scholarly journals Automatic Identification and Representation of the Cornea–Contact Lens Relationship Using AS-OCT Images

Sensors ◽  
2019 ◽  
Vol 19 (23) ◽  
pp. 5087
Author(s):  
Pablo Cabaleiro ◽  
Joaquim de Moura ◽  
Jorge Novo ◽  
Pablo Charlón ◽  
Marcos Ortega

The clinical study of the cornea–contact lens relationship is widely used in the process of adaptation of the scleral contact lens (SCL) to the ocular morphology of patients. In that sense, the measurement of the adjustment between the SCL and the cornea can be used to study the comfort or potential damage that the lens may produce in the eye. The current analysis procedure implies the manual inspection of optical coherence tomography of the anterior segment images (AS-OCT) by the clinical experts. This process presents several limitations such as the inability to obtain complex metrics, the inaccuracies of the manual measurements or the requirement of a time-consuming process by the expert in a tedious process, among others. This work proposes a fully-automatic methodology for the extraction of the areas of interest in the study of the cornea–contact lens relationship and the measurement of representative metrics that allow the clinicians to measure quantitatively the adjustment between the lens and the eye. In particular, three distance metrics are herein proposed: Vertical, normal to the tangent of the region of interest and by the nearest point. Moreover, the images are classified to characterize the analysis as belonging to the central cornea, peripheral cornea, limbus or sclera (regions where the inner layer of the lens has already joined the cornea). Finally, the methodology graphically presents the results of the identified segmentations using an intuitive visualization that facilitates the analysis and diagnosis of the patients by the clinical experts.

Author(s):  
Sara Mizar Formentin ◽  
Barbara Zanuttigh

This contribution presents a new procedure for the automatic identification of the individual overtopping events. The procedure is based on a zero-down-crossing analysis of the water-surface-elevation signals and, based on two threshold values, can be applied to any structure crest level, i.e. to emerged, zero-freeboard, over-washed and submerged conditions. The results of the procedure are characterized by a level of accuracy comparable to the human-supervised analysis of the wave signals. The procedure includes a second algorithm for the coupling of the overtopping events registered at two consecutive gauges. This coupling algorithm offers a series of original applications of practical relevance, a.o. the possibility to estimate the wave celerities, i.e. the velocities of propagation of the single waves, which could be used as an approximation of the flow velocity in shallow water and broken flow conditions.


2022 ◽  
Author(s):  
Mahmoud Ekram ◽  
Ahmed Mohamed Kamal Elshafei ◽  
Asmaa Anwar Mohamed ◽  
Mohamed Farouk Sayed Othman Abdelkader

Abstract Purpose: To evaluate the anatomical effects of implantable phakic contact lens (IPCL) (Care Group, India) on anterior segment and its visual outcomes .Patients and methods: In a prospective interventional case series study, 60 highly myopic eyes of 32 patients were subjected to IPCL implantation in the Ophthalmology Department of Minia University Hospital, Egypt from January 2019 to June 2021. All patients had complete ophthalmic examination and were followed up for 1 year. Pentacam was used for preoperative and postoperative estimation of anterior chamber depth (ACD), anterior chamber angle (ACA), anterior chamber volume (ACV) and IPCL vault in the 1st, 3rd, and 12th months. Assessment of corneal endothelium was done using specular microscope preoperatively and after 12 months. Preoperative and postoperative refraction and visual acuity were measured. Results: There was a statistically significant decrease in ACD, ACA, and ACV. There was no significant difference between preoperative and postoperative mean intraocular pressure (IOP) by the 12th month (P=0.163). The mean preoperative endothelial cell count (ECD) was significantly reduced from 2929.3±248 cells/mm2 to 2737.9±303 cells/mm2 at the 12th month (P<0.001). with a statistically highly significant improvement of mean Log Mar uncorrected visual acuity (UCVA) from 1.48±0.19 preoperatively to 0.46±0.11 by the end of follow up (P<0.001) with insignificant difference between preoperative best corrected visual acuity (BCVA) and postoperative UCVA (P=0.209). In the 12th month, the mean vault was 240±540 μm. No sight threatening complications occurred.Conclusion: Although IPCL induced anatomical changes, it was safe and effective for correction of high myopia.


1997 ◽  
Vol 16 (5) ◽  
pp. 610-616 ◽  
Author(s):  
L. Verard ◽  
P. Allain ◽  
J.M. Travere ◽  
J.C. Baron ◽  
D. Bloyet

2019 ◽  
Author(s):  
Motohiro Itoi ◽  
Koji Kitazawa ◽  
Hisayo Higashihara ◽  
Chie Sotozono

AbstractPurposeTo evaluate the impact of removal of rigid gas-permeable (RGP) contact lenses on the anterior and posterior cornea surfaces of eyes with keratoconus.MethodsEight eyes of 8 patients with keratoconus (KC) (age 34.3 ± 15.3 years; range 19–60 years) were enrolled. Anterior segment optical coherence tomography (AS-OCT) was performed at 1, 5, 10, 20, and 60 minutes after the patients removed their RGP contact lenses. Measurements included anterior and posterior best-fit sphere (BFS); elevation values and corneal surface areas; corneal thickness at the thinnest point; and the anterior-posterior ratio of the corneal surface (As/Ps) between 1 minute and 60 minutes after RGP contact lens removal.ResultsAnterior and posterior elevation values and corneal surface areas showed significant increases, whereas anterior and posterior BFS and central corneal thickness decreased significantly (P < 0.01) between 1 minute and 60 minutes after RGP contact lens removal. No statistically significant differences were found in the As/Ps ratio during the first hour after suspending RGP contact lens wear.ConclusionsWe found that the patients with keratoconus experienced significant changes in both the anterior and posterior corneal shape for 60 minutes after removal of RGP contact lenses.


2021 ◽  
Vol 9 (11) ◽  
pp. 1199
Author(s):  
Xinglong Liu ◽  
Yicheng Li ◽  
Yong Wu ◽  
Zhiyuan Wang ◽  
Wei He ◽  
...  

Vessel recognition plays important role in ensuring navigation safety. However, existing methods are mainly based on a single sensor, such as automatic identification system (AIS), marine radar, closed-circuit television (CCTV), etc. To this end, this paper proposes a coarse-to-fine recognition method by fusing CCTV and marine radar, called multi-scale matching vessel recognition (MSM-VR). This method first proposes a novel calibration method that does not use any additional calibration target. The calibration is transformed to solve an N point registration model. Furthermore, marine radar image is used for coarse detection. A region of interest (ROI) area is computed for coarse detection results. Lastly, we design a novel convolutional neural network (CNN) called VesNet and transform the recognition into feature extraction. The VesNet is used to extract the vessel features. As a result, the MVM-VR method has been validated by using actual datasets collected along different waterways such as Nanjing waterway and Wuhan waterway, China, covering different times and weather conditions. Experimental results show that the MSM-VR method can adapt to different times, different weather conditions, and different waterways with good detection stability. The recognition accuracy is no less than 96%. Compared to other methods, the proposed method has high accuracy and great robustness.


Author(s):  
Rafael J Pérez-Cambrodí ◽  
Pedro Ruiz-Fortes

ABSTRACT Purpose To report the successful outcome obtained after fitting a new hybrid contact lens in a cornea with an area of donor-host misalignment and significant levels of irregular astigmatism after penetrating keratoplasty (PKP). Materials and methods A 41-year-old female with bilateral asymmetric keratoconus underwent PKP in her left eye due to the advanced status of the disease. One year after surgery, the patient referred a poor visual acuity and quality in this eye. The fitting of different types of rigid gas permeable contact lenses was performed, but with an unsuccessful outcome due to contact lens stability problems and uncomfortable wear. Scheimpflug imaging evaluation revealed that a donor-host misalignment was present at the nasal area. Contact lens fitting with a reverse geometry hybrid contact lens (Clearkone, SynergEyes Carlsbad) was then fitted. Visual, refractive, and ocular aberrometric outcomes were evaluated during a 1-year period after the fitting. Results Uncorrected distance visual acuity improved from a prefitting value of 20/200 to a best corrected postfitting value of 20/20. Prefitting manifest refraction was +5.00 sphere and .5.50 cylinder at 75°, with a corrected distance visual acuity of 20/30. Higher order root mean square (RMS) for a 5 mm pupil changed from a prefitting value of 6.83 μm to a postfitting value of 1.57 μm (5 mm pupil). The contact lens wearing was referred as comfortable, with no anterior segment alterations. Conclusion The SynergEyes Clearkone contact lens seems to be another potentially useful option for the visual rehabilitation after PKP, especially in cases of donor-host misalignment. How to cite this article Pérez-Cambrodí RJ, Ruiz-Fortes P, Llorens DPP. Reverse Geometry Hybrid Contact Lens Fitting in a Case of Donor-Host Misalignment after Keratoplasty. Int J Kerat Ect Cor Dis 2013;2(2):69-72.


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