 30% - unilateral aphakia, assess


    distance
    • Spectacle magnification=
    Corrected image size
    Uncorrected image size

    Anterior focal distance in ametropia


    Anterior focal distance in emmetropia

    23.2 = 1.36 = 30 % magnification


    17.05

    07/18/19
    False depth
    perception

    07/18/19
    False depth
    perception

    07/18/19
    False depth
    perception

    07/18/19
    False depth
    perception

    07/18/19
    False depth
    perception

    07/18/19
    False depth
    perception

    07/18/19
    False depth
    perception

    07/18/19
     Many disadvantages

     Restricted field of vision

     Roving ring scotoma


    07/18/19
    07/18/19
    07/18/19 Ring scotoma-
    ?

    07/18/19 Ring scotoma-


    07/18/19
    07/18/19
    07/18/19 Ring scotoma-
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19
    07/18/19 Roving Ring scotoma-
    07/18/19 Jack in the box-
     Spherical aberrations – pincushion defect
    07/18/19
     Spherical aberrations – pincushion defect

     Coloured vision

     Separate glasses for near


    Total dioptric power = +58 D Cornea= +42 D Lens= +16
    D Refractive state = Emmetropia

    07/18/19
    Total dioptric power = +42 D Cornea= +42 D Lens= +0 D
    Refractive state = High Hypermetropia

    07/18/19
    CONTACT LENS

    07/18/19
    • +13 D contact lens
    • For near vision – spectacle correction is needed ( Add +3D )
    • Advantages-
    – Less magnification
    – Less prismatic distortions
    – Better field of vision
    – Better cosmetically
    – Better for uniocular aphakia
    • Disadvantages-
    – Requires good maintenance
    – Cost
    – cumbersome
    • Lens is placed inside the eye
    • Positions and power
    – ACIOL- +17D
    – Iris fixated- +18D
    – PCIOL- +20 D
    • Advantages
    – Good optics
    – Permanent
    • Disadvantages-
    – Surgical procedure - complications
     Parts
    Optic
    Haptic

     Material
    PMMA
    Silicone
    Hydrogel
     Keratophakia

     Epikeratophakia

     Hyperopic Lasik - Can correct small amounts


    of hyperopia up to 4 D

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