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PubMed · 7627762

Video controlled M-mode biometry.

Abstract

To increase the accuracy of intraocular lens power calculation, an interface between an ultrasonic A-scanning device and a personal computer was created, allowing for an on-line interpretation of the ultrasonogram in an M-mode fashion. On the same computer display, a video recording of the movements of the transducer probe relative to the eye was inserted to obtain simultaneous information on the external alignment of the transducer probe. The precision of the experimental set-up in the measurement of intraocular distances was compared with conventional A-scanning procedures run in automatic mode. The video controlled M-mode biometry was found easy to operate and to result in reproducible axial length determination: The median value of the standard deviation was found to be below 0.04 mm as compared to a value of about 0.10 mm with conventional equipment. We concluded that video controlled M-mode biometry has great potential in the endeavour to increase the accuracy of intraocular lens calculation.

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BibTeXRIS

P K Jensen, R Rask, T Olsen. 1995. Video controlled M-mode biometry.. https://doi.org/10.1111/j.1600-0420.1995.tb00015.x

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Model of pulsatile-flow of aqueous humor through the iris-lens canal.

PURPOSE: To present a model of pulsatile-flow of aqueous humor from posterior (PC) to anterior chamber (AC) and to analyze the sensitivity of this novel model in detecting typical high risk conditions predisposing to pupillary block. METHODS: The model assumes noncontinuous flow of aqueous through the iris-lens canal. Aqueous that fills the canal will be ejected toward the AC-side of the canal at certain time intervals, and between 2 events of aqueous ejection there is no actual flow through this canal. Pupillary pumping rate (PPR) was calculated from the aqueous flow rate and the calculated volume of iris-lens canal. RESULTS: PPR values were generated by incorporating pupillary diameter (1 to 8 mm), aqueous flow rate (1 to 2.5 microL/min), and iris-lens canal width (0.5 to 2 mm) and height (3-9 microm) in numerical experimentation with the present model. PPR showed inverse dependence on iris-lens canal height and pupillary diameter and was directly proportional to aqueous flow rate, in agreement with the steady-flow model. However, contrary to the steady-flow model, PPR showed inverse dependence on iris-lens canal width and predicted the anticipated PC-AC pressure gradient changes at simulated light-dark transition in eyes of patients with clinically narrow angles and ultrasound biomicroscopy evidenced pupillary block. CONCLUSIONS: Upon the incorporation of real ultrasound biomicroscopy measurements in numerical experimentations with both models, the present pulsatile-flow model, contrary to the steady-flow model, showed good predictability of PC-AC pressure gradient changes in a typical condition predisposing to pupillary block.

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