Wf topo scheimpflug
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Wallace Chamon
Professor Adjunto
Departamento de Oftalmologia e Ciências
Visuais
Escola Paulista de Medicina - EPM
Universidade Federal de São Paulo - UNIFESP
Adjunct Professor
Department of Ophthalmology & Visual Sciences
College of Medicine
University of Illinois at Chicago - UIC
UIC
UNIVERSITY
OF ILLINOIS
AT CHICAGO
Wavefront, Topografia e Aberrometria
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Declaração de Conflito de Interesses
O apresentador declara as seguintes relações comerciais:
Código de Ética Médica (17 de setembro de 2009)Resolução da Diretoria Colegiada - RDC 96/2008 - ANVISA
Resolução 1.595/ 2000 - Conselho Federal de Medicina Resolução 196/96 - Conselho Nacional de Saúde
• Patente: Métodos de Wavefront
• Patente: Técnica de Avaliação Biomecânica
• Patente: Formulações para Crosslink
• AMO ®
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Aberrometria
Topografia
Scheimpflug
Autorrefrator
Ceratômetro
Ceratômetro e
Biomicroscópio
Refratometria
Ocular
Curvatura
Corneana
Anterior
Curvatura
Corneana
Anterior e
Posterior
OCT e UBMBiomicroscópioAnatomia do
Segmento
Anterior
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Refratometria Ocular
Curvaturas Anteriores
Estroma Corneano
Curvaturas Posteriores
Anatomia do Segmento Anterior
Aberrometria OCT e UBMTopografia Scheimpflug
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Refratometria Ocular
Curvaturas Anteriores
Estroma Corneano
Curvaturas Posteriores
Anatomia do Segmento Anterior
Aberrometria OCT e UBMTopografia Scheimpflug
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Aberrometria
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Melhor Este ou Aquele
??
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Exemplo de Sistema sem
Aberrações
Sistema Ideal (os raios convergem
para um mesmo ponto)
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Aberração esférica (os raios não
convergem para um mesmo ponto)
Exemplo de Aberração:
Esférica
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Frente de Onda e Raio
Chefe
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Frente de Onda e Raio
Chefe
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Frente de Onda e Raio
Chefe
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Frente de Onda e Raio
Chefe
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Frente de Onda e Raio
Chefe
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Ondas Centrífugas
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Onda gerada
Pedra lançada à água
Ondas Centrífugas
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Ondas Centrífugas
r1 r2
r1 < r2
r3
r3 = ∞
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Fonte luminosa
Propagação de ondas
tridimensionais
Onda Luminosa é
Tridimensional
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Aproximação Geométrica da
Frente de Onda
(Superfície Circunferencial Aproximada)
Forma Real da Frente de
Onda
Aproximação Das Lentes
Esféricas
Simplificação de uma
Superfície Complexa
Determinada por um único
Raio de Curvatura
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Exemplo de Sensor de
Frente de OndaHartmann-Shack
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Frente de Onda Plana
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Frente de Onda Irregular
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Topografia
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Sarcófago de Kawid, Egito
2050 AC
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Caravaggio, Cabeça de
Medusa
1958
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Caravaggio, Cabeça de
Medusa
1958
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Salvador Dali, O Olho
1945
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Salvador Dali, O Olho
1945
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Reflexão Corneana
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Reflexão Corneana
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Detecção das Bordas
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Detecção das Bordas
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Cálculo das Curvaturas
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Distâncias Constantes Distâncias Distintas
Cálculo das Curvaturas
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Codificação das Curvaturas
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Anéis Regulares e
IrregularesA
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Interpretando Mapas
Topográficos
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Escala Absoluta
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Escala Relativa
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Escala Relativa
Variação da Escala
Intervalo da Escala
Curvatura e Área Centrais
Área Mais Curva
Astigmatismo
Asfericidade
Regularidade
Simetria
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Quem Não Vê Escala…
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Mapa Axial
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Mapa Tangencial
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Mapa Diferencial
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Quanto à Intensidade do
Astigmatismo
Insignificante
Leve
Moderado
Intenso
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Astigmatismo Insignificante
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Astigmatismo Insignificante
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Quanto à Regularidade do
Astigmatismo
Regular
Simétrico
Assimétrico
Irregular
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Astigmatismo Regular
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Astigmatismo Irregular
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Astigmatismo Irregular
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Quanto à Orientação do
Astigmatismo
A Favor da Regra
Contra a Regra
Oblíquo
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A Favor da Regra
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A Favor da Regra
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Contra A Regra
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Contra a Regra
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Oblíquo
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Scheimpflug
Analisa Superfície Anterior da Córnea
Analisa Superfície Posterior da Córnea
Analisa a Câmara Anterior
Analisa Íris e Ângulo da Câmara Anterior
Analisa Cristalino
Analisa Corpo Ciliar (Apenas os Ultrassônicos)
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Theodor Scheimpflug
Austria
Patente Britânica 1904
Jules Carpentier
França
Patente Francesa 1901
1851-1921
1865-1911
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Theodore Scheimpflug, Patente Britânica Nº 1196 de 1904
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Princípio de Carpentier ?
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Lente
Objeto
Imagem
Linha de Scheimpflug
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Dimitri Azar, March 2015
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Tomógrafos do Segmento
Anterior
Óptica / Scheimpflug
Orbscan
Pentacam
Galilei
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Best Fit Sphere - BFS
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Best Fit Sphere - BFS
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Best Fit Sphere - BFS
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Orbscan
Utiliza sistema de
Scheimpflug com fenda
luminosa não rotacional
e Sistema Baseado em
Disco de Plácido
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Pentacam
Sistema Scheimpflug
Rotacional de Uma
Câmera
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Galilei
Sistema Sheimpflug com
Duas Câmeras
Rotacionais e Sistema
Baseado em Disco de
Plácido
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Theodor Scheimpflug, 1899
7 Câmeras
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Theodor Scheimpflug, 1899
7 Câmeras
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Aberrometria
Topografia
Scheimpflug
Autorrefrator
Ceratômetro
Ceratômetro e
Biomicroscópio
Refratometria
Ocular
Curvatura
Corneana
Anterior
Curvatura
Corneana
Anterior e
Posterior
OCT e UBMBiomicroscópioAnatomia do
Segmento
Anterior
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Refratometria Ocular
Curvaturas Anteriores
Estroma Corneano
Curvaturas Posteriores
Anatomia do Segmento Anterior
Aberrometria OCT e UBMTopografia Scheimpflug
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Refratometria Ocular
Curvaturas Anteriores
Estroma Corneano
Curvaturas Posteriores
Anatomia do Segmento Anterior
Aberrometria OCT e UBMTopografia Scheimpflug