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Corneal Topography
Corneal topography in short, is a detailed mapping of the corneal surface. The cornea is the clear dome that
covers the colored part of the eye. For contact lens wearers, the cornea is the eye structure that
is directly beneath the contact lens. The topographer begins the mapping process by using a painless,
non-contact video capture technology. In simpler terms, a picture is taken of the surface of the eye.
This picture is actually made up of a series of pinpoint "dots." Over 7,000 are measured and over 70,000 are
analayzed. At each "dot" the
topographer measures the curvature of the cornea. Each of these point measurements is then pieced together
in concentric circles to represent the multitude of curvatures that describes the complex shape of the cornea.
The topographer collects all of this data about the cornea in about the same time it takes to snap a
family photo with your camera. Actually, for the patient, the topography is even easier
than posing for a photo as there isn't even any flash used.
The topography photo measurements are repeated, usually three times per eye. The reason for this
is to ensure good repeatable data collection. After all the photos are taken, the information is sent to the
computer for analysis. The computer will take all the raw data collected from the topographer's thousands of
point measurements, and process it so that it can now be represented in a form that is more intelligible and
useful. The computer divides all the possible curvatures into a series of ranges. An analogy of this process
would be for example if you were to measure the heights of a group of people. Let's say that there are fifty people
in the group to be measured and their heights ranged from 5'0" to 6'2". To categorize the fifty people into
manageable groups you could divide the heights into fifteen groups labelled 5'0", 5'1", 5'2", ..., 6'1",
and 6'2" respectively. You then
agree by convention that when measuring the individual to the nearest sixteenth of an inch, the individual will be
put into the highest category that they have exceeded. For example, you measure the first person to be 5'6 3/16" tall.
This person would be put into the 5'6" category. If the next person measures 5'9 15/16", they would be placed into the
5'9" category. You would do this for all fifty people until they were all properly sorted by height. Note that the
person who is 6'0" will be in the same category as the person who si 6'0 15/16" tall even though the second person is
almost an inch taller.
The computer takes the thousands of points measured and sorts them each into the appropriate curvature range. For
visual aid, the computer defines each range by a specific color. All the collected data then is assigned the
appropriate color, and a color map is generated and superimposed over the picture of the measured cornea. Many
patients upon first seeing these color maps will say that they look like "weather maps."
The color map that the computer generates is very useful in obtaining an overall sense of the shape of the cornea
that is being measured. In essence, this color map is actually the computer's representation of a three dimensional
digital mold of the cornea. By using the topographer and the computer to process the data, the digital mold that
is created is similar to the way a dentist would use impressions to create a physical mold of teeth.
By creating a digital mold of the cornea in this fashion, detailed analysis of the cornea is now possible. Conditions
such as Keratoconus are easy to identify. Any unusual features readily stand out during this type of analysis.
Contact lens induced problems can also be seen in this way. This detailed mapping is an invaluable tool to
examine the surface structure of the cornea. Of course, when used in contact lens fitting, the topographer allows
extremely complex contact lenses to be designed and manufactured to address the unique features of the individual's
specific cornea. This type of contact lens, due to its very unique and specific nature, can significantly
outperform an off-the-shelf type of contact lens. You can read more about this at
Wave Technology and Z-Wave Technology.
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