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Ocular Response Analzyer® Clinincal Findings

Ocular Response Analzyer® Clinincal Findings

Ocular Response Analzyer® Clinincal Findings

Product catalog summary
Overview: The document discusses the use of the Ocular Response Analyzer (ORA) in understanding corneal biomechanics and intraocular pressure (IOP) measurements. It highlights clinical findings related to corneal pathologies, particularly focusing on conditions like Keratoconus and Fuchs’ Corneal Dystrophy.
Clinical Findings: The ORA is effective in detecting corneal pathologies. Studies show that corneal hysteresis is reduced in eyes with Keratoconus and Fuchs’ Corneal Dystrophy compared to pachymetry-matched controls. This suggests that corneal biomechanics are not solely dependent on central corneal thickness.
Corneal Biomechanics and IOP: The document emphasizes the importance of corneal biomechanical metrics in assessing IOP, particularly in eyes with Keratoconus and Fuchs’ Dystrophy. It notes that corneal hysteresis and corneal resistance factor (CRF) are crucial in understanding corneal rigidity and its implications on IOP measurements.
Refractive Surgery Considerations: Corneal hysteresis is a valuable tool for evaluating candidates for refractive surgery. Post-surgery, changes in hysteresis are not predictable based on corneal thickness changes, indicating the need for careful patient selection and counseling.
Glaucoma Management: The document discusses the association between corneal hysteresis, central corneal thickness (CCT), and glaucoma damage. It highlights that thinner CCT and reduced hysteresis are linked to glaucoma progression, suggesting a biological linkage between corneal properties and glaucoma susceptibility.
IOP Measurement Accuracy: The ORA provides IOP measurements (IOPCC) that are less influenced by corneal properties compared to the Goldmann Applanation Tonometer (GAT). This reduces the risk of misclassification in IOP-related conditions.
Advantages of ORA: The ORA is noted for its speed, convenience, and non-contact approach, which minimizes the risk of corneal trauma or infection. It is preferred by patients, especially children, over traditional methods like GAT.
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Catalog excerpts

Ocular Response Analzyer® Clinincal Findings-1

Clinical Findings ORA for detection of corneal pathologies Compared to Pachymetry-matched controls, Corneal hysteresis was reduced in Keratoconus eyes (7.0±1.4 mm Hg vs. 8.8±1.2 mm Hg for controls, p=0.04) and Fuchs’ Corneal Dystrophy eyes (8.2±2.8 mm Hg vs. 12.1±1.7 mm Hg for controls, p=0.05). Similarly, mean CRF was lower in Keratoconus and Fuchs’ than in control eyes. This demonstrates that metrics of corneal rigidity may not correlate with central corneal thickness, and that corneal biomechanics reflect more than central corneal pachymetry alone. IOP and Corneal Biomechanical Metrics in Eyes With Keratoconus and Fuchs’ Dystrophy Compared to Pachymetry-Matched Controls. J.P. Sanderson, M.A. Qazi, C.J. Roberts, J.S. Pepose. Our data demonstrate that corneas with Fuchs’ Dystrophy have lower hysteresis measurements than do normal corneas. Patients who have undergone penetrating keratoplasty have hysteresis measurements similar to those of Fuchs’ patients, suggesting an alteration in corneal biomechanics even when the corneal graft is clear. Change in Axial Length Following Surgical Decompression. A Surrogate for the Material Properties of the Eye Wall. S.A. Tanimoto*†, L.A.S. Mello, Jr.,* J.D. Brandt† *Department of Ophthalmology, Escola Paulista de Medicina, São Paulo, Brazil †Department of Ophthalmology & Vision Science, University of California, Davis Ocular Response Analyzer www.ocularresponseanalyzer.com Reichert, Inc. 3362 Walden Avenue, Depew, NY 14043 Toll-free: 888-849-8955 Tel: (716) 686-4500 Fax: (716) 686-4545 www.reichertoi.com I I Understand the Cornea. Understand the Pressure.

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Ocular Response Analzyer® Clinincal Findings-2

Clinical Findings ORA for detection of corneal pathologies Compared to Pachymetry-matched controls, Corneal hysteresis was reduced in Keratoconus eyes (7.0±1.4 mm Hg vs. 8.8±1.2 mm Hg for controls, p=0.04) and Fuchs’ Corneal Dystrophy eyes (8.2±2.8 mm Hg vs. 12.1±1.7 mm Hg for controls, p=0.05). Similarly, mean CRF was lower in Keratoconus and Fuchs’ than in control eyes. This demonstrates that metrics of corneal rigidity may not correlate with central corneal thickness, and that corneal biomechanics reflect more than central corneal pachymetry alone. IOP and Corneal Biomechanical Metrics in...

 Open the catalog to page 2
Ocular Response Analzyer® Clinincal Findings-3

In the multiple regression model incorporating CRF, CCT, and the other ocular variables, only CRF was significantly associated with GAT IOP values. Also, a positive correlation was observed between CRF and CCT and between CRF and corneal curvature. These findings seem to indicate that CRF is not solely a measure of corneal material properties, but rather is an index that aggregates the effects of CCT, tissue material properties, and corneal curvature. Felipe A. Medeiros, MD and Robert N. Weinreb, MD. Evaluation of the Influence of Corneal Biomechanical Properties on Intraocular Pressure Measurements...

 Open the catalog to page 3
Ocular Response Analzyer® Clinincal Findings-4

Clinical Findings ORA for detection of corneal pathologies Compared to Pachymetry-matched controls, Corneal hysteresis was reduced in Keratoconus eyes (7.0±1.4 mm Hg vs. 8.8±1.2 mm Hg for controls, p=0.04) and Fuchs’ Corneal Dystrophy eyes (8.2±2.8 mm Hg vs. 12.1±1.7 mm Hg for controls, p=0.05). Similarly, mean CRF was lower in Keratoconus and Fuchs’ than in control eyes. This demonstrates that metrics of corneal rigidity may not correlate with central corneal thickness, and that corneal biomechanics reflect more than central corneal pachymetry alone. IOP and Corneal Biomechanical Metrics in...

 Open the catalog to page 4

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