Hartmann C
Ophthalmologica. 1981;183(4):177-86. doi: 10.1159/000309163.
A new application of contact specular microscopy (CSM) is presented. This technique allows, in addition to conventional CSM and by augmentation of the applanation pressure of the CSM dipping cone, to observe changes on the posterior corneal surface in a three-dimensional mode. This technique gives valuable information in cases of preendothelial, endothelial, and retroendothelial modifications, leading to prominent changes of the posterior corneal surface. Thus, it is a very suitable method to interpret in vivo morphological findings. A hypothesis of the mechanisms leading to the three-dimensional image is presented. Based on these optical considerations the term 'indirect CSM' is proposed in contrast to the conventional direct CSM.
本文介绍了接触式角膜内皮显微镜（CSM）的一种新应用。除了传统的CSM外，通过增加CSM浸液圆锥的压平压力，该技术还能以三维模式观察角膜后表面的变化。在角膜内皮前、内皮和内皮后改变导致角膜后表面显著变化的情况下，该技术能提供有价值的信息。因此，它是解释体内形态学发现的一种非常合适的方法。本文提出了导致三维图像的机制假说。基于这些光学考虑，与传统的直接CSM相比，提出了“间接CSM”这一术语。
