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Basic of Orbscan - DR - Movahedan
Basic of Orbscan - DR - Movahedan
Basic of Orbscan - DR - Movahedan
Basic of orbscan
H.Movahedan MD
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What is Topography?
Topographic Technologies
• Placido disk –based topography
• Elevation-based topography:
– Slit-scanning topography (orbscan)
– Scheimpflug imaging (Pentacam-
(Pentacam-Galilei
Galilei--Precisio)
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Scheimpflug Principle
Schematic picture of a Camera Schematic picture of the Scheimpflug
Picture / Focus Plane Principle
Film Plane
Objective Plane
Picture / Focus Plane
Point of Intersection
Film Plane
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Video
Camera
October 1997 Orbscan II Concept 11
Deriving Elevation
Reflection Triangulation
• Primary
• Requires integration.
measurement.
• Accuracy degrades
• Uniformly accurate
peripherally.
over the measured
• Can not traverse surface.
discontinuities.
• Measures complex
• Placido skew ray surfaces.
error is significant in
clinically relevant
abnormalities (e.g.,
October 1997 Orbscan II Concept 12
keratoconus).
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• Multiple images,
• One image, one multiple surfaces.
surface. • Omni-direction
• Angle-dependent diffuse backscatter.
Two specular
prevailing
ORBSHOT
reflection.
employstechnologies have
Placido reflective been used ORBSCAN
•technology. for corneal
Triangulates
topography.
• Measures
employs Bothslope
slit-scan have (as
advantages
a of
technology. and disadvantages.
elevation.
II employs
The overwhelming advantage ORBSCAN
slit-scan systemsaishybrid
that
theyfunction
combination
measure of distance).
encompassing
multiple ocular
the surfaces.
best of both worlds.
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Color Problem
• Contours are evenly spaced (the normal band being
exceptional).
• Unfortunately, adjacent colors are NOT perceived as
uniformly equidistant.
• An interpretation should never be based on color.
– Instead perceive the topography behind the
colors, contours, and reference objects.
• The third purpose of this course is to warn you
about numerous interpretation pitfalls:
– contour and color problems
– axial artifacts
– elevation distortion and relativity
– power and curvature confusion
Optical Power
Max Red
(+ +)
• high power
• short focal length
(+)
• low power
• long focal length
Min Blue
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reference level
• low
(-)
• posterior to the
reference surface
posterior
Min Blue
Thickness
Min Red
(+)
• thin
(+ +)
• thick
Max Blue
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Global Perspective
12,000 miles
12,000 microns
12,000 mi
Topographical Elevation
is Relative
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Close-Fitting Reference
Surfaces Data surface
Topographic maps of terrestrial landscapes are displayed in
(cornea)
the form of constant-elevation contours, measured from
Corneal topography differs from terrestrial topography inthe
“mean
that thesea-level”
reference of the earth.
surface is not some fixed “mean sea-
level”, but is movable.
Elevation Relativity
Default settings:
• shape = sphere
• alignment = floating
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Maps
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Elevation Distortion
Data surface
Spherical
profile
reference surface
Relative
elevation
profile
Sharp center
Flat periphery
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Prolate Patterns
Central Hill
Toric Patterns
Central Saddle
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Prolateness-Toricity Fulcrum
E, Prolate T, Toric
Shape Factor Amplitude
29 points
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Image Convolution
Simulated
Original Picture Retinal Image
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Simulated
Original Picture Retinal Image
Summary
• Corneal Elevation Topography is viewed
relative to a reference surface
• Standardization of the reference surface is
necessary to allow meaningful
comparisons
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