8. Types
• Good resolution and magnification
• Patients discomfort, infections, artifactsContact
• Comfort, less infections/trauma, broader field of view
• less resolution and magnification
Non-
contact
• 10-15 times more resolution and field of view
• Improves optics so less reflections hindranceWide-field
9. Procedure
• Explain the procedure
• Patient should be seated comfortably for a good scan.
• NON Contact- blink
• Contact- topical anesthesia coupling fluid used
• Internal fixation target is used to keep eye straight
23. To study the normal endothelium morphology.
To diagnose and study pathological changes in corneal
endothelial diseases.
Eye banking- assessment of donor cornea status.
Pre operative endothelial health – surgery decision making.
Research and monitoring of epithelium in below
Aging
DM
CONTACT LENS
WEARER
POST SURGERY
GLAUCOMAS
UVEITIS
TRAUMA
COMPARISION OF
DIFFERENT
SURGICAL TECH.
39. Surgery Endothelial cell loss
PHOCOEMULSIFICATION 5-8% in 6 months
10.5% at 1 year
SICS 4.21% at 6 weeks
PKP 11%+-20% at 6 months
20% at 1 year
DALK 14.2%+-11.7% at 1 month
8.6% at 1 year
DSAEK 34%-+22% at 6 months
Same at 1 year
DMEK 35% at 6 months
38% at 1year
PPV 9%+-14.6% at 3 months
TRABECULAECTOMY 7%
40. summary
• Explain the procedure to the patient
• Image the region 3x at the same sitting
• Use same analysis method during follow-up
• To obtain maximum efficacy count 75-100 cells or more