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  • Term: keratometer
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    keratometer!


    keratometer

    Comprehensive Analysis



    1) "Keratometer" -- As to keratometer


    A keratometer, also known as a ophthalmometer, is a diagnostic instrument for measuring the curvature of the anterior surface of the cornea, particularly for assessing the extent and axis of astigmatism. It was invented by the French ophthalmologist Samuel Hankins in 1880.

    A keratometer uses the relationship between object size (O), image size (I), the distance between the reflective surface and the object (d), and the radius of the reflective surface (R). If three of these variables are known (or fixed), the fourth can calculated using the formula

    R = 2dI/O

    There are two distinct variants of determining R; Javal-Schiotz type keratometers have a fixed image size and are typically 'two position', whereas Bausch and Lomb type keratometers have a fixed object size and are usually 'one position'.

    The Javal-Schiotz keratometer is a two position instrument which uses a fixed image and doubling size and adjustable object size to determine the radius of curvature of the reflective surface. It uses two self illuminated mires (the object), one a red square, the other a green staircase design, which are held on a circumferential track in order to maintain a fixed distance from the eye. The object size is adjusted by maneuvering the mires along this track, changing the distance between them. The reflected image is doubled through a Wollaston prism, which then allows either side of the doubled image to be aligned, and any eye movement to cancel out as both images move with the same magnitude and direction, the relative separation remaining constant. A Wollaston prism uses the polarising property of light in order to split a single image into two separate, visually identical but oppositely polarised images. Once the mires are focused, the only variable remaining is object size, which is calibrated to a measurement of reflective surface radius (and sometimes dioptric power using an estimation of refractive index). This gives the curvature of the meridian along the path of the circumferential arms, the axis of which can be read from a scale around which the arms rotate. The axis can be manipulated to any axis, giving a distin..."



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