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By,
Advik Rao,
16/6/2020
• Astigmatism : Incident parallel rays of
light are brought to a line of focus instead
of a single point focus due to inequality in
curvature of different meridians.
6/6/2020 2
6/6/2020 3
https://youtu.be/R2unZbcVzrE
TYPES OF ASTIGMATISM
Based on relative position of image of
distant object on the retina,
6/6/2020 4
1. Simple astigmatism – Here one img is located
in the retinal plane and based on the location of
the other img it may be:
a) Simple myopic astigmatism : the other img is
located in front of the retina.
b) simple hypermetropic astigmatism : the other
img is located behind the retina.
6/6/2020 5
2. Compound astigmatism : here both the images
are either in front of the retina or behind the
retina & designated as:
a) Compound myopic astigmatism
b) Compound hypermetropic astigmatism
6/6/2020 6
3. Mixed astigmatism : here one img is formed in
front of the retina & other img is located behind
the retina.
6/6/2020 7
Based on relative position of image of distant
object on the retina,
6/6/2020 8
Based on angle b/w the two principal
meridians of max & min curvature
a. Regular astigmatism : here two principal
meridians of max & min curvature are
positioned at right angles,
b. Irregular astigmatism : here two principal
meridians of max & min curvature are
positioned to each other at angles other than
90°.
6/6/2020 9
6/6/2020 10
Based on Aetiology
• Astigmatism with the rule : usually vertical
corneal meridian is more curved than
horizontal,
• Astigmatism against the rule : here the corneal
curvature in horizontal meridian is greater than
vertical.
• Oblique astigmatism : here the ROC of max &
min curvature are aligned at 90° to each other
but the two principle meridians are neither near
horizontal nor near vertical.
6/6/2020 11
6/6/2020 12
• Lenticular astigmatism : it is due to,
 curvature
Refractive index
Displacement of the refractive element of
Crystalline lens,i.e.subluxation.
6/6/2020 13
STURM'S CONOID
• It is an optical condition in which refractive
power of cornea and lens is not the same in all
meridians , therefore instead of single focal
point there are two focal points separated by
focal interval, this is called sturm's conoid.
6/6/2020 14
6/6/2020 15
SYMPTOMS
• Diminished distant visual acuity
• Eye strain (or) asthenopia
• Headche & eyeache
• Blurring of letters while reading
6/6/2020 16
DIAGNOSIS
• Retinoscopy
• Keratometry
• Placido keratoscopic disc
• Corneal topography.
6/6/2020 17
6/6/2020 18
References,
• Bhattacharyya B, Bhattacharyya D. textbook of
visual science & clinical optometry,2009.
• National eye institute of health.
6/6/2020 19
206/6/2020

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Astigmatism by Advik

  • 2. • Astigmatism : Incident parallel rays of light are brought to a line of focus instead of a single point focus due to inequality in curvature of different meridians. 6/6/2020 2
  • 4. TYPES OF ASTIGMATISM Based on relative position of image of distant object on the retina, 6/6/2020 4
  • 5. 1. Simple astigmatism – Here one img is located in the retinal plane and based on the location of the other img it may be: a) Simple myopic astigmatism : the other img is located in front of the retina. b) simple hypermetropic astigmatism : the other img is located behind the retina. 6/6/2020 5
  • 6. 2. Compound astigmatism : here both the images are either in front of the retina or behind the retina & designated as: a) Compound myopic astigmatism b) Compound hypermetropic astigmatism 6/6/2020 6
  • 7. 3. Mixed astigmatism : here one img is formed in front of the retina & other img is located behind the retina. 6/6/2020 7
  • 8. Based on relative position of image of distant object on the retina, 6/6/2020 8
  • 9. Based on angle b/w the two principal meridians of max & min curvature a. Regular astigmatism : here two principal meridians of max & min curvature are positioned at right angles, b. Irregular astigmatism : here two principal meridians of max & min curvature are positioned to each other at angles other than 90°. 6/6/2020 9
  • 11. Based on Aetiology • Astigmatism with the rule : usually vertical corneal meridian is more curved than horizontal, • Astigmatism against the rule : here the corneal curvature in horizontal meridian is greater than vertical. • Oblique astigmatism : here the ROC of max & min curvature are aligned at 90° to each other but the two principle meridians are neither near horizontal nor near vertical. 6/6/2020 11
  • 13. • Lenticular astigmatism : it is due to,  curvature Refractive index Displacement of the refractive element of Crystalline lens,i.e.subluxation. 6/6/2020 13
  • 14. STURM'S CONOID • It is an optical condition in which refractive power of cornea and lens is not the same in all meridians , therefore instead of single focal point there are two focal points separated by focal interval, this is called sturm's conoid. 6/6/2020 14
  • 16. SYMPTOMS • Diminished distant visual acuity • Eye strain (or) asthenopia • Headche & eyeache • Blurring of letters while reading 6/6/2020 16
  • 17. DIAGNOSIS • Retinoscopy • Keratometry • Placido keratoscopic disc • Corneal topography. 6/6/2020 17
  • 19. References, • Bhattacharyya B, Bhattacharyya D. textbook of visual science & clinical optometry,2009. • National eye institute of health. 6/6/2020 19