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IN THE NAME OF GOD

IN THE NAME OF GOD. Dr. Amin Hossein Rahgozar. Pentacam. 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

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IN THE NAME OF GOD

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  1. IN THE NAME OF GOD Dr. AminHosseinRahgozar

  2. Pentacam

  3. 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

  4. Continue

  5. continue • 50 images during one scan with 500 true elevation points per image (total 25000 points) • Repeatable with high sensitivity (compare 2 exams)

  6. The Pentacam Program • Patient • Examination • Settings • Display

  7. 4 map selectable • 1. Ant. Elevation • 2. Post. Elevation • 3. Sagittal curvature (front) • 4. Pachymetry

  8. 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 ectaticdisorders (in the central zone) • Posterior Elevation differences >16 μm are suspicious

  9. 1 large color map

  10. Ellipsoid

  11. Keratoconus map • 1. Indices • 2. Thickness progression • 3. Sagittal curvature • 4. Corneal thickness • 5. Back elevation

  12. 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

  13. Keratocounus indices (only ant. Surface)

  14. Belin/Ambrosio Enhanced Ectasia Display • 1.Standard v/s enhanced BFS • 2. Pachymetric map • 3. Corneal thickness & progression (CTSP- PTI)

  15. Standard v/s enhanced BFS Standard Best Fitted Sphere (BFS) Enhanced BFS

  16. 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

  17. 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 03114476010 داخلی 392تماس حاصل نمائید با تشکر

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