Axial Length Flashcards

1
Q

What is the normal axial length

A

22-24mm

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

In combination with the corneal curvature, it determined the refractive state of the eye

A

Axial length

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

What is axial length important for

A

Calculating the power for the IOL along with keratometry

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

With an axial length of 20mm, we may suspect

A

HYPEROPE

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

With an axial length of 26mm, we may suspect

A

Myopia

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

Long eye

A

Myopic

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

Short eye

A

Hyperopic

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

What is the axial length in myopes

A

Longer than 24mm

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

What is the axial length in hyperopes

A

Shorter than 24mm

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

What does each mm of axial mismatch correspond to

A

2.3D to 3.4D of a refractive deviation

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

Separation between the posteiror corners and the anterior lens

A

Anteiror chamber depth

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

Normal AC depth

A

3.0-3.4 mm

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

What happens to the AC depth with age

A

Decreases to 2.0mm

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

What happens to axial length with age

A

Nothing

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

AC depth and cataract

A

Cataracts decrease AC depth

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

How soon should you treat a closed angle

A

ASAP, within 2 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Anterior chamber volume

A

220 and 171 +- 36 microliters

About 0.007 fluid ounces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Anterior angle chamber (iridocorneal angle) normal range

A

30 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Anterior chamber angle less than 30

A

Narrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Anterior chamber angle more than 30

A

Wide open

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The angle formed by the posteiror cornea at the root of the iris

A

Anteiror chamber angle

22
Q

What is associated with small anteiror chamber depth

A

Cataracts and glaucoma

23
Q

The measurement of pupil diameter

A

Pupilometry

24
Q

Clinical importance for pupilometry

A

Selection of optical zone in laser refractive surgery

25
Clinical importance of centroid shift
IOL andLaser ablation centration
26
Best way to measure pupils
Infrared
27
What size pupil should you look at when picking optical zone size
Scotopic
28
Centroid shift
When the pupil dilates, it doesn't necessarily stay in the center
29
Cyclotorsion
When pt lay done, there eyes rotate about 10 degrees. You don't want to be off by more than 3 degrees
30
Measuring the thickness of the cornea
Corneal pachymetry
31
Why is it not easy measuring the corneal thickness
It is not the same thickness throughout
32
What is the most reliable pachymetry
Cornea pachymetry map
33
The thickness of the cornea at the pupil center
CCT
34
Where is the cornea thickest
Superonasal
35
Is corneal thickness symmetric
No
36
What are the two numbers we report for corneal pachymetry
CCT and MinCT
37
Corneal enantiomorphic symmetry
Inferotemporal cornea should be the thinnest
38
Corneal thickness in the morning
Thicker
39
Measuring corneal pachymetry between two different eyes
Will not give you the same numbers
40
Where is the corneal thinnest
Apex (minCT), slightly inferotemporal
41
What is CCT defined at
The pupil center
42
Average CCT
520-580
43
CCT and age
No change
44
When is CCT thicker
Upon waking
45
Between two different devices, what kind of difference will you see in measuring CCT
20 microns difference
46
Why is corneal thickness important
It can mask an accurate reading of eye pressure
47
When is IOP underestimated
Thinner CCT
48
When is IOP overestimated
Thicker CCT
49
What kind of cornea will you see in corneal dystrophy
Thick
50
Ocular health indicators of thick cornea
- endothelial cell damage, Fuchs dystrophy - corneal edema, bullus keratopathy, posteiror polymorphous dystrophy - herpes keratitis, DM, hyperglycemia
51
Principle of operation of scheimpflug image pachymetry
High resolution, high depth of field imaging
52
What did scheimpflug do
Tilt the lens