際際滷

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By
Yasir Maqsood
 It

is an optical condition in which refractive
power of cornea and lens is not the same in
all meridians therefore instead of single focal
point there are two focal points separated by
focal interval,this is called sturms conoid.

 The

distance between two focal points is
called sturms conoid interval.
Sturms conoid
 Corneal

causes
 It occurs due to abnormalities of curvature of
cornea.
 Most common cause of astigmatism
 e.g eyelid pressure,pterygium,corneal
scars,corneal degeneration,keratoconus,mild
corneal opacities.
 Lenticular

causes
 It is comparatively rare.
 It may be
 Curvatural..lenticonus

 Positional.congenital

tilting & traumatic

subluxation of lens
 Indexdeveloping cataract/nuclear
sclerosis/index astigmatism.
 Regular

astigmatism
 The astigmatism is said to be regular when
horizontal and vertical meridians are at right
angle to each other.


Simple astigmaism





Compound astigmatism






Simple myopic astigmatism
Simple hyperopic astigmatism

Compound myopic astigmatism
Compound hyperopic astigmatism

Mixed astigmatism
Oblique astigmatism
Simple astigmatism
 In simple astigmatism,one of the foci falls on
retina & other foci falls infront or behind the
retina.
 This leads to one meridian being emmetropic
& other being myopic(one focus on retina &
other focus falls infront of retina) or
hyperopic(one focus falls on retina & other
falls behind the retina)so called as simple
myopic astigmatism and simple hyperopic
astigmatism respectively.
Sturms conoid
Compound astigmatism
 Neither of two foci falls on retina.




If both foci are infront of retina,the
condition is known as compound myopic
astigmatism.



If both foci are behind the retina, the
condition is known as compound hyperopic
astigmatism.
Sturms conoid
Mixed astigmatism
 In mixed astigmatism,one of the two foci lies
at the back while other at infront of retina.


Oblique astigmatism
 A type of astigmatism in which principle
meridia are not horizontal or vertical but are
at right angle to each other.
Sturms conoid
 Irregular

astigmatism
 There are so many irregularities in the
curvature of cornea that no geometrical
figure of focus is formed on the retina.
 Asthenopia
 Blurring

of vision
 Decrease vision
 Headache
 Half closure of lid occurs due to achieve
good vision.
 Head tilt possible
 History

Blurring of vision
 Asthenopia : near or distance
 Distorsion
 Head tilt
 Diplopia
 Family history ; glasses,squint.
 Examination

VA, pinhole examination
 Keratometry
 Astigmatic fan test
 Cycloplegic refraction
 Non

surgical treatment
 Glasses
 Contact lens
 Cylindrical lens;correct simple astigmatism
 Spherocylindrical lens;correct compound and
mixed astigmatism
 Surgical treatment
 Refractive surgery including
 Arcuate keratotomy,
 LASIK correct upto 5D.
 LASEK correct upto 3 Dioptre.
Sturms conoid

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Sturms conoid

  • 2. It is an optical condition in which refractive power of cornea and lens is not the same in all meridians therefore instead of single focal point there are two focal points separated by focal interval,this is called sturms conoid. The distance between two focal points is called sturms conoid interval.
  • 4. Corneal causes It occurs due to abnormalities of curvature of cornea. Most common cause of astigmatism e.g eyelid pressure,pterygium,corneal scars,corneal degeneration,keratoconus,mild corneal opacities.
  • 5. Lenticular causes It is comparatively rare. It may be Curvatural..lenticonus Positional.congenital tilting & traumatic subluxation of lens Indexdeveloping cataract/nuclear sclerosis/index astigmatism.
  • 6. Regular astigmatism The astigmatism is said to be regular when horizontal and vertical meridians are at right angle to each other. Simple astigmaism Compound astigmatism Simple myopic astigmatism Simple hyperopic astigmatism Compound myopic astigmatism Compound hyperopic astigmatism Mixed astigmatism Oblique astigmatism
  • 7. Simple astigmatism In simple astigmatism,one of the foci falls on retina & other foci falls infront or behind the retina. This leads to one meridian being emmetropic & other being myopic(one focus on retina & other focus falls infront of retina) or hyperopic(one focus falls on retina & other falls behind the retina)so called as simple myopic astigmatism and simple hyperopic astigmatism respectively.
  • 9. Compound astigmatism Neither of two foci falls on retina. If both foci are infront of retina,the condition is known as compound myopic astigmatism. If both foci are behind the retina, the condition is known as compound hyperopic astigmatism.
  • 11. Mixed astigmatism In mixed astigmatism,one of the two foci lies at the back while other at infront of retina. Oblique astigmatism A type of astigmatism in which principle meridia are not horizontal or vertical but are at right angle to each other.
  • 13. Irregular astigmatism There are so many irregularities in the curvature of cornea that no geometrical figure of focus is formed on the retina.
  • 14. Asthenopia Blurring of vision Decrease vision Headache Half closure of lid occurs due to achieve good vision. Head tilt possible
  • 15. History Blurring of vision Asthenopia : near or distance Distorsion Head tilt Diplopia Family history ; glasses,squint.
  • 16. Examination VA, pinhole examination Keratometry Astigmatic fan test Cycloplegic refraction
  • 17. Non surgical treatment Glasses Contact lens Cylindrical lens;correct simple astigmatism Spherocylindrical lens;correct compound and mixed astigmatism Surgical treatment Refractive surgery including Arcuate keratotomy, LASIK correct upto 5D. LASEK correct upto 3 Dioptre.