Astigmatism Recognizing the presence of astigmatism When you
- Slides: 8
Astigmatism
Recognizing the presence of astigmatism When you begin retinoscopy on an eye, you will know that there is astigmatism present in the following situations: 1. Streaking one meridian gives you with-motion or againstmotion, and streaking the meridian 90° degrees away gives you a neutral reflex. 2. Streaking one meridian gives you against-motion, and streaking the meridian 90 degrees away gives you withmotion. 3. Streaking one meridian gives you with-motion (or againstmotion) with a wide streak reflex, and streaking the meridian 90 degrees away gives you the same motion but with a narrower streak reflex.
Recognizing the presence of astigmatism narrower streak reflex a wide streak reflex
Neutralizing of astigmatism - The great majority of refraction are cases either without astigmatism (spherical refractive error) or with regular astigmatism (cylindrical refractive error in which the principal are perpendicular to each other). - The minority of refractions consist of irregular astigmatism (in which the principle meridian are not perpendicular to each other).
Neutralizing of astigmatism - In spherical errors the retinoscopy will shows a neutral point which the same in all meridians, the result is no movement in all meridians using the same lenses. - The initial examination with in astigmatism the situation is not quite. Retinoscope is always exploratory to determine the direction of the movement of the red reflex. - The observer starts with vertical then with horizontal movement and lenses are inserted to determine the neutral point in each meridian separately. - If this is not so (corresponding) then the reflex may alter its plane of movement indicating the presence of astigmatism which is oblique. - In this case the examiner must again explore different planes of external movement of his light until it corresponds to those of red reflex.
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