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    Aphakia

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    ankur_1
    Aphakia is the absence of the crystalline lens from the eye. It causes high hyperopia and loss of accommodation. Causes include congenital absence, cataract surgery, trauma, or dislocation of the lens. An aphakic eye has high hyperopia, reduced total power, and loss of accommodation. Symptoms are defective vision and signs include a limbal scar, deep anterior chamber, and absent Purkinje images. Treatment options include glasses, contact lenses, or intraocular lens implantation. Glasses cause image magnification and optical aberrations while contact lenses are costly and require maintenance. Intraocular lens implantation is the best method as it corrects vision without other issues.

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    Aphakia

    Uploaded by

    ankur_1
    584 views12 pages
    Aphakia is the absence of the crystalline lens from the eye. It causes high hyperopia and loss of accommodation. Causes include congenital absence, cataract surgery, trauma, or dislocation of the lens. An aphakic eye has high hyperopia, reduced total power, and loss of accommodation. Symptoms are defective vision and signs include a limbal scar, deep anterior chamber, and absent Purkinje images. Treatment options include glasses, contact lenses, or intraocular lens implantation. Glasses cause image magnification and optical aberrations while contact lenses are costly and require maintenance. Intraocular lens implantation is the best method as it corrects vision without other issues.

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    aphakia

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    Aphakia is the absence of the crystalline lens from the eye. It causes high hyperopia and loss of accommodation. Causes include congenital absence, cataract surgery, trauma, or dislocation of the lens. An aphakic eye has high hyperopia, reduced total power, and loss of accommodation. Symptoms are defective vision and signs include a limbal scar, deep anterior chamber, and absent Purkinje images. Treatment options include glasses, contact lenses, or intraocular lens implantation. Glasses cause image magnification and optical aberrations while contact lenses are costly and require maintenance. Intraocular lens implantation is the best method as it corrects vision without other issues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    584 views12 pages

    Aphakia

    Uploaded by

    ankur_1
    Aphakia is the absence of the crystalline lens from the eye. It causes high hyperopia and loss of accommodation. Causes include congenital absence, cataract surgery, trauma, or dislocation of the lens. An aphakic eye has high hyperopia, reduced total power, and loss of accommodation. Symptoms are defective vision and signs include a limbal scar, deep anterior chamber, and absent Purkinje images. Treatment options include glasses, contact lenses, or intraocular lens implantation. Glasses cause image magnification and optical aberrations while contact lenses are costly and require maintenance. Intraocular lens implantation is the best method as it corrects vision without other issues.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
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    The key takeaways are the definition of aphakia as the absence of the crystalline lens, the causes of congenital or acquired aphakia, and the optical effects and clinical features of an aphakic eye.

    The causes of aphakia include congenital absence of the crystalline lens, surgical removal after cataract extraction, post-traumatic absorption or dislocation of the lens.

    An aphakic eye has high hypermetropia, reduced total power to +44D, an anterior focal point in front of the cornea and a posterior focal point behind the cornea resulting in total loss of accommodation.

    Aphakia and its correction

    Aphakia
    Def: Absence of crystalline lens from the patellar fossa Produces a high degree of hypermetropia and loss of accomodation

    Causes
    Congenital absence of crystalline lens Surgical aphakia after cataract extraction Post-traumatic absorption of lens Traumatic extrusion of lens Posterior dislocation of lens

    Optics of an aphakic eye


    High hypermetropia Total power of the eye reduced to +44 D Aphakic eye consists of a curved surface, ie. cornea , separating two media of different refractive indices, air (1) and aqueous and vitreous humor (1.33) Anterior focal point becomes 23.2 mm in front of the anterior surface of the cornea Posterior focal point lies 31 mm behind the anterior surface of the cornea Total loss of accomodation

    Clinical features
    Symptoms: defective vision for near and far Signs: Limbal scar may be seen in case of surgical aphakia Deep anterior chamber Jet black pupil Iridodonesis Purkinje image test: 3rd and 4th images are absent Fundus examination: small hypermetropic disc

    Treatment
    Optical treatment: Spectacles: - Standard aphakic glass- +10D - Exact power to be determined by retinoscopy Advantages: safe, easy and inexpensive method of correcting aphakia

    Treatment
    Difficulties encountered in correcting aphakia with the use of spectacles: - Image magnification of ~30% (cannot be used to correct unilateral aphakia as it will result in diplopia) - Spherical aberrations resulting in pincushion effect - Lack of physical coordination

    - Jack in the box phenomenon- roving

    ring scotoma due to prismatic effects at the edges of the lens - Prismatic errors resulting from displaced optical centres of lenses - Reduced visual fields and poor eccentric acuity - Physical inconvenience and cosmetic deficiency of heavy spectacle lenses

    Contact lenses: Advantages: - Less image magnification - Elimination of aberrations and prismatic effects of thick glasses - Better field of vision - Cosmetically more acceptable - Suitable for unilateral aphakia

    Disadvantages of contact lenses: - Costly - Cumbersome to use esp in children and elderly - Associated corneal complications

    IOL implantation: best available method of correcting aphakia Refractive corneal surgery: - Keratophakia- lenticule prepared from donor cornea is placed between patients corneal lamellae - Epikeratophakia: a lenticule prepared from the donor cornea is sutured to the surface of patients cornea after removing the epithelium - Hyperopic LASIK

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