New Trends in Corneal Topography

Tips on Galilei’s Optical Pachymetry
Carlos G. Arce, MD
Associate Researcher and Ophthalmologist
Ocular Bioengineering & Refractive Surgery Sectors, Institute of Vision Department of Ophthalmology, Paulista School of Medicine Federal University of São Paulo, Brazil
Financial Disclosure: Carlos G. Arce MD: Territory Manager for Latin America, Vista Optics Limited, Widnes, UK Research & Development Consultant, Ziemer Group AG, Port, Switzerland Speaker, Bausch & Lomb do Brasil
Author does not have financial interest in the commercialization of equipments mentioned

THICK THICK or or DEEP DEEP Ö Ö WHY? WHY? . pachymetry and elevation maps 2nd yellow: 47 D in Curvature (1 D step) 500 μm in Thickness (15-20 μm step) 15 μm in Elevation (5 μm step) 2nd green: 44 D in Curvature 530 or 560 μm in Thickness Zero μm in elevation RED = STEEP. FLAT. THIN or HIGH Ö STOP! YELLOW = BORDER LINE ÖCAUTION! GREEN = NORMAL Ö GO AHEAD! BLUE BLUE = = FLAT.New Trends in Corneal Topography Normal Values with Galilei Traffic light color distribution gives a meaning to scales of curvature.

New Trends in Corneal Topography Corneal Pachymetry is not only one value Normal distribution pattern: • Central warmer zone with concentric rings • Normal difference between peripheral and central average seems to be 150-200 μm .

New Trends in Corneal Topography Corneal Pachymetry is not only one value Galilei default distribution of colors is better because have 6 instead of only 3 green steps for normal range .

New Trends in Corneal Topography Corneal Pachymetry is not only one value Galilei default distribution of colors is better because have 6 instead of only 3 green steps for normal range .

New Trends in Corneal Topography Thickness Progression Profile Normal Slope Number of steps using scales of 15 μm or 20 μm 1 2 3 4 5 6 7 8 9 Steep Slope 1 2 34 5 6 7 8 9 10 11 12 • Simple and practical • No need of graphics or curves .

New Trends in Corneal Topography Thickness Progression Profile High astigmatism with KPI = 0% Normal slope: <10 steps of 20 μm .

New Trends in Corneal Topography Thickness Progression Profile Assymetric curvature with KPI = 14% Border line slope: 10 steps of 20 μm .

New Trends in Corneal Topography Thickness Progression Profile Keratoconus with KPI = 76% Steep slope: 13 steps of 20 μm .

07 μm/mm TPIB = (690-501)/2.75 μm/mm Future: Color maps made from TPI B .New Trends in Corneal Topography Thickness progression may be assymetric 12 steps of 20 μm TPI: Thickness Progression Index derived from overall linear regression y = Ax + B Ö TP = (TPI) d + T0 A Ö TPI = TP – T0 d Examples: TPIA = (647-501)/5.2 = 28.4 = 78.

New Trends in Corneal Topography Thinnest Point and Pupil Centroid N T Thinnest point thinner than 500 μm AND located beyond 1 mm from the pupil centroid is KCN until demonstrate against • Alzamora JB. Francesconi M. Variação espacial da espessura da cónrea medida por paquimetria quantitativa de área. Sartori M. In press . RJ. Schor P. Cultura Medica. Maidana EJ. Campos M. Chalita MR. Concenso Orbscan. Stillitano I. Arce CG. Nose W Editors. In: Arce C.

New Trends in Corneal Topography Pachymetry Map .

New Trends in Corneal Topography Clinic correlation with Topography Thinning Healing .

New Trends in Corneal Topography Deepness of opacities Horizontal Slit Vertical Slit .

New Trends in Corneal Topography Deepness of corneal layers .

MD –Bascom Palmer Eye Institute • Incongruency of anterior & posterior curvature • Thick cornea with asymetric and uncommon pattern • KCN Report: KPI = 40.6 % ≈ 590-610 μm CCT 654 μm Inferior KCN in Epithelium Fuchs Densitometry Maxthick 31 % with ≈ 691-714 μm cornea .Courtesy of Sonia Yoo.

Sign up to vote on this title
UsefulNot useful