CORNEA NIGHT

GALILEI &
CIRURGIA REFRATIVA
ÓTIMA COMBINAÇÃO

DR FLAVIO GERMANO | CENTRO DE EXCELÊNCIA EM OFTALMOLOGIA | BAURU-SP

Paciente (21 anos), sexo feminino, veio para conversar sobre possibilidade de cirurgia refrativa.
AO: nega
AP: propanolol 10mg, avanys (spray nasal [fluticasona])
Óculos Atual:
OD: -2,75        SF: -0,75        CIL Eixo: 130      
OE: -3,25        SF: -0,75        CIL Eixo: 115      
Ceratometria:
OD: OE:
    167 /   42,50 159 / 42,75
    077 /   44,75 069 / 43,00
RETINOSCOPIA:
OD: FAIXA DUVIDOSA
OE: FAIXA REGULAR
TESTE SUBJETIVO
Dinâmico
OD: -3,25        SF: -0,75        CIL Eixo: 130          AV: 1,0      
OE: -3,75        SF: -0,75        CIL Eixo: 115          AV: 1,0       TONOMETRIA (aplanação) (15hs)
Estático OD: 13 mmHg
OD: - 3,00 SF: -0,75 CIL Eixo: 130 AV: 1,0 OE: 14 mmHg
FUNDO DE OLHO:
OE: - 3,75 SF: -0,75 CIL Eixo: 115 AV: 1,0 OD: nada digno de nota
OE: nada digno de nota
 DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO Map x1 Report
2023 May 13 - 09:25, 3d Scan (15/2) (Surf. Align.: On)
Eye lid? OD SW V6.4.2

Anterior Axial Curvature [D] n 1.3375 SimK n 1.3375

No map alignment SimK 42.99D R 7.85mm
90
[D] Flat SimK 42.39D 141° R1 7.96mm
60.00 Steep SimK 43.58D 51° R2 7.74mm
4 120 40.1 40.1 39.5 60
40.1 39.0 Astig 1.19D 51° e² (-Q) 0.23
OD 38.9 9mm 59.00
40.5
39.4
Posterior Axial Curvature
41.3 58.00
Mean K -5.41D R 7.40mm
40.3
3
41.8 57.00 Flat K -4.87D 92° R1 8.22mm
41.0
41.9 40.6 56.00 Steep K -5.94D 2° R2 6.73mm
40.7 40.6
41.1
40.8 41.4 Astig -1.07D 2° e² (-Q) 1.05
150 30 55.00
41.8 41.5 Total Corneal Power IOL (Ray Traced)
41.8 41.5
2 42.3 54.00 Mean TCPIOL 42.59D Central 42.23D
41.8 42.1
41.5 53.00 Flat TCPIOL 41.67D 158° Mid 42.40D
42.6
41.9 42.4 41.7 42.4 52.00
Steep TCPIOL 43.50D 68° Periph 42.23D
41.8
1 43.3 42.5 41.3 Astig 1.83D 68°
51.00
41.9 42.7 42.5 Pachymetry
43.1 42.2 41.0 50.00 o Thinnest 581µm x,y -0.25mm -1.07mm
42.0 42.8 42.7 Central 600µm CCT 590µm
49.00
0 42.5 42.4 41.7 40.8 0 Mid 681µm
48.00
42.1 42.7 42.7 Periph 946µm Corneal Vol. 36.7mm³
42.3 41.5 40.5 47.00
Anterior Chamber and Biometry
42.1 42.7 43.5
-1 42.6
46.00 WTW, N-T 12.66mm Mean Angle n/a
41.4 40.4
44.1 ACV n/a Kappa Dist 0.32mm
42.2 42.9 43.6 43.0 45.00
41.6 40.5 AQD 3.43mm ASL endo n/a
44.00
42.3 43.4 + Pupil Diam 2.73mm location x,y -0.26mm 0.19mm
-2 41.8 43.00
43.7 40.7 Corneal Shape Asymmetry
210 42.4 42.2 330 42.00 KPI 16.6% Kprob 20.5%
43.7 40.9
43.5 42.5
42.5 43.2 42.8 41.00 CLMIaa 1.66D PPK 5.2%
-3 41.2 Exam Label and Notes
42.7 40.00
41.4 |
42.9 39.00
41.6
T 43.1
41.8 N
43.0 38.00
-4 240 42.9 42.4 42.2 300
42.7
37.00

...
-4 -3 -2 -1 0 1 2 3 4
 DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO Map x1 Report
2023 May 13 - 09:26, 3d Scan (15/2) (Surf. Align.: On)
Eye lid? OS SW V6.4.2

Anterior Axial Curvature [D] n 1.3375 SimK n 1.3375

No map alignment SimK 42.99D R 7.85mm
90
[D] Flat SimK 42.75D 5° R1 7.90mm
60.00 Steep SimK 43.23D 95° R2 7.81mm
4 120 42.5 43.1 42.7 60
41.7 41.7 Astig 0.48D 95° e² (-Q) 0.15
OS 40.9 9mm 59.00
41.2
41.4
Posterior Axial Curvature
41.2 58.00
Mean K -5.79D R 6.90mm
42.6
3
41.2 57.00 Flat K -5.59D 179° R1 7.15mm
43.3
40.9 43.1 56.00 Steep K -6.00D 89° R2 6.67mm
42.7 42.8
42.4
42.3 43.0 Astig -0.40D 89° e² (-Q) -2.06
150 30 55.00
40.9 42.6 Total Corneal Power IOL (Ray Traced)
42.3 42.3
2 43.4 54.00 Mean TCPIOL 42.30D Central 42.31D
40.8 42.2
41.9 53.00 Flat TCPIOL 42.17D 29° Mid 42.38D
43.4
40.9 42.1 43.2 43.0 52.00
Steep TCPIOL 42.43D 119° Periph 42.75D
42.8
1 42.9 42.9 41.7 Astig 0.27D 119°
51.00
40.8 42.0 42.6 Pachymetry
43.0 42.6 41.8 50.00 o Thinnest 598µm x,y 1.24mm -0.40mm
40.9 42.0 42.6 Central 609µm CCT 607µm
49.00
0 42.7 43.0 42.5 41.9 0 Mid 647µm
48.00
40.9 42.0 42.5 Periph 746µm Corneal Vol. 34.1mm³
43.0 42.7 41.9 47.00
Anterior Chamber and Biometry
40.8 41.9 42.5
-1 43.1
46.00 WTW, N-T 12.65mm Mean Angle 40.8°
42.7 41.8
43.0 ACV 106mm³ Kappa Dist 0.14mm
40.9 41.9 43.3 43.3 45.00
42.7 41.9 AQD 3.34mm ASL endo n/a
44.00
40.9 42.1 + Pupil Diam 2.69mm location x,y 0.10mm 0.09mm
-2 42.8 43.00
42.5 41.7 Corneal Shape Asymmetry
210 41.1 43.0 330 42.00 KPI 0.2% Kprob 2.2%
43.0 41.7
43.2 43.1
41.2 43.1 43.0 41.00 CLMIaa 0.30D PPK 0.3%
-3 41.8 Exam Label and Notes
41.5 40.00
41.8 |
41.7 39.00
41.9
N 41.9
41.9 T
42.0 38.00
-4 240 42.0 42.1 42.1 300
42.1
37.00

...
-4 -3 -2 -1 0 1 2 3 4
 OLHO OLHO ESQUERDO
DIREITO
DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO CEO 2
2023 May 13 - 09:25, 3d Scan (15/2) (Surf. Align.: On) DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO CEO 2
Eye lid? OD SW V6.4.2 2023 May 13 - 09:26, 3d Scan (15/2) (Surf. Align.: On)

Anterior Axial Curvature [D] n 1.3375 Post. Elevation BFTA [µm] Fit Zone 8.0 mm | RadiusBFS 6.56 mm SimK n 1.3375
Eye lid? OS SW V6.4.2

Avg 42.47 [D] | zone 6.5-4.7 mm Avg 0 [µm] | zone 4.7-6.5 mm SimK 42.99D R 7.85mm Anterior Axial Curvature [D] n 1.3375 Post. Elevation BFTA [µm] Fit Zone 8.0 mm | RadiusBFS 6.48 mm SimK n 1.3375
90 [D] 90 [µm]
60.00 75 Flat SimK 42.39D 141° R1 7.96mm Avg 42.61 [D] | zone 6.5-4.7 mm Avg -0 [µm] | zone 4.7-6.5 mm SimK 42.99D R 7.85mm
120 60 120 60 70 90 90
4 40.1 39.1 59.00 4 342 230 65 Steep SimK 43.58D 51° R2 7.74mm [D] [µm]
OD 40.2
39.4
9mm 58.00
OD 259
5
9mm 60 60.00 75 Flat SimK 42.75D 5° R1 7.90mm
120 60 120 60 70
41.5 40.17 [D] 57.00 33 -8 [µm] 55 Astig 1.19D 51° e² (-Q) 0.23 4 43.0 41.9 59.00 4 -90 -146 65 Steep SimK 43.23D 95° R2 7.81mm
3 3.0 40.9 3 3.0 -173 50 OS 41.6
41.4
9mm 58.00
OS 47
-89
9mm 60
56.00 45 Anterior Instantaneous Curvature (Tangential)
40.6 40.7 96 39 n 1.3375 41.3 101 55 Astig 0.48D 95° e² (-Q) 0.15
150 41.8 41.3 30 55.00 150 -215 -15 30 40
35 3 43.3
57.00
3 -44 50
41.5 -223 56.00 45 Anterior Instantaneous Curvature (Tangential)
2 42.3 54.00 2 -116 30 Mean K 42.77D R 7.89mm 43.1 42.4 7 n 1.3375
41.9 42.3 53.00 -248 -111 25 150 40.9 42.3 30 55.00 150 55
16
9 30 40
35
41.6 52.00 -27 20 Flat K 42.10D 132° R1 8.02mm 2 43.3 42.3 54.00 2 34 -55 30 Mean K 42.91D R 7.87mm
1 43.2 42.5 41.3 51.00 1 -45 -125 -95 15 40.8 42.1 53.00 -27 -11 25
10 Steep K 43.43D 42° R2 7.77mm 43.1 52.00 11 20 Flat K 42.60D 5° R1 7.92mm
42.0 42.8 42.7 50.00 -55 -53 -34 5 1 42.9 42.9 41.7 51.00 1 26 35 -68 15
0 42.5 42.4 41.7 40.7 0 48.00 0
49.00
0 -7 40 150 0
0 Astig 1.33D 42° e² (-Q) 0.23 10 Steep K 43.21D 95° R2 7.81mm
-5 40.9 42.0 42.6 50.00 -15 -24 -7 5
-10 Posterior Axial Curvature 49.00 0 Astig 0.61D 95° e² (-Q) 0.15
42.1 42.7 43.0 47.00 105 35 29 -15 0 42.7 43.0 42.5 41.8 0 48.00 0 0 9 12 -47 0 -5
46.00 -1 -20 -10 Posterior Axial Curvature
-1 42.6 41.4 40.4 36 115 337 -25 Mean K -5.41D R 7.40mm 40.9 42.0 42.4 47.00 24 -10 -14 -15
43.9 45.00 53 -30 46.00 -20
42.3 43.2 44.00 127 56 -35 Flat K -4.87D 92° R1 8.22mm -1 43.1 42.7 41.8 -1 -11 -6 -18 -25 Mean K -5.79D R 6.90mm
-2 41.9 -2 25 -40 43.3 45.00 -15 -30
40.7 43.00 299 40.9 41.9 44.00 43 -10 Flat K -5.59D 179° R1 7.15mm
210 42.4 43.7 330 42.00 210 69 330 -45 Steep K -5.94D 2° R2 6.73mm -2 42.9 -2 -10
-35
-40
43.3 42.6 97 18 -51 -50 41.7 43.00 2
41.2 41.00
-7 -55 Astig -1.07D 2° e² (-Q) 1.05 210 41.1 43.0 330 42.00 210 60 -15 330 -45 Steep K -6.00D 89° R2 6.67mm
-3 40.00
-3 -60 43.1 43.1 -15 -11 -50
42.9 84 -65 Total Corneal Power IOL (Ray Traced) 41.8 41.00
19 -55 Astig -0.40D 89° e² (-Q) -2.06
T 41.6 N 39.00 T -350 N -70
-3 40.00
-3 -60
43.1 12 41.8 62 -65
-4 240 42.7 42.2 1.5 300 38.00 -4
240 -250 -457 1.5 300 -75
Mean TCPIOL 42.59D Central 42.23D N 41.9 T 39.00 N 24 T -70
Total Corneal Power IOL (Ray Traced)
37.00 -80 42.1 57
-85 -4 240 42.0 42.0 300 38.00 -4
240 39 21 300 -75
Mean TCPIOL 42.30D Central 42.31D
-4 -3 -2 -1 0 1 2 3 4 ... -4 -3 -2 -1 0 1 2 3 4 ... Flat TCPIOL 41.67D 158° Mid 42.40D 37.00 -80
-85
Anterior Instantaneous Curvature [D] n 1.3375 Corneal Pachymetry [µm] Steep TCPIOL 43.50D 68° Periph 42.23D -4 -3 -2 -1 0 1 2 3 4 ... -4 -3 -2 -1 0 1 2 3 4 ... Flat TCPIOL 42.17D 29° Mid 42.38D
Anterior Instantaneous Curvature [D] n 1.3375 Corneal Pachymetry [µm] Steep TCPIOL 42.43D 119° Periph 42.75D
Avg 41.01 [D] | zone 4.7-6.5 mm Avg 626 [µm] | zone 4.7-6.5 mm Astig 1.83D 68°
90 [D] 90 [µm] Avg 41.41 [D] | zone 4.7-6.5 mm Avg 641 [µm] | zone 4.7-6.5 mm Astig 0.27D 119°
66.50 220 Pachymetry 90 [D] 90 [µm]
4 120 38.4 35.9 60 4 120 1160 1228 60 240 220 Pachymetry
OD 38.1 9mm 65.00
OD 1077 9mm 260 o Thinnest 581µm x,y -0.25mm -1.07mm 120 41.3 39.7 60
66.50
120 823 869 60 240
35.6 63.50 1264 4 65.00 4 o Thinnest 598µm x,y 1.24mm -0.40mm
40.5 35.28 [D] 1022 970 [µm]
280
300 Central 600µm CCT 590µm OS 37.7
38.0
9mm 63.50
OS 743
838
9mm 260
62.00 280
3 3.0 37.3 60.50 3 3.0 1176 320 37.2 62.00 701 300 Central 609µm CCT 607µm
40.2 39.6 36.3 760 781 340 Anterior Chamber and Biometry 3 40.7 3 775 320
150 40.9 30 59.00 150 1064 715 30 360 43.0 40.4 60.50 677 686 340 Anterior Chamber and Biometry
2 39.1 38.7 57.50 2 753 1010 380 WTW, N-T 12.66mm Mean Angle n/a 150 36.4 40.9 30 59.00 150 728 650 30 360
39.5 41.4 56.00 990 683 400 2 44.2 38.7 57.50 2 652 740 380 WTW, N-T 12.65mm Mean Angle 40.8°
40.3 54.50 619 420 ACV n/a Kappa Dist 0.32mm 36.9 40.4 56.00 744 659 400
1 42.8 40.4 38.8 1 614 703 875 440 43.0 54.50 618 420 ACV 106mm³ Kappa Dist 0.14mm
53.00 460 AQD 3.43mm ASL endo n/a 42.9 41.7 38.8 613 632 763 440
41.8 43.1 604 1 53.00 1 AQD 3.34mm ASL endo n/a
38.6 51.50 846 638 480 460
+ Pupil Diam 2.73mm location x,y -0.26mm 0.19mm 37.4 40.0 42.4 51.50 723 649 616 480
0 42.5 42.1 39.8 37.9 0 50.00 0 590 610 647 700 0 500
+ Pupil Diam 2.69mm location x,y 0.10mm 0.09mm
48.50 520 0 42.7 42.9 41.3 39.6 0 50.00 0 607 599 626 744 0 500
39.2 42.4 42.9 699 607 593 540 Corneal Shape Asymmetry & Indices 48.50 520
47.00
560 37.2 40.3 42.0 47.00 702 634 612 540 Corneal Shape Asymmetry & Indices
-1 42.3 39.5 37.4 45.50 -1 604 618 600 KPI 16.6% Kprob 20.5% 560
580 -1 43.2 41.6 38.6 45.50 -1 600 618 712 KPI 0.2% Kprob 2.2%
43.9 44.00 582 600 43.4 44.00 605 580
39.8 42.1 42.50 644 632 CLMIaa 1.66D PPK 5.2% 37.7 40.4 698 652 600
-2 40.3 647 620 42.50 CLMIaa 0.30D PPK 0.3%
38.4 41.00 -2 612 640 -2 41.5 -2 622 620
210 39.4 42.4 330 39.50 210 670 612 330 660
I-S 2.60D DSI 2.60D 42.5
38.6 41.00
643
666 640 I-S 0.08D DSI 1.09D
42.3 41.5 631 675 210 38.8 41.9 330 39.50 210 707 626 330 660
39.5 38.00 759 680 SAI 1.12D OSI 2.44D 42.0 634
-3
36.50
-3 700 -3 38.0 38.00
-3 666 680 SAI 0.58D OSI 0.98D
40.4 666 37.9 36.50 692 700
T 39.9 N 35.00 T 918 N 720 SRI 0.40D CSI 0.44D N 37.5 T 35.00 N 669 T 720 SRI 0.38D CSI 0.21D
41.5 40.4 33.50 -4
710 934 740 36.9 689 740
-4 240 41.1 1.5 300 240 831 1.5 300 IAI 0.37D ACP 42.84D -4 37.8 37.9 33.50 -4 696 677
32.00
760 240 300 240 300 760 IAI 0.38D ACP 42.94D
780 32.00 780
-4 -3 -2 -1 0 1 2 3 4 ... -4 -3 -2 -1 0 1 2 3 4 ... AA 100.0% SDP 1.07D -4 -3 -2 -1 0 1 2 3 4 ... -4 -3 -2 -1 0 1 2 3 4 ... AA 100.0% SDP 0.79D
 DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO CEO 2
2023 May 13 - 09:25, 3d Scan (15/2) (Surf. Align.: On)
Eye lid? OD SW V6.4.2

Anterior Axial Curvature [D] n 1.3375 Post. Elevation BFTA [µm] Fit Zone 8.0 mm | RadiusBFS 6.56 mm SimK n 1.3375
Avg 42.47 [D] | zone 6.5-4.7 mm Avg 0 [µm] | zone 4.7-6.5 mm SimK 42.99D R 7.85mm
90 [D] 90 [µm]
60.00 75 Flat SimK 42.39D 141° R1 7.96mm
120 60 120 60 70
4 40.1 39.1 59.00 4 342 230 65 Steep SimK 43.58D 51° R2 7.74mm
OD 40.2
39.4
9mm 58.00
OD 259
5
9mm 60
41.5 40.17 [D] 57.00 33 -8 [µm] 55 Astig 1.19D 51° e² (-Q) 0.23
3 3.0 40.9 3 3.0 -173 50
56.00 45
40.6 96 Anterior Instantaneous Curvature (Tangential) n 1.3375
150 41.8 41.3
40.7 30 55.00 150 -215 -15
39 30 40
35
2 42.3 41.5 54.00 2 -116 -223 30 Mean K 42.77D R 7.89mm
41.9 42.3 53.00 -248 -111 25
41.6 52.00 -27 20 Flat K 42.10D 132° R1 8.02mm
1 43.2 42.5 41.3 51.00 1 -45 -125 -95 15
42.7 -34
10 Steep K 43.43D 42° R2 7.77mm
42.0 42.8 50.00 -55 -53 5
0 42.5 42.4 41.7 40.7 0
49.00
0 0 -7 40 150 0
0
-5
Astig 1.33D 42° e² (-Q) 0.23
48.00 -10
42.1 42.7 43.0 47.00 105 35 29 -15 Posterior Axial Curvature
46.00 -20
-1 42.6 41.4 40.4 -1 36 115 337 -25 Mean K -5.41D R 7.40mm
43.9 45.00 53 -30
42.3 43.2 44.00 127 56 -35 Flat K -4.87D 92° R1 8.22mm
-2 41.9 40.7 43.00 -2 25 299 -40
210 43.7 330 42.00 210 69 330 -45 Steep K -5.94D 2° R2 6.73mm
42.4 43.3 42.6 97 18 -51 -50
41.00 -55 Astig -1.07D 2° e² (-Q) 1.05
-3 41.2 -3 -7 -60
42.9 40.00 84
T N 39.00 T N -65 Total Corneal Power IOL (Ray Traced)
41.6 -350 -70
43.1 12
-4 240 42.7 42.2 1.5 300 38.00 -4 240 -250 -457 1.5 300 -75
Mean TCPIOL 42.59D Central 42.23D
37.00 -80
-85
-4 -3 -2 -1 0 1 2 3 4 ... -4 -3 -2 -1 0 1 2 3 4 ... Flat TCPIOL 41.67D 158° Mid 42.40D
Anterior Instantaneous Curvature [D] n 1.3375 Corneal Pachymetry [µm] Steep TCPIOL 43.50D 68° Periph 42.23D
Avg 41.01 [D] | zone 4.7-6.5 mm Avg 626 [µm] | zone 4.7-6.5 mm Astig 1.83D 68°
90 [D] 90 [µm]
66.50 220 Pachymetry
4 120 38.4 35.9 60 4 120 1160 1228 60 240
OD 38.1 9mm 65.00
OD 1077 9mm 260 o Thinnest 581µm x,y -0.25mm -1.07mm
35.6 63.50 1264 280
40.5 35.28 [D] 62.00 1022 970 [µm] 300 Central 600µm CCT 590µm
3 3.0 37.3 60.50 3 3.0 1176 320
39.6 36.3 760 340 Anterior Chamber and Biometry
150 40.2 40.9 30 59.00 150 1064
715
781 30 360
2 39.1 38.7 57.50 2 753 1010 380 WTW, N-T 12.66mm Mean Angle n/a
39.5 41.4 56.00 990 683 400
40.3 54.50 619 420 ACV n/a Kappa Dist 0.32mm
1 42.8 40.4 38.8 53.00 1 614 703 875 440
43.1 604
460 AQD 3.43mm ASL endo n/a
38.6 41.8 51.50 846 638 480
0 42.5 42.1 39.8 37.9 0 50.00
0 590 610 647 700 0 500 + Pupil Diam 2.73mm location x,y -0.26mm 0.19mm
48.50 520
39.2 42.4 42.9 47.00 699 607 593 540 Corneal Shape Asymmetry & Indices
45.50 560
-1 42.3 39.5 37.4 -1 604 618 600 580 KPI 16.6% Kprob 20.5%
43.9 44.00 582 600
39.8 42.1 42.50 644 632 CLMIaa 1.66D PPK 5.2%
620
-2 40.3 38.4 41.00 -2 647 612 640
210 42.4 330 39.50 210 612 330 660
I-S 2.60D DSI 2.60D
39.4 42.3 41.5 670 631 675
-3 39.5 38.00
-3 759 680 SAI 1.12D OSI 2.44D
40.4 36.50 666 700
T 39.9 N 35.00 T 918 N 720 SRI 0.40D CSI 0.44D
41.5 710 740
-4 240 41.1 40.4 1.5 300 33.50 -4 240 831 934 1.5
300 760 IAI 0.37D ACP 42.84D
32.00 780
-4 -3 -2 -1 0 1 2 3 4 ... -4 -3 -2 -1 0 1 2 3 4 ... AA 100.0% SDP 1.07D
 DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO CEO 2
2023 May 13 - 09:26, 3d Scan (15/2) (Surf. Align.: On)
Eye lid? OS SW V6.4.2

Anterior Axial Curvature [D] n 1.3375 Post. Elevation BFTA [µm] Fit Zone 8.0 mm | RadiusBFS 6.48 mm SimK n 1.3375
Avg 42.61 [D] | zone 6.5-4.7 mm Avg -0 [µm] | zone 4.7-6.5 mm SimK 42.99D R 7.85mm
90 [D] 90 [µm]
60.00 75 Flat SimK 42.75D 5° R1 7.90mm
120 60 120 60 70
4 43.0 41.9 59.00 4 -90 -146 65 Steep SimK 43.23D 95° R2 7.81mm
OS 41.6
41.4
9mm 58.00
OS 47
-89
9mm 60
41.3 57.00 101 55 Astig 0.48D 95° e² (-Q) 0.15
3 43.3 3 -44 50
56.00 45
43.1 7 Anterior Instantaneous Curvature (Tangential) n 1.3375
150 40.9 42.3
42.4 30 55.00 150 55
16
9 30 40
35
2 43.3 42.3 54.00 2 34 -55 30 Mean K 42.91D R 7.87mm
40.8 42.1 53.00 -27 -11 25
43.1 52.00 11 20 Flat K 42.60D 5° R1 7.92mm
1 42.9 42.9 41.7 51.00 1 26 35 -68 15
42.6 -7
10 Steep K 43.21D 95° R2 7.81mm
40.9 42.0 50.00 -15 -24 5
0 42.7 43.0 42.5 41.8 0
49.00
0 0 9 12 -47 0
0
-5
Astig 0.61D 95° e² (-Q) 0.15
48.00 -10
40.9 42.0 42.4 47.00 24 -10 -14 -15 Posterior Axial Curvature
46.00 -20
-1 43.1 42.7 41.8 -1 -11 -6 -18 -25 Mean K -5.79D R 6.90mm
43.3 45.00 -15 -30
40.9 41.9 44.00 43 -10 -35 Flat K -5.59D 179° R1 7.15mm
-2 42.9 41.7 43.00 -2 -10 2 -40
210 43.0 330 42.00 210 -15 330 -45 Steep K -6.00D 89° R2 6.67mm
41.1 43.1 43.1 60 -15 -11 -50
41.00 -55 Astig -0.40D 89° e² (-Q) -2.06
-3 41.8 -3 19 -60
41.8 40.00 62
N T 39.00 N T -65 Total Corneal Power IOL (Ray Traced)
41.9 24 -70
42.1 57
-4 240 42.0 42.0 300 38.00 -4 240 39 21 300 -75
Mean TCPIOL 42.30D Central 42.31D
37.00 -80
-85
-4 -3 -2 -1 0 1 2 3 4 ... -4 -3 -2 -1 0 1 2 3 4 ... Flat TCPIOL 42.17D 29° Mid 42.38D
Anterior Instantaneous Curvature [D] n 1.3375 Corneal Pachymetry [µm] Steep TCPIOL 42.43D 119° Periph 42.75D
Avg 41.41 [D] | zone 4.7-6.5 mm Avg 641 [µm] | zone 4.7-6.5 mm Astig 0.27D 119°
90 [D] 90 [µm]
66.50 220 Pachymetry
4 120 41.3 39.7 60 4 120 823 60 240
OS 37.7 9mm 65.00
OS 743 869 9mm 260 o Thinnest 598µm x,y 1.24mm -0.40mm
38.0 63.50 838 280
37.2 62.00 701 300 Central 609µm CCT 607µm
3 40.7 60.50 3 775 320
43.0 40.4 677 340 Anterior Chamber and Biometry
150 36.4 40.9 30 59.00 150 728
650
686 30 360
2 44.2 38.7 57.50 2 652 740 380 WTW, N-T 12.65mm Mean Angle 40.8°
36.9 40.4 56.00 744 659 400
43.0 54.50 618 420 ACV 106mm³ Kappa Dist 0.14mm
1 42.9 41.7 38.8 53.00 1 613 632 763 440
42.4 616
460 AQD 3.34mm ASL endo n/a
37.4 40.0 51.50 723 649 480
0 42.7 42.9 41.3 39.6 0 50.00
0 607 599 626 744 0 500 + Pupil Diam 2.69mm location x,y 0.10mm 0.09mm
48.50 520
37.2 40.3 42.0 47.00 702 634 612 540 Corneal Shape Asymmetry & Indices
45.50 560
-1 43.2 41.6 38.6 -1 600 618 712 580 KPI 0.2% Kprob 2.2%
43.4 44.00 605 600
37.7 40.4 42.50 698 652 CLMIaa 0.30D PPK 0.3%
620
-2 41.5 38.6 41.00 -2 622 666 640
210 42.5 330 39.50 210 643 330 660
I-S 0.08D DSI 1.09D
38.8 42.0 41.9 707 634 626
-3 38.0 38.00
-3 666 680 SAI 0.58D OSI 0.98D
37.9 36.50 692 700
N 37.5 T 35.00 N 669 T 720 SRI 0.38D CSI 0.21D
36.9 689 740
-4 240 37.8 37.9 300 33.50 -4 240 696 677
300 760 IAI 0.38D ACP 42.94D
32.00 780
-4 -3 -2 -1 0 1 2 3 4 ... -4 -3 -2 -1 0 1 2 3 4 ... AA 100.0% SDP 0.79D
 DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO Wavefront Report
2023 May 13 - 09:25, 3d Scan (15/2) (Surf. Align.: On)
Eye lid? OD SW V6.4.2

Total Corneal Wavefront Zernike Coefficiants [µm] Total Corneal Wavefront Zernike Coefficiants [D] SimK n 1.3375
SimK 42.99D R 7.85mm
Defocus Astigmatism Flat SimK 42.39D 141° R1 7.96mm
2. Order
Steep SimK 43.58D 51° R2 7.74mm
1.03µm 0.86µm -0.43µm 0.38µm 0.33 D 0.72 D @123.0 ° Astig 1.19D 51° e² (-Q) 0.23
Coma Trefoil Posterior Axial Curvature
3. Order 3. Order
Mean K -5.41D R 7.40mm
1.08µm 0.96µm -0.31µm -0.37µm 0.02µm 0.37 D @39.9 ° 0.74 D @89.6 ° Flat K -4.87D 92° R1 8.22mm
Sperical Steep K -5.94D 2° R2 6.73mm
Astig -1.07D 2° e² (-Q) 1.05
0.39µm -0.20µm -0.01µm 0.16µm 0.08µm -0.29µm -0.12 D Anterior Axial Curvature Zones n 1.3375
Central 42.80D 7.88mm
Mid 42.19D 8.00mm
Periph 41.31D 8.17mm
Other HOA Kmax 44.16D 7.64mm location x,y -0.78mm -1.40mm
5-8
Total Corneal Power IOL (Ray Traced)
0.20µm 0.12µm 0.08µm 0.06µm Mean TCPIOL 42.59D Central 42.23D
Flat TCPIOL 41.67D 158° Mid 42.40D
Total Corneal Wavefront [µm] Fit Zone 6.0 mm | RMS 1.56 µm Total Corneal Wavefront Pie Chart [D] Steep TCPIOL 43.50D 68° Periph 42.23D
Map aligned with pupil Astig 1.83D 68°
90 [µm]
7.00 Pachymetry
4 120 60 6.50
OD 9mm 6.00 o Thinnest 581µm x,y -0.25mm -1.07mm
5.50
5.00 Central 600µm CCT 590µm
3 4.50
-3.82 -3.50 4.00 Mid 681µm
150 -0.53 30 3.50
-1.47 Periph 946µm Corneal Vol. 36.7mm³
2 3.12 3.00
2.50
0.96 Anterior Chamber and Biometry
0.14 0.91
2.00
1 2.36 1.50
2.03 1.00 WTW, N-T 12.66mm Mean Angle n/a
1.12 0.19 0.50
0 1.14 0.85 -0.88 0 0.00 ACV n/a Kappa Dist 0.32mm
-0.50
0.06 -0.53 -1.00 AQD 3.43mm ASL endo n/a
0.11 -1.50
-1 0.10 0.00
-2.75
-2.00 + Pupil Diam 2.73mm location x,y -0.26mm 0.19mm
-0.55 -2.50
-2.73 -3.00
Corneal Shape Asymmetry
-2 1.91 -3.50
210 -2.12 330 -4.00
KPI 16.6% Kprob 20.5%
2.06 -0.44
-3
-4.50 CLMIaa 1.66D PPK 5.2%
-5.00
T N -5.50 Total Corneal Wavefront Aberrations
-6.00
-4 240 300 -6.50 RMS Total 1.56µm 1.20D
-7.00
-4 -3 -2 -1 0 1 2 3 4 ...
 DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO Wavefront Report
2023 May 13 - 09:26, 3d Scan (15/2) (Surf. Align.: On)
Eye lid? OS SW V6.4.2

Total Corneal Wavefront Zernike Coefficiants [µm] Total Corneal Wavefront Zernike Coefficiants [D] SimK n 1.3375
SimK 42.99D R 7.85mm
Defocus Astigmatism Flat SimK 42.75D 5° R1 7.90mm
2. Order
Steep SimK 43.23D 95° R2 7.81mm
0.65µm 0.02µm -0.46µm -0.46µm 0.36 D 0.35 D @178.9 ° Astig 0.48D 95° e² (-Q) 0.15
Coma Trefoil Posterior Axial Curvature
3. Order 3. Order
Mean K -5.79D R 6.90mm
0.35µm 0.19µm 0.05µm 0.28µm 0.06µm 0.22 D @189.9 ° 0.15 D @84.2 ° Flat K -5.59D 179° R1 7.15mm
Sperical Steep K -6.00D 89° R2 6.67mm
Astig -0.40D 89° e² (-Q) -2.06
0.26µm 0.09µm 0.03µm 0.23µm -0.05µm 0.07µm -0.18 D Anterior Axial Curvature Zones n 1.3375
Central 42.93D 7.86mm
Mid 42.58D 7.93mm
Periph 41.56D 8.12mm
Other HOA Kmax 43.34D 7.79mm location x,y 0.10mm -1.50mm
5-8
Total Corneal Power IOL (Ray Traced)
0.23µm 0.11µm 0.13µm 0.04µm Mean TCPIOL 42.30D Central 42.31D
Flat TCPIOL 42.17D 29° Mid 42.38D
Total Corneal Wavefront [µm] Fit Zone 6.0 mm | RMS 0.84 µm Total Corneal Wavefront Pie Chart [D] Steep TCPIOL 42.43D 119° Periph 42.75D
Map aligned with pupil Astig 0.27D 119°
90 [µm]
7.00 Pachymetry
4 120 60 6.50
OS 9mm 6.00 o Thinnest 598µm x,y 1.24mm -0.40mm
5.50
5.00 Central 609µm CCT 607µm
3 4.50
0.82 0.34 4.00 Mid 647µm
150 -1.00 30 3.50
2 -0.50 3.00 Periph 746µm Corneal Vol. 34.1mm³
0.68 2.50
-1.15 2.00 Anterior Chamber and Biometry
1 0.77 0.56 1.50
-0.10
0.06 1.00 WTW, N-T 12.65mm Mean Angle 40.8°
-1.09 0.74 0.50
0 1.34 -0.06 -1.36 0 0.00 ACV 106mm³ Kappa Dist 0.14mm
-0.50
-1.36 0.72 -1.00 AQD 3.34mm ASL endo n/a
0.13 -1.50
-1 0.88 0.70
-1.15
-2.00 + Pupil Diam 2.69mm location x,y 0.10mm 0.09mm
-1.92 -2.50
-0.85 -3.00
Corneal Shape Asymmetry
-2 -0.38 -3.50
210 330 KPI 0.2% Kprob 2.2%
0.78 0.70 0.17 -4.00
-3
-4.50 CLMIaa 0.30D PPK 0.3%
-5.00
N T -5.50 Total Corneal Wavefront Aberrations
-6.00
-4 240 300 -6.50 RMS Total 0.84µm 0.64D
-7.00
-4 -3 -2 -1 0 1 2 3 4 ...
 DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO CLMI.X
2023 May 13 - 09:25, 3d Scan (15/2) (Surf. Align.: On)
Eye lid? OD SW V6.4.2

CLMI.X Analysis Anterior Axial Curvature [D] n 1.3375 Anterior Instantaneous Curvature [D] n 1.3375 Corneal Pachymetry [µm]
100 % PPK.X Search Zone 6.0 mm | Spot Size 2.0 mm Search Zone 6.0 mm | Spot Size 2.0 mm Search Zone 6.0 mm | Spot Size 1.0 mm
100 % 90 [D] 90 [D] 90 [µm]
60.00 66.50 220
4 OD 120 40.2 39.0 60
9mm 59.00 4 OD 120 38.4 35.5 60
9mm 65.00 4 OD 120 1160 1233 60
9mm
240
40.4 38.5 1053 260
40.0 58.00 36.1 63.50 1241 280
3 41.9 57.00 3 40.7 62.00 3 1059 300
56.00 60.50 320
150 40.9 40.6 41.4 30 55.00 150 39.9 38.0 38.2 30 59.00 150 730 778 1100 30 340
41.8 38.0 764 360
2 41.7 42.1 54.00 2 39.5 41.7 57.50 2 1053 689
53.00 56.00 380
41.6 42.6 41.4 40.3 40.4 39.0 619 710 885 400
1 43.2 52.00 1 42.6 54.50 1 615 420
41.9 42.8 42.7 51.00 38.5 41.8 43.1 53.00 910 638 604 440
50.00 51.50 460
0 42.5 42.4 41.7 40.8 0 49.00 0 42.5 42.1 39.8 37.9 0 50.00 0 590 610 647 700 0 480
48.00 48.50 500
42.1 42.7 43.0 39.2 42.4 42.9 688 607 593 520
-1 42.6 47.00 -1 42.4 47.00 -1 602 540
43.9 41.5 40.5 46.00 43.9 39.6 37.6 45.50 582 618 592 560
43.4 45.00 42.1 44.00 632 580
25 %
-2 42.2 42.1 44.00
-2 39.4 40.5 42.50
-2 652 662 600
210 43.7 42.9 40.9 330 43.00 210 42.3 42.1 38.9 330 41.00 210 612 660 666 330 620
640
-3 42.7 42.00 -3 39.8 39.50 -3 672 660
Normal T 41.5 N 41.00 T 39.8 N 38.00 T 871 N 680
43.1 41.3 689 700
-4 42.8 42.1 40.00 -4 41.1 40.3 36.50 -4 831 939
240 300 39.00 240 300 35.00 240 300 720
0 %
740
-4 -3 -2 -1 0 1 2 3 4 38.00 -4 -3 -2 -1 0 1 2 3 4 33.50 -4 -3 -2 -1 0 1 2 3 4 760
37.00 32.00 780
Exam Label and Notes ... ... ...
| CLMIaa 1.66D CLMI Inst 1.93D FLMI Pach -24µm
Precaution: SimK 42.99D Kmax 44.54D o Thinnest 581µm x,y -0.25mm -1.07mm
The CLMI.X method was Posterior Axial Curvature [D] Posterior Instantaneous Curvature [D] Post. Elevation BFS [µm] Fit Zone 8.0 mm | rBFS 6.56 mm
developed by Cynthia Roberts,
Ph.D. and colleagues (Am. J. Search Zone 6.0 mm | Spot Size 2.0 mm Search Zone 6.0 mm | Spot Size 2.0 mm Search Zone 4.5 mm | Spot Size 0.5 mm
Ophthalmol. 2013;156: 1102- 90 [D] 90 [D] 90 [µm]
-10.00 -10.00 160
1111). Although the sensitivity 4 OD 120 -4.6 -5.0 60 4 OD 120 -9.4 -8.2 60 4 OD 120 326 60 150
of the CLMI.X algorithm in the -5.0 9mm -9.75
-9.50 -8.6 9mm -9.75
-9.50 211 197 9mm 140
-5.9 -6.4 -51 130
clinical samples analyzed was 3 -5.8 -9.25 3 -6.5 -9.25 3 -33 120
-9.00 -9.00 110
effective at discriminating 150 -3.7 -3.5 -6.3 30 -8.75 150 -5.4 -5.5 -5.5 30 -8.75 150 85 115 -204 30 100
normal from abnormal corneal -5.7 -6.2 -54 90
2 -6.4 -6.0 -8.50 2 -5.2 -6.9 -8.50 2 -187 -68
shape, false negatives can -8.25 -8.25 80
-3.4 -6.6 -6.2 -2.3 -5.9 -5.9 -34 -125 -126 70
occur. Data from CLMI.X is 1 -5.4 -8.00 1 -6.1 -8.00 1 -48 60
-6.3 -6.2 -7.75 -6.0 -7.4 -7.75 -83 -38 50
intended to be used as an -5.6
-7.50
-6.0
-7.50
-48
40
adjunct to clinical examination 0 -6.6 -6.2 -5.2 -5.7 0 -7.25 0 -6.6 -4.7 -5.1 -7.9 0 -7.25 0 -25 -28 29 112 0 30
and never as the sole tool for -7.00 -7.00 20
-6.0 -5.6 -6.1 -7.5 -5.7 -6.8 80 38 4 10
investigation of abnormal -1 -6.8 -4.6
-6.75 -1 -6.9 -4.9
-6.75 -1 15 117 0
-6.3 -5.5 -6.50 -7.1 -9.6 -6.50 35 276 -10
corneal shape. To ensure best -20
-6.2 -6.25 -4.8 -6.25 26
functioning of the algorithm, -2 -6.0 -7.1 -6.00
-2 -7.3 -7.6 -6.00
-2 79
3 -30
only use measurement data 210 -6.4 -7.8 -6.3 330 -5.75 210 -7.4 -9.1 -8.4 330 -5.75 210 73 164 330 -40
-11 -50
which fulfill the minimum -3 -6.3 -5.50 -3 -7.5 -5.50 -3 73 -60
quality requirements of the T -7.2 N -5.25 T -5.7 N -5.25 T -130 N -70
-6.9 -7.4 48 -80
device. Ziemer Ophthalmic -4 -7.5 -7.6 -5.00 -4 -5.7 -4.9 -5.00 -4 -126 -248
240 300 -4.75 240 300 -4.75 240 300 -90
Systems AG and the authors of -4 -3 -2 -1 0 1 2 3 4 -4.50 -4 -3 -2 -1 0 1 2 3 4 -4.50 -4 -3 -2 -1 0 1 2 3 4
-100
CLMI.X cannot be held -110
-4.25 -4.25 -120
responsible for adverse events ... ... ...
that occur due to a physician CLMI Paxial -4.20D CLMI Pinst -3.89D Highest Spot 58µm @ 2.2mm 93°
misdiagnosis of a corneal
disease state. Mean K -5.41D Mean K -6.34D
 DOMINGUES HELOISA 2002 Apr 19 DR FLAVIO GERMANO CLMI.X
2023 May 13 - 09:26, 3d Scan (15/2) (Surf. Align.: On)
Eye lid? OS SW V6.4.2

CLMI.X Analysis Anterior Axial Curvature [D] n 1.3375 Anterior Instantaneous Curvature [D] n 1.3375 Corneal Pachymetry [µm]
100 % Search Zone 6.0 mm | Spot Size 2.0 mm Search Zone 6.0 mm | Spot Size 2.0 mm Search Zone 6.0 mm | Spot Size 1.0 mm
90 [D] 90 [D] 90 [µm]
PPK.X 60.00 66.50 220
4 120 43.0 41.6 60 4 120 41.3 38.7 60 4 120 823 60 240
90 % OS 41.4 9mm 59.00
58.00
OS 37.1 9mm 65.00
63.50
OS 721 867 9mm 260
42.1 39.2 815 280
3 41.1 57.00 3 36.7 62.00 3 711 300
56.00 60.50 320
150 42.5 42.9 43.0 30 55.00 150 41.0 42.6 39.5 30 59.00 150 655 689 756 30 340
42.8 42.6 662 360
2 40.7 42.2 54.00 2 36.5 40.6 57.50 2 749 656
53.00 56.00 380
43.1 43.1 41.8 43.0 42.2 38.6 618 633 747 400
1 42.9 52.00 1 42.8 54.50 1 614 420
40.8 42.0 42.6 51.00 37.3 40.0 42.4 53.00 736 649 616 440
50.00 51.50 460
0 42.7 43.0 42.5 41.9 0 49.00 0 42.7 42.9 41.3 39.6 0 50.00 0 607 599 626 744 0 480
48.00 48.50 500
40.8 42.0 42.4 37.1 40.3 42.0 707 634 612 520
-1 43.1 47.00 -1 43.3 47.00 -1 601 540
43.3 42.7 41.9 46.00 43.4 41.5 38.7 45.50 605 618 693 560
42.1 45.00 40.7 44.00 654 580
25 %
-2 40.9 43.0 44.00
-2 37.9 41.7 42.50
-2 705 623 600
210 43.1 43.0 41.7 330 43.00 210 42.5 41.7 38.3 330 41.00 210 640 629 665 330 620
640
-3 41.4 42.00 -3 38.5 39.50 -3 702 660
Normal N 41.9 T 41.00 N 37.6 T 38.00 N 669 T 680
42.1 36.9 686 700
-4 42.1 42.1 40.00 -4 37.8 37.8 36.50 -4 696 673
240 300 39.00 240 300 35.00 240 300 720
0 %
740
-4 -3 -2 -1 0 1 2 3 4 38.00 -4 -3 -2 -1 0 1 2 3 4 33.50 -4 -3 -2 -1 0 1 2 3 4 760
37.00 32.00 780
Exam Label and Notes ... ... ...
| CLMIaa 0.30D CLMI Inst 0.52D FLMI Pach -17µm
Precaution: SimK 42.99D Kmax 43.44D o Thinnest 598µm x,y 1.24mm -0.40mm
The CLMI.X method was Posterior Axial Curvature [D] Posterior Instantaneous Curvature [D] Post. Elevation BFS [µm] Fit Zone 8.0 mm | rBFS 6.48 mm
developed by Cynthia Roberts,
Ph.D. and colleagues (Am. J. Search Zone 6.0 mm | Spot Size 2.0 mm Search Zone 6.0 mm | Spot Size 2.0 mm Search Zone 4.5 mm | Spot Size 0.5 mm
Ophthalmol. 2013;156: 1102- 90 [D] 90 [D] 90 [µm]
-10.00 -10.00 160
1111). Although the sensitivity 4 120 -6.4 -6.7 60 4 120 -4.8 -4.9 60 4 120 -75 -126 60 150
of the CLMI.X algorithm in the OS -5.8 9mm -9.75
-9.50
OS -5.6 9mm -9.75
-9.50
OS 61 9mm 140
-6.7 -5.3 -93 130
clinical samples analyzed was 3 -5.5 -9.25 3 -5.7 -9.25 3 102 120
-9.00 -9.00 110
effective at discriminating 150 -6.1 -7.0 -6.7 30 -8.75 150 -5.8 -7.5 -5.7 30 -8.75 150 20 -25 -56 30 100
normal from abnormal corneal -6.7 -8.1 11 90
2 -5.6 -5.9 -8.50 2 -5.2 -5.0 -8.50 2 48 13
shape, false negatives can -8.25 -8.25 80
-5.6 -6.5 -6.6 -6.6 -7.5 -6.1 7 26 -21 70
occur. Data from CLMI.X is 1 -5.7 -8.00 1 -6.7 -8.00 1 15 60
-5.8 -6.1 -7.75 -5.4 -5.6 -7.75 36 3 50
intended to be used as an -5.7
-7.50
-6.9
-7.50
-0
40
adjunct to clinical examination 0 -5.2 -5.7 -6.3 -6.5 0 -7.25 0 -5.2 -6.6 -6.9 -6.2 0 -7.25 0 -10 15 30 2 0 30
and never as the sole tool for -7.00 -7.00 20
-5.9 -5.9 -5.9 -5.3 -6.4 -6.2 34 14 -9 10
investigation of abnormal -1 -6.3 -6.1
-6.75 -1 -6.5 -5.9
-6.75 -1 -2 23 0
-6.3 -6.3 -6.50 -6.4 -6.4 -6.50 -13 30 -10
corneal shape. To ensure best -20
-6.1 -6.25 -5.0 -6.25 -28
functioning of the algorithm, -2 -5.7 -6.1 -6.00
-2 -5.4 -5.6 -6.00
-2 36
1 -30
only use measurement data 210 -6.2 -6.2 -6.0 330 -5.75 210 -5.7 -5.9 -6.7 330 -5.75 210 -26 50 330 -40
-17 -50
which fulfill the minimum -3 -5.7 -5.50 -3 -5.3 -5.50 -3 16 -60
quality requirements of the N -6.0 T -5.25 N -6.2 T -5.25 N 27 T -70
-5.9 -5.2 -5 -80
device. Ziemer Ophthalmic -4 -6.0 -6.0 -5.00 -4 -5.1 -5.8 -5.00 -4 -20 5
240 300 -4.75 240 300 -4.75 240 300 -90
Systems AG and the authors of -4 -3 -2 -1 0 1 2 3 4 -4.50 -4 -3 -2 -1 0 1 2 3 4 -4.50 -4 -3 -2 -1 0 1 2 3 4
-100
CLMI.X cannot be held -110
-4.25 -4.25 -120
responsible for adverse events ... ... ...
that occur due to a physician CLMI Paxial -0.73D CLMI Pinst -2.05D Highest Spot 30µm @ 2.2mm 30°
misdiagnosis of a corneal
disease state. Mean K -5.79D Mean K -6.37D