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Dr. Amin Hossein Rahgozar
IN THE NAME OF GOD Dr. Amin Hossein Rahgozar
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Pentacam
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Advantages: Scheimpflug rotating camera with central camera for fixation Elevation based system Slight blue light Eliminate the effect of eye moving Exact pachymetry Near virtual pictures of AC in 2 seconds Measure of AC angle, AC volume, AC depth, pupil diameter and eccentricity More exact post corneal elevation measuring
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Continue Anterior elevation Posterior elevation Pentacam 6.5 9.8
Orbscan 10.3 30.3
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continue 50 images during one scan with 500 true elevation points per image (total points) Repeatable with high sensitivity (compare 2 exams)
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The Pentacam Program Patient Examination Settings Display
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4 map selectable 1. Ant. Elevation 2. Post. Elevation
3. Sagittal curvature (front) 4. Pachymetry
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Elevation interpretation
If you are using the manual 8 mm zone for fitting the BFS, the proposed screening Anterior Elevation differences > +8 μm are typically indicative of keratoconus or other ectatic disorders (in the central zone) Posterior Elevation differences >16 μm are suspicious
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1 large color map
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Ellipsoid
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Keratoconus map 1. Indices 2. Thickness progression
3. Sagittal curvature 4. Corneal thickness 5. Back elevation
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Indices ISV = Index of surface Variance
IVA= Index of Vertical Asymmetry KI= Keratoconus –Index CKI= center Keratoconus –Index Rmin=Radii minimum IHA = Index of Height Asymmetric IHD = Index of Height Decantation ABR = Aberration coefficient
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Keratocounus indices (only ant. Surface)
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Belin/Ambrosio Enhanced Ectasia Display
1.Standard v/s enhanced BFS 2. Pachymetric map 3. Corneal thickness & progression (CTSP- PTI)
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Standard v/s enhanced BFS
Standard Best Fitted Sphere (BFS) Enhanced BFS
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Holladay Pentacam Report
A. Measuring of Equivalent K-Reading (EKR) B. Detecting Form Fruste KC 1.Relative pachymetry > -5% 2. Back elevation > 15 micron 3.Nipple in Tangential map > 48 D
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ضمن عرض پوزش بدلیل حجم بالای LECTUER ادامه اسلایدها امکان پذیر نمیباشد در صورت نیاز به ادامه لطفا به واحد سمعی و بصری مرکز آموزشی درمانی فیض مراجعه و یا با شماره تلفن داخلی 392 تماس حاصل نمائید با تشکر
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