Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “ASTIGMATISM”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 505 records · Page 28Linked to original sources

Keratometric astigmatism after suture removal in penetrating keratoplasty: double running versus single running suture techniques.

BACKGROUND AND OBJECTIVE: To compare astigmatism after suture removal in a retrospective sequential series of patients who had penetrating keratoplasty with either a double running suture technique or an adjustable single running suture technique. During the first year postkeratoplasty, when sutures were in place, the latter technique had produced less astigmatism. MATERIALS AND METHODS: Keratometry and keratometric astigmatism were measured before and after suture removal. We compared these variables in 30 grafts with the double running suture technique to the same variables in 24 grafts with the single running suture technique. RESULTS: The final portion of the double running suture was removed 408 +/- 177 (mean +/- SD) days after keratoplasty, whereas the single running suture was removed 611 +/- 224 days after keratoplasty (P<0.001). After suture removal, there was no difference between the double running and single running groups in either mean keratometry [46.5 +/- 1.8 diopters (D) versus 45.6 +/- 2.0 D, P=0.09, minimum detectable difference (MDD)=1.5D] or mean astigmatism (4.6 +/- 2.7 D versus 5.2 +/- 3.2D, P=0.72, MDD=2.3). CONCLUSION: In this consecutive series of corneal transplants performed by one surgeon, the results suggest no difference in astigmatism between the two suturing techniques after all sutures have been removed.

Astigmatism↗

The effects of astigmatism on sensitivity to sinusoidal and square wave gratings.

Contrast thresholds for different spatial frequencies were measured for four individuals with optimum optical correction and with 2 D of astigmatism induced at various meridians. Sensitivity for sine waves of low spatial frequencies was unaffected by the astigmatism; however, gross changes were found at high spatial frequencies when the astigmatism was induced with the power meridian perpendicular to the orientation of the stripes. For square waves, the results were comparable at high spatial frequencies, but astigmatism also produced a decrement at 0.2 cycles/degree. This latter effect can be predicted by assuming that astigmatism results in a loss of higher order harmonics in the response to square waves.

Astigmatism↗

Flexure and residual astigmatism with Polycon and polymethyl methacrylate lenses on toric corneas.

Previous investigators have shown that thin polymethyl methacrylate (PMMA) contact lenses (less than or equal to 0.12 mm) flex on toric corneas, thereby altering the residual astigmatism. The present study was designed to evaluate the flexure and residual astigmatism of gas permeable Polycon contact lenses on toric corneas and compare the results with those obtained with PMMA lenses on the same corneas. Eight subjects (16 eyes) with corneal toricities ranging from 1.25 to 4.25 D wore four pairs of identical Polycon and PMMA lenses. The only lens parameter that varied was center thickness, which ranged from 0.07 to 0.16 mm. Flexure and residual astigmatism were measured on all corneas with all lenses in a double-masked fashion. Our results indicate that Polycon lenses undergo significantly more flexure and alter residual astigmatism more on toric corneas than PMMA lenses at all center thicknesses evaluated. For both materials, flexure and residual astigmatism increased as center thickness decreased. The clinical implications of these findings are discussed.

Adult↗

Flexure and residual astigmatism with cellulose acetate buterate (CAB) contact lenses on toric corneas.

Thin contact lenses flex on toric corneas, thus changing the residual astigmatism. Our study evaluated the flexure and induced astigmatism of CABCURVE cellulose acetate buterate (CAB) contact lenses on toric corneas and compared the results with those found for polymethyl methacrylate (PMMA) and Polycon lenses. Ten subjects (20 eyes) with corneal toricities ranging from 1.12 to 3.12 D wore six CABCURVE lenses with center thicknesses from 0.10 to 0.20 mm. Flexure and induced residual astigmatism were measured on all corneas with all lenses in a double-masked fashion. We found that all the CABCURVE lenses flexed on the toric corneas and altered residual astigmatism. Both flexure and induced residual astigmatism increased as center thickness decreased, and were greater than with PMMA or Polycon lenses of similar dimensions. These findings should be considered when deciding which lens type to fit on patients with toric corneas.

Adult↗

Effect of cyclodeviations on the axis of astigmatism (for patients with superior oblique paresis).

Cyclodeviations may interfere with fusional ability and may also affect the refractive status. If a cyclodeviation is present, the axis of astigmatism determined under monocular viewing conditions will be different from that determined under binocular viewing conditions. The change in the axis should correlate with the amount and direction of the cyclodeviation. We measured the refractive status under monocular and binocular viewing conditions of patients with cyclodeviation of 3 degrees or more and astigmatism of 1.00 D or more. All patients had superior oblique paresis. We then compared the change in the axis of astigmatism to the cyclodeviation measured with the double Maddox rod test. The average change in the axis of astigmatism was 5.0 degrees and the average cyclodeviation was 5.2 degrees. We recommend that all patients with 3 degrees or more of cyclodeviation, 1.00 D or more of astigmatism, and capable of fusion should have their refractive status determined under binocular viewing conditions.

Adult↗

The relation between corneal and total astigmatism.

Using computer-assisted videokeratoscopy we measured corneal astigmatism and compared these results over a range of corneal zone diameters with total ocular astigmatism derived by subjective refraction. Videokeratoscopes permit a more detailed analysis of the power distribution within a given corneal surface area, enabling comparison to the total astigmatism for equivalent aperture sizes. Although there were significant individual variations, the group average data supports the traditional view of a linear relation between corneal and total astigmatism. This was true across the range of apertures tested from 2 to 7 mm, with the coordinates of the relation being consistent with that of the modified Javal's rule; namely a slope of 1 and an intercept of approximately 0.50 D against-the-rule residual astigmatism.

Adult↗

A unified paraxial approach to astigmatic optics.

In Gaussian optics properties such as dioptric power, lateral and angular magnification and thickness are simple scalar concepts. In linear optics, the optics of thick astigmatic systems, however, these concepts generalize to three-dimensional concepts in some cases (the dioptric power of thin systems, for example) and to four-dimensional concepts in general. As a result, the quantitative treatment of these properties in astigmatic systems presents challenges to the researcher in optometry, ophthalmology, and vision science. Considerable progress has been made only in the case of dioptric power. This paper presents a generalized approach to astigmatic optics which allows different physical properties to be treated in the same way: the theory is unified and, in a sense, complete. Mathematical and statistical methods developed for treating one concept become directly applicable to others. The paraxial optical properties of any optical system are completely defined by the 4 x 4 ray transfer matrix, called here the (ray) transference. The transference defines four fundamental properties of an optical system, tentatively called here positional magnification, optical thickness, divergence, and directional magnification. They are the four 2 x 2 submatrices A, B, C, and D of the transference. Each fundamental property is a modification of a familiar concept. Divergence is the negative of dioptric power expressed as the dioptric power matrix F. The four fundamental optical properties A, B, C, and D, and the derived property F, despite being different physically, all have the same underlying mathematical structure. This fact is exploited in developing a unified theory. The theory is complete in the sense that the fundamental properties fully characterize the paraxial optics of any system. The paper presents a general treatment that applies to any of the five properties. The implications are far reaching and extend beyond what can be described in the paper. Dioptric power of thin systems is treated as a particular application of the general theory. The result is the resolution of a number of issues of current interest to the researcher. It is shown, for example, that root-mean-squared (curvital) power, root-mean-squared torsional power, and length of the power vector (or dioptric strength) have a Pythagorean relationship, the power vector being the hypotenuse. Mean-squared curvital and torsional powers are in effect the area enclosed by polar profiles of curvital and torsional power, respectively. The full character of dioptric power cannot be represented by a single vector in the usual sense of the term. Two vectors are required: they are the meridional (vector) power and the orthogonal (vector) power, both of which are associated with the reference meridian. The power along a meridian (often thought of as a scalar or as two scalars) is a vector, the meridional power. This meridional power has components along (the meridional component of the meridional power) and perpendicular to (the orthogonal component of the meridional power) the meridian. In the literature, these components are the curvital power and the negative of the torsional power, respectively. The paper also examines the generalization of these results to the dioptric power of thick systems. Dioptric power is not a fundamental optical property but a derived property. Divergence, the negative of dioptric power, is the corresponding fundamental property. The theory described here is ray-based. The concept of the wavefront is unnecessary. The many formulas and concepts that apply in the context of dioptric power apply directly to the fundamental properties as well. The theory has the potential to provide a complete framework for future studies of astigmatic systems and could systematize the approach to and enhance the knowledge of astigmatism.

Astigmatism↗

Treating astigmatism at the time of cataract surgery.

Correcting astigmatism at the time of cataract surgery can be accomplished either by incisional techniques, such as use of a cataract incision for flattening or astigmatic keratotomy, or by implanting a toric intraocular lens. Both methods can reduce mild to moderate astigmatism. For correcting larger amounts of astigmatism, a combination of techniques can produce greater correction. New methods of analyzing the change induced by surgery provide a more complete understanding of the astigmatic change.

Astigmatism↗

Reduction of hyperopia and astigmatism after superficial keratectomy of peripheral hypertrophic subepithelial corneal degeneration.

PURPOSE: To report the development of progressive hyperopia and astigmatism resulting from peripheral hypertrophic subepithelial degeneration which was treated with superficial keratectomy of the lesion. METHODS: Case report. RESULTS: A patient with peripheral hypertrophic subepithelial degeneration of both corneas was followed up for a 6-year period. During this time, the patient experienced a slowly progressive increase in hyperopia and astigmatism in both eyes. In the left eye, extension of the degeneration paracentrally resulted in significant hyperopia and astigmatism and a best spectacle-corrected visual acuity of 20/70. Superficial keratectomy was performed and resulted in a dramatic reversal of the hyperopic and astigmatic shift and a best spectacle-corrected visual acuity of 20/30. CONCLUSIONS: Peripheral hypertrophic subepithelial corneal degeneration can result in progressive flattening of the central corneal topography in the involved meridians. This flattening can induce a significant hyperopic and astigmatic shift in refraction. This refractive change can be reversed with superficial keratectomy to remove the degeneration.

Aged↗

A longitudinal study of the age dependence of human ocular refraction--III. The mediation of changes from direct to inverse astigmatism examined by means of matrices of transition probabilities.

This study enquires into the manner in which the axis of astigmatism changes in the course of individual refractive histories. Specifically, two related problems are addressed: (1) how is the change from direct to inverse astigmatism mediated, and (2) what is the range of relative proportions of each of four variables (spherical ametropia, direct, inverse and oblique astigmatism) that occur in a sample population so that it can be considered randomly sampled and well distributed? Solutions to both problems are obtained by calculation of the probabilities with which transitions between such variables occur. A moderately sized longitudinal sample is used to demonstrate the new method. One of the conclusions is that the biological strategy for the mutation of the astigmatic axis is multi-faceted and that there is unlikely to be a single cause which can explain the process by which inverse astigmatism is achieved.

Adult↗

Astigmatism, accommodation, the oblique effect and meridional amblyopia.

The variation with accommodation in the dimensions of the geometrical blur ellipse that is formed on the retina of the astigmatic eye is explored in relation to orientation dependence of the corresponding line-spread function (LSF) and modulation transfer function (MTF). It is shown that if theta is the orientation of the line or grating with respect to the more powerful meridian of an eye having C dioptres of astigmatism, the optimal accommodation response varies as 0.5 C cos2 theta. The analysis is extended to include the effects of diffraction. Even at optimal focus, the diffraction-limited MTF at 45 degrees to the principal meridians of an eye with small amounts of astigmatism is substantially degraded. For example, with a 3 mm pupil and only 0.50 DC of astigmatism, the first zero in monochromatic modulation transfer at 555 nm occurs at approximately 32 c/deg in the oblique meridian as compared with 94 c/deg in the principal meridians. The results are used as the basis of a discussion of the possible role of infant and juvenile astigmatism in the development of the oblique effect and of meridional amblyopia.

Accommodation, Ocular↗

Comparison of objective methods for quantifying the refractive effect of photo-astigmatic refractive keratectomy using the MEL-60 excimer laser.

PURPOSE: To investigate the accuracy and precision of automated keratometry, automated refractometry, and computerized corneal topography in estimating the subjective refractive outcome of photo-astigmatic refractive keratectomy six months postoperatively. METHODS: Photo-astigmatic refractive keratectomy (Aesculap-Meditec, MEL-60 Excimer Laser) was performed on 26 eyes with a preoperative myopia ranging from -4.0 to 7.6 dioptres, and a naturally occurring astigmatism from 0.75 to 5.0 dioptres. Six months postoperatively refractive outcome was evaluated by automated keratometry, automated refractometry (Nikon NRK-8000), computerized topography (TMS-1), and subjective refraction. Estimate errors were computed as the difference between the change in subjective refraction and the change in automated keratometry, automated refractometry, and surface topography, respectively. Astigmatic changes were evaluated by the second harmonic component in the Fourier series analysis. RESULTS: Subjective spherical as well as cylindrical values were reduced significantly six months postoperatively. The estimate error (mean +/- one standard deviation) for automated keratometry was -1.26 +/- 0.72 dioptres for the spherical equivalent and -1.36 +/- 1.02 dioptres for the cylinder; for automated refractometry it was -0.78 +/- 0.91 dioptres for the spherical equivalent and -0.66 +/- 0.92 dioptres for the cylinder. The best estimates of subjective changes were obtained when the average of ring 2 and 3 of the topographic data was used: -0.15 +/- 0.82 dioptres for the spherical equivalent and -0.78 +/- 0.80 dioptres for the cylinder. CONCLUSIONS: The computerized topographer with the Fourier analysis was superior to automated keratometry and automated refractometry in estimating the subjective spherical refractive outcome and comparable to automated refractometry in estimating the subjective cylinder refractive outcome after photo-astigmatic refractive keratectomy.

Adult↗

Prevalences of astigmatism and anisometropia in adult danes. With reference to presbyopes' possible use of supermarket standard glasses.

A report is given of astigmatism and anisometropia prevalences in an adult hospital sample considered refractively unselected. Astigmatism of at least 0.75 cyl value (by subjective trial) appeared in 20% (n = 600), or in 16% of all eyes (some cases being unilateral). Twenty per cent of astigmatic eyes had an oblique axis. Inverse astigmatism (against rule) showed increasing frequency with age. In a sample analysed for anisometropia (n = 1.200) 9% had a side difference of 1 D or more, while 75% had strict isometropia. Eyes with astigmatism and anisometropia are grouped mainly towards the ametropic ends of the refractive distribution curve, away from emmetropia. The data are used for assessing to what extent the presbyopic population can expect benefit from some newly introduced supermarket standard reading-glasses (+1 to +4 D). Probably, about two thirds can use them. Having had a tradition of individual prescription in our country, the offer of standard glasses without professional trial may eventually result in fewer ophthalmic disorders being diagnosed 'by chance'.

Adolescent↗

A longitudinal study of a population based sample of astigmatic children. I. Refraction and amblyopia.

The refraction changes in 310 children with astigmatism greater than or equal to 1.0 D in at least one eye at one year of age were followed during a period of 3 years. At the age 4 years amblyopia was found in 23 children (7%). The refraction data of these children were compared to the rest of the sample. We found that an increasing astigmatism during the test period was associated with an increased risk to develop amblyopia. The majority of children (n = 280) showed a decrease of their astigmatism, whereas all cases with a marked amblyopia (V.A. less than 0.5) or binocular amblyopia, except one, had an increasing or unchanged astigmatism during the age period 1 to 4 years. Strabismus and oblique astigmatism at any time during the test period was also strongly related to amblyopia. The incidence of strabismus (1%) was unexpectedly low. The study also showed that independent of age there was no simple relationship between amblyopia and refraction errors measured at a single test session. The main conclusion of this study is that failure of emmetropization may play an important role in visual development.

Amblyopia↗

A study of the axis of orientation of residual astigmatism.

The aim of this study was to determine the axis of orientation of residual astigmatism in a sample of human eyes applying the principle of astigmatic decomposition. Calculations were carried out on keratoscopic and refractive data collected from the right and left eyes of 70 subjects (37 male and 33 female students) of mixed race (including 25 Asians and 43 Caucasians). No statistically significant difference was found for mean levels of residual astigmatism measured in the right (0.46 DC x 98.2 degrees) and left (0.50 DC x 99.4 degrees) eyes. Residual astigmatism was predominantly against-the-rule (83% of right eyes and 66% of left eyes) and was within +/- 20 degrees of being perpendicularly disposed relative to the corneal astigmatic power axis in two thirds of the eyes measured. No statistically significant differences were found for either gender or race.

Adolescent↗

Reliable keratometry with a new hand held surgical keratometer: calibration of the keratoscopic astigmatic ruler.

AIM: Some surgeons consider hand held surgical keratometers unreliable. This may be due to incorrect use through not realising that the distance that the keratometer is held from the cornea influences the shape of the image. When a keratometer is held closer to the astigmatic cornea, the elliptical image will appear more circular, particularly for larger degrees of astigmatism. However, the keratoscopic astigmatic ruler (KAR) has design features that correct the hitherto unrecognised problems with the use of a hand held keratometer. This study assesses the reliability and accuracy of measurement of astigmatism using the KAR. METHODS: The KAR and the Bausch & Lomb keratometer (B&L) were compared using six back surface toric cut contact lens blanks representing 1 to 6 dioptres of astigmatism. Two observers (one experienced in the use of the keratometers, the other a novice) took eight randomly repeated "masked" measurements of each lens blank with the KAR and four measurements with the B&L in a similar fashion. RESULTS: There was no difference between the measurements with either instrument by each of the observers (p = 0.95, ANOVA). The standard error of measurement for the KAR was 0.59 D, for the B&L, 0.31 D. The intraclass correlation coefficient of reliability for the KAR was 0.90 and for the B&L it was 0.97. The coefficient of repeatability for the KAR was plus or minus 0.83 D, and for the B&L plus or minus 0.77 D. The interobserver reliability for the KAR was 0.898, and for the B&L, 0.975. CONCLUSION: These results suggest that the KAR has good reliability and reproducibility and compares favourably with the B&L keratometer. Inexperience with use does not affect reliability.

Analysis of Variance↗

Evaluation of 6.5-mm BENT incision to reduce postoperative astigmatism.

We examined surgically induced astigmatism following 6.5-mm incisions between 9 and 12 o'clock (BENT incision) in 50 cases with cataracts who underwent phacoemulsification-aspiration and 6-mm intraocular lens implantation. The surgically induced astigmatism (n = 50) shifted to against-the-rule astigmatism (ATR; -0.03 +/- 0.95 dpt) 1 day after the operation and then tended to shift to with-the-rule astigmatism (WTR). The results of a group with preexisting ATR (> 2 dpt; n = 4) were similar to the results of the aforementioned group, whereas the results of a group (n = 7) with preexisting WTR (> 2 dpt) were different. Astigmatism in this group shifted to ATR of about 1.0 dpt. This study suggests that the BENT incision procedure can reduce both preexisting WTR > 2.0 dpt and preexisting ATR > 2 dpt.

Aged↗

Severe astigmatic blur does not interfere with spectacle lens compensation.

PURPOSE: Whether either natural emmetropization or compensation for imposed spectacle lenses requires the visual system to distinguish myopic from hyperopic blur is controversial. Some have argued that the visual system need only respond to the magnitude of the blur. This study was undertaken to test whether adding large amounts of astigmatic image blur would cause myopia and interfere with compensation for positive or negative spectacle lenses. METHODS: Chicks were fitted with mixed astigmatic (toric) lenses with +5 D on one meridian and -5 D on the orthogonal meridian (Jackson crossed cylinders), thus producing massive blur while having no spherical equivalent power. Chicks wore these lenses either alone or in combination with +6 D, +3 D, -3 D, or -6 D spherical lenses. To produce a similar degree of image degradation in a different way, other chicks were fitted with weak diffusers, with or without spherical lenses. RESULTS: Eyes fitted with astigmatic lenses alone became mildly hyperopic, whereas those fitted with weak diffusers became mildly myopic. Eyes wearing both the astigmatic and spherical lenses compensated as completely for the spherical lenses as did the eyes wearing spherical lenses alone-the compensation being caused by changes in both choroidal thickness and ocular length. Eyes wearing weak diffusers and spherical lenses also compensated but did so without a change in choroidal thickness. CONCLUSIONS: Severe astigmatic blur does not interfere with spectacle lens compensation. From this it can be inferred that the average amount of blur is not an important error signal for spectacle lens compensation and therefore probably not for emmetropization either. These results strengthen the case that the sign of defocus is used to direct eye growth.

Animals↗