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Design, construction and test of a surgical keratometer

Desenho, construção e teste de um ceratômero cirúrgico

SUMMARY

Objective:

The presente study aims to draw, build and test a simple and low cost surgical keratometer.

Methods:

The principle described by Plácido da Costa was used to construct the prototype. A circular ring of light was built and attached to a surgical microscope. The zoom system present in the microscope provided a bigger or smaller image of the ring to the observer. lts size would then be compared to a circular reticle located inside the ocular lens of the microscope.Numeric values were achieved by a graduated scale. The flattest and steepest meridians were also located.

Results:

A precision between 0.29 and 0.62D h as been achieved in the evaluation of astigmatism. The meridian orientation showed a precision of about 10 degrees of inclination in astigmatisms greater than 1.60 D, and 6 degrees in astigmatisms greater than 1.96 D.

Conclusion:

This dévice showed a slightly inferior precision in astigmatism measurement, when compared to conventional surgical keratometers (0.10 to 0.25 D). Equal to high precision was observed when evaluating meridian location (conventional precision = 10 degrees). Itshould also be mentioned that its low cost and easy use may render it a very useful device.

Keywords:
Cornea surgery; Instrumentation

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