M Das Ug Class1

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OPTICS & REFRACTION

Dr Matuli Das
PROF & HOD
Dept of Ophthalmology
LESSON PLANNING OP1
• P1.1 Describe the physiology of vision K , Physiology
• OP1.2 Define, classify and describe the types and methods of correcting refractive errors K

• OP1.3 Demonstrate the steps in performing the visual acuity assessment for distance vision, near vision, colour vision, the pin hole
test and the menace and blink reflexes S

• OP1.4 Enumerate the indications and describe the principles of refractive surgery K

• OP1.5 Define, enumerate the types and the mechanism by which strabismus leads to amblyopia K
LENSES
CONVEX LENS :Identification ?
Images formed?
Uses – correction ofHypermetropia,Presbyopia,Aphakia,Equipments
(loupe )

CONCAVE LENS :Identification?


Image formed is virtual & erect
Uses –correction of myopia, Hruby lens

CYLINDRICAL LENS :Identification


Uses –correction of Astigmatism,in Cross cylinder,Maddox Rod
PRISMS
• What is a prism ?
• Parts of a prism(Apical angle,Axis ,Base )
• Refraction through a prism(action)
• Type of image formed(virtual,erect,displaced towards apex)
• Power of a prism ( 1 prism dioptres) (obj 1M -1cm )
• 2PD = 1degree

USES : DIAGNOSTIC
(AT ,Gonio ,Keratometer, Prism bar)
Measurement of squint,diagnosis of microtropia
USES : THERAPEUTIC ( Treatment of Diplopia ,for exercises to increase
fusion )
SCHEMATIC EYE(Gullstrand)
• A Schematic eye is a mathematical or physical model that represents
the basic optical features of the real eye.
• Objective
To provide a basis for theoretical studies of the eye as an optical
instrument.
• Complexities of fundamental unimportance is ignored.
USES OF SCHEMATIC EYE
• Calculate IOL power
• Localize foreign body inside eye
• Design instruments for eye
REDUCED EYE ( modified by Listing
&Donder over the schematic eye)
REDUCED EYE
• PRINCIPAL POINT –P- 1.5 mm behind ant corneal
surface
• NODAL POINT - N-- 7.2 mm
• ANT FOCAL PT - F1 - 15.7 mm in front of ant corneal
surface
• POST FOCAL PT - F2- 24.4 mm behind ant corneal
surface
• ANT FOCAL LENGTH - f1-17.2mm
• POST FOCAL LENGTH – f2- 22.9 mm
REDUCED EYE
• TOTAL DIOPTRIC POWER = + 60 D

• CORNEA = + 43 D

• LENS = + 17 D
Axes of the eye
AXES of the EYE
Angles alpha &kappa
STARBURST ,GLARE, HALOES can happen postop if calculations are incorrect .
Optical Aberrations

• What are optical aberrations ?


spherical
chromatic
Diffraction
Decentring
coma
oblique

• How does the eye protect itself against these aberrations ?


SPHERICAL ABERRATION
CHROMATIC ABERRATION
DIFFRACTION
OPTICAL ABERRATION
OPTICAL ABERRATION
COMA
Nature’s mechanism to decrease aberrations.
• IRIS blocks the peripheral rays.
• LENS has a higher refractive index at centre than peripheral cortex
• RETINA peripheral parts are less sensitive .
• STILES- CRAWFORD EFFECT.
OPTICAL SYSTEM IN AN ABNORMAL EYE

• Emmetropia
• Ametropia
• Anisometropia
• Hypermetropia
• Myopia
• Astigmatism
• Aphakia
• Pseudophakia
MYOPIA

• Defination - A type of refractive error where parallel rays


coming from infinity are focussed in front of the retina
when accomodation is at rest
HYPERMETROPIA

Definition : It is the refractive state of eye where


parallel rays coming from infinity are focused behind the
retina with accommodation at rest.
ASTIGMATISM

Defination - It is a type of refractive error


where refraction varies in different
meridians of the eye.

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