7.1 - Introduction to Astigmatism Flashcards

1
Q

What is astigmatism

A

Difference in power between two principal (perpendicular) meridians

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What happens in astigmatism

A
  • Variation in focussing distance with meridian - each meridian varies = not same for both meridians like it is in spherical ametropia.
  • Theres a difference in focussing because the geometry of surfaces will lead to light being refracted in different ways - changes with meridian
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is a toric surface

A

Surfaces which have different curvatures along two perpendicular meridians

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are classifications of toric surfaces

A

Ring torus
Barrel
Capstan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What happens in the different classifications of toric surfaces

A

Curvatures along different meridians changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens in a capstan toric surface

A

Curvature along vertical section is shallow compared with curvature along horizontal along equator = this difference in curvature refracts the light differently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is special about toric surfaces that give rise to astigmatism

A

They occur at different points in the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are 2 examples of astigmatism in the eye

A

Corneal astigmatism - toric shape of cornea giving rise to it
Lenticular astigmatism - due to shape of lens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How many meridians do cyl lens have and what is the power of one of them

A

2 meridians

Plano in one meridian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where is the cyl axis marking along in a cyl lens

A

Along the Plano direction - no cyl power here

Along the meridian with no cyl power - Plano

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where is the cyl power found in a cyl lens

A

cyl power is along a direction perpendicular to the cylinder axis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the standard axis notation

A

Going anticlockwise from 0 to 180 starting at horizontal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is axis marking for observers view

A

0 on right

180 on left

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What % of young adults have 0.25 power cyl or more

A

63%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What % of young adults have >1 power cyl or more

A

18.9%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is prevalence of astigmatism higher in for age

A

Children
28.4% have >1DC between ages 5 and 17
Prevalence might increase in older adults

17
Q

What is prevalence of astigmatism higher in for ethnicity

A

Higher prevalence in East Asians and Native Americans

18
Q

Which has higher prevalence - with the rule or against the rule

A

WTR has a higher prevalence in the young but shifts to ATR after age 40

19
Q

What is with the rule astigmatism

A
  • Steepest curvature in vertical meridian
  • Vertical meridian = least hypermetropic or most myopic
  • Negative cyl axis 180 ± 15
20
Q

What is against the rule astigmatism

A

Steepest curvature in horizontal meridian

negative cyl axis 90 ± 15

21
Q

What is compound hypermetropic astigmatism

A

Both meridians hypermetropic as behind retina

22
Q

What is simple hypermetropic astigmatism

A

One meridian on retina and other behind it

23
Q

What is mixed astigmatism

A

Meridians either side of retina - one myopic and one hypermetropic

24
Q

What is simple myopic astigmatism

A

Focus on retina and other infront = negative cyl and no sphere

25
Q

What is compound myopic astigmatism

A

Negative sphere and negative cyl = both in front of retina = both meridians myopic

26
Q

What is astigmatism corrected by

A

Toric lenses