Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil...

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Clinical Clinical Experience with Experience with the Tracey VFA the Tracey VFA in Brazil in Brazil Renato Ambrósio Jr. Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia Instituto Benjamin Constant Rio de Janeiro Rio de Janeiro

Transcript of Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil...

Page 1: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Clinical Experience Clinical Experience with the Tracey VFA with the Tracey VFA

in Brazilin BrazilRenato Ambrósio Jr.Renato Ambrósio Jr.

Universidade de São PauloOftalmologia Instituto

Benjamin Constant

Rio de JaneiroRio de Janeiro

Page 2: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Why should I buy a Why should I buy a wavefront analyzer?wavefront analyzer?

Page 3: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.
Page 4: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Screening refractive candidatesScreening refractive candidates Patient educationPatient education Surgical PlanningSurgical Planning

R.Ambrósio Jr, M.D.

Goals of the Preop exam in Goals of the Preop exam in refractive surgeryrefractive surgery

Page 5: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Screening refractive candidatesScreening refractive candidates

Complete eye examComplete eye exam Complementary examsComplementary exams Interview with the patientInterview with the patient

R.Ambrósio Jr, M.D.

Page 6: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

R.Ambrósio Jr, M.D.

Preop exam in refractive surgeryPreop exam in refractive surgeryWhich exams should we do?Which exams should we do?

Page 7: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.
Page 8: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

0.9% of the candidates had keratoconus 0.9% of the candidates had keratoconus or pellucid marginal degenerationor pellucid marginal degeneration

UW Refractive ClinicUW Refractive Clinic Study Study

R.Ambrósio Jr, M.D.

Page 9: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

R.Ambrósio Jr, M.D.

Page 10: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

R.Ambrósio Jr, M.D.

CT View – Scales for CT View – Scales for Corneal TopographyCorneal Topography

Page 11: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.
Page 12: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

KERATOMETRY

CORNEAL TOPOGRAPHY

REFRACTION

WAVEFRONT

R.Ambrósio Jr, M.D.

Page 13: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Advantages of Tracey-VFA for Advantages of Tracey-VFA for screening refractive candidatesscreening refractive candidates

Accurate Refraction ~ 0.01 D (vs 0.25D)Accurate Refraction ~ 0.01 D (vs 0.25D) Manifest and Cycloplegia comparisonManifest and Cycloplegia comparison Identification of high risk cases for night Identification of high risk cases for night

vision problems after conventional vision problems after conventional ablations (HOA and Total Aberrations)ablations (HOA and Total Aberrations)

Integrated analysis with Corneal Integrated analysis with Corneal Topography (CTView V.5 software)Topography (CTView V.5 software)

R.Ambrósio Jr, M.D.

Page 14: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Screening refractive candidates with the Tracey VFA – Bad candidate (BSCVA 20/15-2)

Page 15: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.
Page 16: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.
Page 17: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

PSFPSF Simulation for Patient education Simulation for Patient education

All Aberrations Only HOA

Bad candidate (BSCVA 20/15-2)

Page 18: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Screening refractive candidates with the Tracey VFA

Instituto de Olhos Renato AmbrósioRio de Janeiro

Page 19: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.
Page 20: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

All Aberrations Only HOA

PSFPSF Simulation for Patient education Simulation for Patient education

Page 21: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Qualidade da Visão

R.Ambrósio Jr, M.D.

Page 22: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.
Page 23: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Integrated Analysis with the CT ViewWF – Topo = Intraocular Optics

Page 24: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Clinical Applications: Monocular Clinical Applications: Monocular Diplopia – Poor CL Fit after PKPDiplopia – Poor CL Fit after PKP

Page 25: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Contact Lens Migrate Inferiorly causing diplopiaContact Lens Migrate Inferiorly causing diplopia

Aplicações do WavefrontAplicações do WavefrontEntendendo as queixas do pacienteEntendendo as queixas do paciente

Importance of ScalesImportance of Scales

Page 26: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Effect of the Scan SizeEffect of the Scan Size

Page 27: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Effect of the Scan SizeEffect of the Scan Size

Page 28: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Instituto de Olhos Renato AmbrósioRio de Janeiro

Irregular eyes measured with Tracey

Page 29: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Instituto de Olhos Renato AmbrósioRio de Janeiro

Irregular eyes measured with Tracey

Page 30: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.
Page 31: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.
Page 32: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Validação de Exames que não utilizam Validação de Exames que não utilizam Iluminação InframermelhaIluminação Inframermelha

COLVARD LOW LIGHT vs ADJUSTED AUTO TOPOGRAPHY

2

3

4

5

6

7

8

2 3 4 5 6 7 8

Colvard Low Light Pupil Size (mm)

Ad

just

ed A

uto

To

po

gra

ph

y P

up

il m

easu

rem

ent

(m

m)

r= 0.68

Page 33: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Pupil Measurements with the Tracey VFAPupil Measurements with the Tracey VFA

Instituto de OlhosRenato Ambrósio

Page 34: Clinical Experience with the Tracey VFA in Brazil Clinical Experience with the Tracey VFA in Brazil Renato Ambrósio Jr. Universidade de São Paulo Oftalmologia.

Thank you!Thank you!

[email protected]@terra.com.br