a tnt = 2.101 iAssort and Pentacam for an Alpins Astigmatism Analysis Noa! Apns, FRANZCO, FROORHN, FACS Me George Staratelats 8 Se. Opto) oo he parameters obsined from topography sy tomar cently underlined when managing pate The dita derived fom the simalted leraomety (Sin KY wales exn be wed eo perform an ‘objetine corneal ana of sui outcomes when tring stigmation, Anes by subjective refacve prunes lone ar sujet to is ste tating in an saware ofthe trgeed end pit Hence aputalel tspmatam nays by both cornea and reli par nee recommended. Farhermorerandadnd mesures foreleg Iaiy and any comealecatveasigmatiom dixepancy canbe calaltd wo determin seo surgery and i kel secs prio beng psormed “The Ase iar fr atigatim analy which ince wih several opograpy tans i dsigned s ‘imple caeator inform the agen ofa he above inci whether the ignated war ovr o¢ wih peopentive Sim Ke of 4.600 ata asp meridian {OF 10 dees and postoperative Sim Ks of 78D @ 86 ‘whch are impr fom the cls Petacim epg hes. Maki vit canbe ana by scrling gh fhe impor dats. “The wer has the option of entering a mail re fron ~ eh il allow he cule real stigmas (ORA) eo be calculated and displayed. This etr value “ante te comelreictive diference and a good. Pogo guide othe ily mecca gmat o- ‘recin ith ny ej tis peasy of couse that the ‘er ens an astigatc ueasment in doptes and an intended meri to be Ratna for the anasto ppst a thsi nor owt the poppe {Ane Alpine stigma analy in the mote sen fom requis 2 elon af the 4 following p- under cece, wheheriewas"on” [== ‘ono ai and to quay sucess Sched and ais i nomogam When sclecing the ropogapy map fromm any review vie, ISOCE sv ienpore he Sin Koch 3,5 and Tran one Rat and tsp parame tere Thi dled for he cls yeduerialy and reply ‘an age, sic rc and ‘ne oersogae, Fir The seen ppearsn he Osu Penta tool ba ante ‘gue 2 displays che numeri aad reviow vs tat av bon sled by he usa forex othe Alpine anal using am example WSO sofa, ‘cue a SN) Fur 2:Aumeical pins rss pared using Asso stare installed on "be Oe “The Corection Index (CD is aio of dhe sr aly induced asigoatism eco (SI) versas ‘he target indaced astigmatism vector (TTA and Sey would be wi A CI reste tha 1.0 i dies an overconecton of the astigmatism and 4 Clee han 1. indices an decoction (oF the atigmation arment, I the exrple Shown in Figure 2, the Cis 1.24 indi a 249% ovewometon of thet stigrac “The Index of Sucss (109) ea rave mesure faces andthe aio the dierece vector (DV) died bythe TIA. The DV ithe change ‘hse would enable the rel ofthe nil ugery to aioe is intended elated target, The pest rest forthe [OS woul be 220 as no Sigmatin remsinn)indting that 100% of the ttre atlgate enten wa aceved ‘igure 2 dpay an 108 of 0.42 meaning 58% sees in teting the intended astigmatism Peta 3. The Magnitude of Eror (M of E indicates the erence n magnitudes been the SIA vert the TIA ad spake For over corte ane negative fr ner conaons Inthe example, the M of Bis + 1 03D quanciing the orerco- ‘tion in dogs ema 4. TheAngleof Eno (A of) displays whether tbe asigmatsi wearment was ‘on or of” sand iene deprerby the angen subrends the SlAand TA. thas ngaie magaiude it isina doce deion and pose oe ic Irina coumerlceisedirecon. The outome in Figure 2 dipays the epee trate Functionally appli 9 dere locke wo at intended. ‘When examining patient stil fr Ie von core, ery tefl preter isthe ORA which i ‘lealtd the veri difference beeen the come tnd efactive (ome plane) agai. sigfcane ‘mount of ORA (20.75D) may adver athepatel vou outcome — If for cramp pate pre sented with a specuctepresipdon of «025-250 Ac Sand the ORA wa inthe onde of 1.50, chen a fll, correction would no be pole when asin both (he corns tnd weactearipmata, The serge ean advise the pant scoring aead of tne that here woul be some resid axigmatism potopertely and ‘he procedure may noe be minbl feted solely by ‘efacthe pemnece aloe, ws cece wigan ell ‘ea othe comes i fly nea the ier RA, “The topographic dpaity (TD) can be wed a « standarded meat of cone inegulaiy wing con ter aed idenerstography(CAVK) parameter, [defined the vectorial diffrence beeen the pein dif epogephil ves (mene ate Sen 2 inthe numeri displ), calculated in ops on 1 double sgl weer dngam (DAVD). Agape epreerton of the paramere sil foc thee wrgeone tat woud ike ta invent the cle ‘alation ofthe wer in nore detail The polar diagram ‘liplaye she parameters they would appr on am je gore 3). ex imporeane vo note that the comes aigmaic “Target may not be tere andi 1.130 in the example sown ia Figure 3, This apis atthe sural trent entered her is ot bse onthe preopernve Sim Ks but on the manifest asigmatic eomponeat of therefacion = 427 Ax 107 (ena plane In eater at the othe end ofthe specu where the teatnent sb Selon thse cornea parmetes osphaie the comes then the come Tage wil be 20. “To ae the thee principal sia vaio SUA, TIA and DV, 4 DAVD mist be ued, Aer the cl ton, polar digs is rote vo they can be dip des they woul operon the ee saber han on Faure: graphic Ais ars f cornea sigma paying te eouble ange vector agra (V0) sed to calc the aay Pl dara a sopraty ‘oun astenatisn parameters an sila ves,nyt ol tay mama consuuc oF double angle plot. igre 3 ips dhe TIA or the aa rate oiginatng, | acthe peopertive stigmata of 4609 @ 20 (double angle) and terminating a the now ero tps of 1.139 (@ 514 onthe DAVD. | The SUA spain origins a the preoperative aig- maim onthe DAVD but en ats pssoperatie a ‘goa of 78D @ 172. The DV = LSID Ax 328 Inthe line ha connect the achieve signa to he ‘ager on s DAVD, [ote dha the aes af hee vets must be hale fiom the cleultion a the DAVD to be dplayed ona Par diagam and simu how they appt onan ee However i is important to note dar the magnitudes semi the sme thi procs, In addin, hf vil smbol (cs and coe se) ae displayed in the usc snalas ofthe iA sore sofate to ais the sgn at 1 whether each ‘fhe Alpin analsspaaetr fil within oud ‘ape tify tages: The benef the soe ‘ofan + Abeer undemtanding of poppy changes afer surgery providing more uty to this Tune devi, + Calelaion of astigmatism auscomes sing the -Alpins mebod of signa analy o ua tify ers gauge soar and adjust pong + Assesment of ORA and TD a fil prope ‘ative sanded parameter frases sr ysl and patent expecraions, + Incwasing diagpontic vale to the Petacam ad other eopogtpers fra quate anal of ‘hechanging comea astigmatism parameters terse 1. Aan. asgasmanas ty tra. cane Pte Sp 20211 anil Dicloe: Both author have nailer ine Arr Sta