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High Precision Biometry Dr Vibha  Dr Shekhar
Several values are required to calculate IOL Power ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keratometery ,[object Object],[object Object],[object Object],[object Object]
 
 
Source of keratometry errors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Repeat  Keratometery If ,[object Object],[object Object]
A-Scan biometery/laser inferometery ,[object Object],[object Object],[object Object],[object Object],[object Object]
A-scan facts ,[object Object],[object Object],[object Object],[object Object]
Applanation A-scan Biometry ,[object Object],[object Object]
Applanation A-scan Biometry. ,[object Object]
Applanation A-scan Biometry ,[object Object]
The five basic limitations of applanation A-scan biometry are:  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Immersion A-scan Biometry.   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immersion A-scan Biometry ,[object Object]
Immersion A-scan Biometry ,[object Object]
NON CONTACT  ,[object Object]
Accuracy of axial length by different machine +/- .01mm +/-  0.12mm +/-  0.24mm IOL Master Immersion A-scan Applanation A -scan
Do not throw away old ultrasound machine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IOL master ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Posterior staphyloma Silicone oil Pseudophakia 4++brunescent lens Central PSC plaque Vitreous hemorrhage Central corneal scar Immersion ultrasound
IOL FORMULA Ist  generation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IOL FORMULA 2 nd  generation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IOL FORMULA 3 rd  generation ,[object Object],[object Object],[object Object],[object Object]
IOL FORMULA 4 th  generation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
When capsular tear does not allow bag  placement of the lens change IOL power for sulcus placement ,[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]
THANK YOU
 

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High Precision Biometry