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A keratometer, also known as an 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 German physiologist Hermann von Helmholtz in 1851, although an earlier model was developed in 1796 by Jesse Ramsden and Everard Home.
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 be calculated using the formula
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. In order to get repeatable, accurate measurements, it is important that the instrument stays focused. It uses the Scheiner principle, common in autofocus devices, in which the converging reflected rays coming towards the eyepiece are viewed through (at least) two separate symmetrical apertures.
The Bausch and Lomb Keratometer is a one position keratometer that gives readings in dioptric form. It differs from the Javal-Schiotz in that object size is fixed, image size is the manipulable variable. The reflected rays are passed through a Scheiner disc with 4 apertures – As there are two prisms, each aligned perpendicular to the other, the major and minor axis powers can be measured independently without adjusting the orientation of the instrument.
In converting the measurements obtained from the corneal surface into a dioptric value, the B&L keratometer uses the general lens formula (n’-n)/R and assumes an n’ of 1.3375 (compared to the actual corneal refractive index of n’=1.376). This is a fictional value, which includes an allowance for the small, yet significant, negative power of the posterior corneal surface. This allows for a readout in both refractive power (dioptres) and radius of curvature (millimeters).
In optics, aberration is a property of optical systems, such as lenses, that causes light to be spread out over some region of space rather than focused to a point. Aberrations cause the image formed by a lens to be blurred or distorted, with the nature of the distortion depending on the type of aberration. Aberration can be defined as a departure of the performance of an optical system from the predictions of paraxial optics. In an imaging system, it occurs when light from one point of an object does not converge into a single point after transmission through the system. Aberrations occur because the simple paraxial theory is not a completely accurate model of the effect of an optical system on light, rather than due to flaws in the optical elements.
A lens is a transmissive optical device that focuses or disperses a light beam by means of refraction. A simple lens consists of a single piece of transparent material, while a compound lens consists of several simple lenses (elements), usually arranged along a common axis. Lenses are made from materials such as glass or plastic and are ground, polished, or molded to the required shape. A lens can focus light to form an image, unlike a prism, which refracts light without focusing. Devices that similarly focus or disperse waves and radiation other than visible light are also called "lenses", such as microwave lenses, electron lenses, acoustic lenses, or explosive lenses.
A dioptre or diopter, symbol dpt, is a unit of measurement with dimension of reciprocal length, equivalent to one reciprocal metre, 1 dpt = 1 m−1. It is normally used to express the optical power of a lens or curved mirror, which is a physical quantity equal to the reciprocal of the focal length, expressed in metres. For example, a 3-dioptre lens brings parallel rays of light to focus at 1⁄3 metre. A flat window has an optical power of zero dioptres, as it does not cause light to converge or diverge. Dioptres are also sometimes used for other reciprocals of distance, particularly radii of curvature and the vergence of optical beams.
In optics, spherical aberration (SA) is a type of aberration found in optical systems that have elements with spherical surfaces. Lenses and curved mirrors are prime examples, because this shape is easier to manufacture. Light rays that strike a spherical surface off-centre are refracted or reflected more or less than those that strike close to the centre. This deviation reduces the quality of images produced by optical systems. The effect of spherical aberration was first identified by Ibn al-Haytham who discussed it in his work Kitāb al-Manāẓir.
A reflecting telescope is a telescope that uses a single or a combination of curved mirrors that reflect light and form an image. The reflecting telescope was invented in the 17th century by Isaac Newton as an alternative to the refracting telescope which, at that time, was a design that suffered from severe chromatic aberration. Although reflecting telescopes produce other types of optical aberrations, it is a design that allows for very large diameter objectives. Almost all of the major telescopes used in astronomy research are reflectors. Many variant forms are in use and some employ extra optical elements to improve image quality or place the image in a mechanically advantageous position. Since reflecting telescopes use mirrors, the design is sometimes referred to as a catoptric telescope.
Far-sightedness, also known as long-sightedness, hypermetropia, and hyperopia, is a condition of the eye where distant objects are seen clearly but near objects appear blurred. This blur is due to incoming light being focused behind, instead of on, the retina due to insufficient accommodation by the lens. Minor hypermetropia in young patients is usually corrected by their accommodation, without any defects in vision. But, due to this accommodative effort for distant vision, people may complain of eye strain during prolonged reading. If the hypermetropia is high, there will be defective vision for both distance and near. People may also experience accommodative dysfunction, binocular dysfunction, amblyopia, and strabismus. Newborns are almost invariably hypermetropic, but it gradually decreases as the newborn gets older.
The Newtonian telescope, also called the Newtonian reflector or just a Newtonian, is a type of reflecting telescope invented by the English scientist Sir Isaac Newton, using a concave primary mirror and a flat diagonal secondary mirror. Newton's first reflecting telescope was completed in 1668 and is the earliest known functional reflecting telescope. The Newtonian telescope's simple design has made it very popular with amateur telescope makers.
An optical system with astigmatism is one where rays that propagate in two perpendicular planes have different foci. If an optical system with astigmatism is used to form an image of a cross, the vertical and horizontal lines will be in sharp focus at two different distances. The term comes from the Greek α- (a-) meaning "without" and στίγμα (stigma), "a mark, spot, puncture".
Refractive surgery is optional eye surgery used to improve the refractive state of the eye and decrease or eliminate dependency on glasses or contact lenses. This can include various methods of surgical remodeling of the cornea (keratomileusis), lens implantation or lens replacement. The most common methods today use excimer lasers to reshape the curvature of the cornea. Refractive eye surgeries are used to treat common vision disorders such as myopia, hyperopia, presbyopia and astigmatism.
In ophthalmology and optometry, a slit lamp is an instrument consisting of a high-intensity light source that can be focused to shine a thin sheet of light into the eye. It is used in conjunction with a biomicroscope. The lamp facilitates an examination of the anterior segment and posterior segment of the human eye, which includes the eyelid, sclera, conjunctiva, iris, natural crystalline lens, and cornea. The binocular slit-lamp examination provides a stereoscopic magnified view of the eye structures in detail, enabling anatomical diagnoses to be made for a variety of eye conditions. A second, hand-held lens is used to examine the retina.
A catadioptric optical system is one where refraction and reflection are combined in an optical system, usually via lenses (dioptrics) and curved mirrors (catoptrics). Catadioptric combinations are used in focusing systems such as searchlights, headlamps, early lighthouse focusing systems, optical telescopes, microscopes, and telephoto lenses. Other optical systems that use lenses and mirrors are also referred to as "catadioptric", such as surveillance catadioptric sensors.
In Gaussian optics, the cardinal points consist of three pairs of points located on the optical axis of a rotationally symmetric, focal, optical system. These are the focal points, the principal points, and the nodal points; there are two of each. For ideal systems, the basic imaging properties such as image size, location, and orientation are completely determined by the locations of the cardinal points; in fact, only four points are necessary: the two focal points and either the principal points or the nodal points. The only ideal system that has been achieved in practice is a plane mirror, however the cardinal points are widely used to approximate the behavior of real optical systems. Cardinal points provide a way to analytically simplify an optical system with many components, allowing the imaging characteristics of the system to be approximately determined with simple calculations.
Corneal topography, also known as photokeratoscopy or videokeratography, is a non-invasive medical imaging technique for mapping the anterior curvature of the cornea, the outer structure of the eye. Since the cornea is normally responsible for some 70% of the eye's refractive power, its topography is of critical importance in determining the quality of vision and corneal health.
Astigmatism is a type of refractive error due to rotational asymmetry in the eye's refractive power. This results in distorted or blurred vision at any distance. Other symptoms can include eyestrain, headaches, and trouble driving at night. Astigmatism often occurs at birth and can change or develop later in life. If it occurs in early life and is left untreated, it may result in amblyopia.
In optics, vergence is the angle formed by rays of light that are not perfectly parallel to one another. Rays that move closer to the optical axis as they propagate are said to be converging, while rays that move away from the axis are diverging. These imaginary rays are always perpendicular to the wavefront of the light, thus the vergence of the light is directly related to the radii of curvature of the wavefronts. A convex lens or concave mirror will cause parallel rays to focus, converging toward a point. Beyond that focal point, the rays diverge. Conversely, a concave lens or convex mirror will cause parallel rays to diverge.
Louis Émile Javal was a French ophthalmologist born in Paris. Javal is remembered for his studies of physiological optics and his work involving a disorder known as strabismus.
Hjalmar August Schiøtz was a Norwegian physician, ophthalmologist and educator. Schiøtz is credited as being Norway's first professor of ophthalmology.
Petzval field curvature, named for Joseph Petzval, describes the optical aberration in which a flat object normal to the optical axis cannot be brought properly into focus on a flat image plane. Field curvature can be corrected with the use of a field flattener, designs can also incorporate a curved focal plane like in the case of the human eye in order to improve image quality at the focal surface.
The study of image formation encompasses the radiometric and geometric processes by which 2D images of 3D objects are formed. In the case of digital images, the image formation process also includes analog to digital conversion and sampling.
The aim of an accurate intraocular lens power calculation is to provide an intraocular lens (IOL) that fits the specific needs and desires of the individual patient. The development of better instrumentation for measuring the eye's axial length (AL) and the use of more precise mathematical formulas to perform the appropriate calculations have significantly improved the accuracy with which the surgeon determines the IOL power.