M Das Ug Class1
M Das Ug Class1
M Das Ug Class1
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 )
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
• Emmetropia
• Ametropia
• Anisometropia
• Hypermetropia
• Myopia
• Astigmatism
• Aphakia
• Pseudophakia
MYOPIA