EyeWorld Korea September 2014 Issue

September 2014 9 EWAP FEATURE Views from Asia-Pacific CHEE Soon Phaik, MD Senior Consultant, Head of Department Singapore National Eye Centre 11 Third Hospital Avenue, Singapore 168751 Tel. no. +65-6227-7255 Fax no. +65-6227-7290 chee.soon.phaik@snec.com.sg ੄ ଎ ࠕ ֳણ ൝ઘ ڝ ੸ ਯ࠸ഡ Ӹ઻ ӯી ҿӘ ݴ ੄ӴടӋ ਯ࠸ട଒ ৌ੶޷ ҽ ڤ ଒ ߆ ഡ .د ൜५ඥ ੌ ݼ ؘ ࠕ ֳણ Ӹ઻़ीઅ १ ف ਁ ઔ .د Ӡഠ ࣥஔӆௐࠩ(optical Eiometry)અ ڢ ણ੶ܾ Ӹ઻ӯી ਙௐܲઊ ఽҲ ґࣷ ٻ ৼ .د ԓ ܟ ֢ ਉ઺ඥ ௝़ऀ ࣥஔӆௐ(immersion Eiometry)ਁ અ૔ഢ ച੄ѿ ઔؘ ऀऽ ࠕ ֳણ ઊ֢ ७ഡ ൲֮ട൓్અ ࠕ ֳણਁ ଓ޷ഢ ڹ ੌ ݼ અ ؟ܲਁؘ ഡӆѿ ઔ .د ७଒ৰ 4ं ف Ӗ२੶ܾ٩ ੘१ ҿӘ ࡂ ݴ ઊؘ އ ੸ Ӌ٩ ԕ१ ൝ઘ ڝ ੹ ކ ֢Ҳ .دټ Ӹ઻ӯીी੹ ࠊ ৈ ࡅ હઊ ৺ؘ ৈ૲ ి ҈ ؘۙ ৈ૲ ઙ੸ ҈અ Ҁ ޅ ӌ ݬ ௐી҈(keratometric readings) ੹ Ҍؘ ৊Ӵ٩ ,2/ ௐી҈ਁ ਠ ݩ ѿ ઔ੹ ़ ઔ .د Ӹ઻ӯી ़ी ൲ ࠕ ֳણ ൝ઘ ݴ ੥ ന ઌӖ़ીஔ ٲ ़(,2/ poZer) ӆ࣒ਁ ࣏ੋഢ ़ ઔؘ އ ੸ ԞीӘ ਢ܅ઌ ӆ࣒Ԟѿ ઔ ଒ ކ ކ ৢ refractive surpriseઊ ࠋ ࣥഢ ӄੌ ,2/ ӯஔ ѿ؟ऀਁ ف ന ൝ઘਁҲ ૒৲ഢ ച੄ѿ ઔ .د ֥१ ӯીઊ ً ి ٩઺ Әૂѿ ٻ Ӌ ઔ .د ી൜ഡ ௐી҈੹ ৴ؘ ҫઊ ѿણ ૻ੄ട .د ଔ ୵ ૻਁ ׎੸ ઽ৊৙, ৊Ӵ ҥ૒, ݼޡ Ԟ੏Ԟѿ Ҁ ޅ ӌ ݬ ௐી ҿӘਁ ਕല੹ ߸௛ ़ ઔ ؘ ੄घ .د ৰؖ Ҁ ޅ ӌ ݬ ௐી ԞӴѿ ѿણ ી൜ഡ଒ؘ ࡜࡚޻ട .د Ҁ ޅ ൲޷ ֥१ ݴ ௐ ીഢ ़ ઔؘ ԞӴؘ ңઅ ৺ .د Ҳ د ѿ އ ੸ ,2/ ૂ૒৹ஔ ڝ અ ֥१ ௐીԞؘ ԓ ી൜ऀ ਁ ୱઊѿ ઔ .د ीઘ ڝ ઊ ,2/અ ֥१ஸ ೵१ ݴ ഢ ़ ઔ٩ܿ ٱ ؘ އ ੸ ણௗ ڝ ઊ െથ १ણਁ ֢ਭ ઔ .د ઊ ܟ ഡ ણௗ ڝ ੸ ़ी ૻਁ ৊Ӵઅ ੥ௗ ࠃ cyclotorsion੹ ઌ଒ഢ ़ ઔৰ ़ी ઺ਁ ஸ ੹ ೵१ഢ ച੄ѿ ৺ , .د 2/અ ી൜ഡ positioningӘ ं७ഡ ़ी ൲ਁ٩ ಡඥ ֮ઊ ి ӄ ੌ ़ी ൲, ֳ֮ ൦઺(in-the-Eag rotation)ઊ ࠋ ࣥഢ ़ ઔ .د ԓ ܟ ֢ ઊ ܟ ഡ ࠒ ࠩ੹ د ٳ ੘ടً܅٩ ी൲ਁ ֥१ؘ ૔થഢ ़ ઔ .د மԕਁ ࠋ ೵ ߚ ټ വ ڝ ਁࣳ toric ,2/ ࣘ઒ ी ൲ਁ٩ ૔થടؘ ચਉ֥१અ ੘ઌ੸ ी઺ ҩ࣏ഡ ֥१ ௐી҈અ ਠୱઑ੹ ൜ઌടਔ .د ֥१ ӯી ,2/Ә ,ݼش ೚౸஢ ܩ ઊસ ݴ ࣏ੋടؘ ֥१ ӯી Ҁ ޅ ઻ґी(astigmatic ker atotomy, A.)֢ intrastromal A.ؘ ࠔ ࣛ ߚ ૂ ߚڹ ਁ ܾࣝ੎ Ӛ७੹ ৴Ӌ ઔ .د ԓ ܟ ֢ ઻ґीਁؘࣳ ಄രઊ ധࣛ ߚ ૂ .د ೚౸஢ ܩ ઊસ ݴ ઊੋഡ ࠕ ֳણ ़ीઊ ઍ ࠕ ࠉ ֳણ ़ ी دࡂ १ܲ ҿӘਭ Ӹ઻ӯી ਙௐܲઊ ً ૝੸଒ؘ ਉ઺ඥ ܇ץ અ ਉ଒ѿ ઔ .د د ஢ઽ ,2/ઊ Ӹ઻ ઊࣛਁ ޓ ੌ ߺ ҆ട د ؘ ҫਁؘ અ७અ ਉ଒ѿ ৺ .د ഓ܅ (ף plano) ਁ ѿԪ੏़ܿ ҿӘѿ ً ૝ ࡅ .د ઌ੸ ൝ઘ ކ ݴ ૓१ౄԞ ੥നࣳ 0.7 ५ ݾ ً ઊࣛ੹ ӯ ીനৡ ഡ د ؘٙ ٳ અഡ .د ޾ ף ڛ ܲਁ٩ ࡜ӴടӋ Ӹ઻ӯીઅ ࡘ ી൜ऀ੸ ਉ઺ඥ ઔ .د ઊ ܟ ഡ ࡘ ી൜ऀ੹ மघܾ ૵ઊԞ ੥ന ़ी ૻ ़ୱௐીࠩ(Zave front aEerrometer) ઊ Ӌ৊ ٻ ৼ .د ԓ ܟ ֢ ґ ל ࣛ੶ܾ ઊ ܟ ഡ ࣥҀઊ ޓ ܲહઊԞؘ ട଒ ކ ़ी ૻ १֢ ݼ ਠ ਁ އ ੸ ࠹़ѿ ૔થടܾ߳ ԓ ી൜ऀਁؘ અ७અ ਉ଒ѿ ઔ .د ऀӖહઌ ௗ ݴݑ ੥നؘࣳ ࡜ ކ ૓फ़ ܟ ੖ടؘ ൝ઘઅ ચਉ Ӹ઻ઊࣛ੹ ӯીടؘ ഑ ߸ݼ ৸ ࠕ ֳણ ௗ ݑ ࣳࡻफ़ ೂౄ଒ ݴ ૂӖനৡ ഡ .د ޾ ࠒ ڛ ࠩઊ ५ೂട޷ /AS,.ઊ֢ ஷѿ ,2/ ܾ छ੹ ࡆ ച੄ѿ ઔ .د ीઘѿ ࡘ ી൜ഡ Ӹ઻ ӯી ҿӘ ੥സ੹ ൜ઌയ੹ ,ڹ ࡚޻ /ight AdMusted ,2/ઊ ৊Ӵਁࣳ ࡚޻ഡ ਊഢ੹ ഢ ҫઊ܅Ӌ ࣥҀഡ .د Editors±note : Prof. Chee is a consultant for AEEott 0edical 2ptics and %ausch /omE and receives travel support and an honorarium. Ramamurthy DANDAPANI, MD Chairman, The Eye Foundation D.B. Road, Coimbatore 641002 Tel. no. +91-422-4242000 Fax no. +91-422-4242099 info@theeyefoundation.com ഑ ߸ݼ ৸ ,2/ ़ीܾ ޿೵ഡ Ӹ઻ ӯી ҿӘਁ ٩ ش ടؘ ҫઊ ܩ ઊસ १ܲ ӯીी ކ ు ૻ੄ന଒Ӌ ઔ .د ಡી १ीਁ ൝ઘѿ ଒࡜ഢ ࡻੋ੶ܾ ൝ઘઅ Ԟ ف ѿ ৰؖ ી ٩ ҿી ٻ Ԟ ߚڹ ਁ ,2/ ԓ ݼ Ӌ ৰଶ޷/RCSਁ ࡻੋ੹ ଒࡜ഢ ڹ ޿೵ ݴ ી൜ඥ ސ ஷؘ ҫઊ ർূ ً ૻ੄ട .د Ӛ ݼ ؙ ԓ ,ڡܨ ਙ ࠒ ઊ ௗ دࡂݑ ૻ੄ടӋ ,2/ઊ ӋԚઍ ࢻ ৈ ܅إ ઺ ़ी Әીઊ ӋԚઊৰৡ ഡ .د ઊ ݴ ੥ന હ઻ഡ ࣛ ,ع ൝ઘઅ १ܲ ੄Ӵ ઊന, ਯ࠸ഡ ࣥஔӆௐ, A ़ࣛ ம ف ൞ੋ, ৩ଖઅ ़ी ़ര, ԓ ݼ Ӌ ֥१ ӯી ೵१ѿ ޾ ڂ ૻ੄ട .د Ӹ઻ӯી ҿӘѿ ࡘ હ઻ഡ ӄੌ, ࡅ ઌ੸ د ੻Ә Ҏઊ ز ӆહ ાԕ੹ Ӌܱഡ .د A) ൝ઘѿ ઺ൄ ࡜ ކ ઊ ৺੶޷ ચਉઊࣛઊ ઔ د ؘ ઊ੭ ކ ੶ܾ ߗ ৲ѿ ݴ ഢ ച੄ؘ ৺ .د E) ಡඥ د ஢ઽ ,2/ઊ܅޷ ,2/ poZer ݴ ૒ીഡ فࠉ ୄ ؁અ ़ी੹ Ӌܱട܅. ԓ ܟ ޷ ৩ୄ ޾ ڂ ઌӖ़ીஔѿ ࣘ઒ ٻ ৰ ઔؘ ౖܾࣛ ң ݼ ਁ Ӛӆ৺ઊ Ԟ؟હ १ܲઊ ૝ৈ ଔ .د C) Ӹ઻ ઊࣛӘ ୺ࣛઊ ৊ી൛ ٻ ޷ 3ґਖ਼ ൲ /AS,.੹ നࣳ ടӋ Ӵ޷Ә ५ ݾ ً ݴ ޾ ڂ .܅ࡂ٭ ઊ ڝ ൝ઘؘ Ӌ౿੹ ً ୶଒ ߆ ടӋ , PR. ൲ਁؘ ൦ ࡃ ઊ ؖ ݼ ܾ߳ ࡅ ઌ੸ PR. / دࡂ AS,.੹ ً ࣷ൑ഡ ( د ৊Ӵ ೵޷ઊ֢ Ҁ ߚ ޅ ૂܾ Ҁ ޅ ഗಹ੹ ڝކ ़ ৺ ؘ ӄੌѿ ৈ ܅إ ޷). D) ֥१ ӯીੋ ,2/੹ હ઻ഡ ੥ௗܾ ൦઺१ఇ܅. ચਉ Ӹ઻ ઊࣛӘ Ӵ޷ ف ੾ௗ(spheri- cal eTuivalent)ѿ ңઅ 0ਁ ѿԱ د ޷ ൭Әѿ ઔ੹ ҫઊ .د E) ा઺ඥ ચਉ cylinder܅޷ ܩ ઊસ ӿࣛ Ҁ ޅ ઻ґी(laser arcuate keratotomy)੹ Ӌ ܱട܅. ઍ ࠉ ӿࣛ Ҁ ޅ ઻ґी دࡂ ً ૝଒ ކ ԓ ҿӘѿ /AS,.ਁࣳ஋ ܣ ਙௐ ѿ؟ ഡ ҫ੸ ৈ .دإ ܩ )) ઊસ १ܲ ӯીी੹ ഡ ൲ ࠕ ֳણ ़ी੹ ന ࠋ ࣥടԞ٩ ടؘ ి ਠୱѿ ઔ੶޷ ,2/ ӯஔ ݴ Ӌܱട܅. *) Ӹ઻ ઊࣛઊ ఽӋ /9C֢ ,2/ ӯஔ ݴ ഢ ़ ৺ؘ ӄੌ piggyEack ,2/੹ Ӌܱട܅. د ৩ഡ ਩ऍઊ ઔ੶ܾ߳ ਠؙ֧ ࠕ ֳણ ीઘ֢ ൝ઘؘ ࡘ હ઻ഡ Ӹ઻ ӯી ҿӘ ݴ ୶Ӌ ҽ ڨ ച੄ѿ ৺ .د Editors±note: Dr. Ramamurthy has no financial interests related to his comments.