Kareem, A., Rasheed, G. (2020). The Effect of Posterior Corneal Astigmatism on Ocular Residual Astigmatism in Virgin Eyes. , 20(3), 255-261. doi: 10.52573/ipmj.2020.169728
Alya’a Abood Kareem; Ghazwan Hameed Rasheed. "The Effect of Posterior Corneal Astigmatism on Ocular Residual Astigmatism in Virgin Eyes". , 20, 3, 2020, 255-261. doi: 10.52573/ipmj.2020.169728
Kareem, A., Rasheed, G. (2020). 'The Effect of Posterior Corneal Astigmatism on Ocular Residual Astigmatism in Virgin Eyes', , 20(3), pp. 255-261. doi: 10.52573/ipmj.2020.169728
Kareem, A., Rasheed, G. The Effect of Posterior Corneal Astigmatism on Ocular Residual Astigmatism in Virgin Eyes. , 2020; 20(3): 255-261. doi: 10.52573/ipmj.2020.169728
The Effect of Posterior Corneal Astigmatism on Ocular Residual Astigmatism in Virgin Eyes
Refractive Department- Ibn Al-Haitham Eye Teaching Hospital - Baghdad-Iraq.
Abstract
BACKGROUND: Ocular astigmatism is the sum of corneal astigmatism and internal astigmatism. The component of ocular astigmatism that cannot be a attributed to the anterior corneal surface is referred to as ocular residual astigmatism. OBJECTIVE: To evaluate the difference between ocular residual astigmatism and total ocular residual astigmatism in normal virgin eyes with refractive errors. PATIENTS AND METHODS: Eighty four patients ( 135 virgin eyes) with refractive errors were enrolled consecutively in this study at the Lasik clinic in Ibn Al- Haitham Teaching Eye Hospital. Measurement of astigmatism was done by manifest refraction and corneal topography using Oculus Pentacam, and these measurements were used for calculating ocular residual astigmatism and total ocular residual astigmatism with comparison between them. RESULTS: The study showed a significant difference between the means of ocular residual astigmatism (-0.7416 ± 0.4341 ) and the total ocular residual astigmatism (-0.6223 ± 0.401) in with the rule astigmatism (P value < 0.001), and the means of ocular residual astigmatism (-0.8113 ± 0.38517) versus the means of total ocular residual astigmatism (-0.6658 ± 0.3844) in against the rule astigmatism (P value <0.001). CONCLUSION: The ocular residual astigmatism based on the total corneal topographic astigmatism corresponds better with manifest refractive cylinder than the ocular residual astigmatism based solely on anterior corneal topographic astigmatism . KEY WORDS: Ocular residual astigmatism, Posterior corneal astigmatism.
ABSTRACT: BACKGROUND: Ocular astigmatism is the sum of corneal astigmatism and internal astigmatism. The component of ocular astigmatism that cannot be a attributed to the anterior corneal surface is referred to as ocular residual astigmatism. OBJECTIVE: To evaluate the difference between ocular residual astigmatism and total ocular residual astigmatism in normal virgin eyes with refractive errors. PATIENTS AND METHODS: Eighty four patients ( 135 virgin eyes) with refractive errors were enrolled consecutively in this study at the Lasik clinic in Ibn Al- Haitham Teaching Eye Hospital. Measurement of astigmatism was done by manifest refraction and corneal topography using Oculus Pentacam, and these measurements were used for calculating ocular residual astigmatism and total ocular residual astigmatism with comparison between them. RESULTS: The study showed a significant difference between the means of ocular residual astigmatism (-0.7416 ± 0.4341 ) and the total ocular residual astigmatism (-0.6223 ± 0.401) in with the rule astigmatism (P value < 0.001), and the means of ocular residual astigmatism (-0.8113 ± 0.38517) versus the means of total ocular residual astigmatism (-0.6658 ± 0.3844) in against the rule astigmatism (P value <0.001). CONCLUSION: The ocular residual astigmatism based on the total corneal topographic astigmatism corresponds better with manifest refractive cylinder than the ocular residual astigmatism based solely on anterior corneal topographic astigmatism .
Alpins N, Stamatelatos G. Corneal topographic astigmatism measurement. Highlight of ophth. 2014; 42:11-2.
Alpins N. The basics of astigmatism and how to deal with it. In: Kapoor S, Pallikaris IG, Rao SK (Eds). Tips and tricks lasik surgery. New Delhi : Jaypee Brothers Medical Publishers ; 2007: 142- 52.
Rosenfield M. Refractive status of the eye. In: Benjamin WJ (Eds). Borish’s clinical refraction. 2nd ed. Missouri: Butterworth Heinemann Elsevier; 2006:11-4.
Klijn S, Reus NJ, van der Sommen CM, Sicam VA. Accuracy of total corneal astigmatism measurements with a scheimpflug imager and a color light-emitting diode corneal topographer. Am J Ophthalmol.2016; 167: 72-8.
Ventura BV, Wang L, Weikert MP, Robinson SB, Koch DD. Surgical management of astigmatism with toric intraocular lenses. Arq Bras Oftalmologia. 2014; 77:125-31.
Patsoura E. Posterior corneal astigmatism and it’s importance in selection of toric intraocular lens.EC Ophthalmology. 2017; 4.5: 608-12.
Alpins NA, Tabin GC, Adams LM, Aldred GF, Kent DG, Taylor HR. Refractive versus corneal changes after photorefractive keratectomy for astigmatism. J Refract Surg. 1998;14:386-96.
GmbH O. Interpretation Guide [Internet]. Pentacam.com. 2018 [cited 5 March 2018]. Availablefrom: https://www.pentacam.com/int/ophthalmologist-with-pentacam/service/interpretation-guide.html.
Ho JD, Tsai CY, Liou SW. Accuracy of corneal astigmatism estimation by neglecting the posterior corneal surface measurement. Am J Ophthalmol.2009; 147:788-95.
10. ASSORT Vector Calculator | Planning outcomes with ASSORT [Internet]. Assort.com. 2018 [cited 5 March 2018]. Available from: http://www.assort.com/assort-vector-calculator-0.
11. Alpins N, Ong JKY, Stamatelatos G. Corneal topographic astigmatism (CorT) to quantify total corneal astigmatism. J Refract Surg . 2015;31: 182-86.
13. Kock DD, Ali SF, Weikert MP, Shirayama M, Jenkis R, Wang L. Contribution of posterior corneal astigmatism to total corneal astigmatism. J Cataract Refract Surg. 2012 ;38: 2080-87.