Dr Moïse Tourabaly · Key points

Reading a topography map

The device projects rings of light onto the cornea. Their reflection draws closer together where the cornea is more curved; the software turns this into a colour map.

The reflection of the rings

flattermore curved

The colour map

Regular astigmatism. Two equal, aligned lobes meeting at the centre: a pattern entirely compatible with refractive surgery.

Needs further investigation. Unequal or misaligned lobes may indicate irregular astigmatism or early keratoconus.

Suggestive of keratoconus. A localised bulge in the lower part of the cornea leads to further examination and then, if confirmed, to dedicated keratoconus follow-up.

It is always the ophthalmologist who decides, by cross-checking the map with the thickness of the cornea (pachymetry), the other measurements and the examination.

Educational diagram · Dr Moïse Tourabaly, ophthalmologist. Simulated maps: the actual colours and scale depend on the device. It does not replace a consultation.