THE CORNEA THAT LIES TO YOUR TOPOGRAPHER.

A cornea deformed by contact-lens wear can pass device screening as "Normal" — and an ablation planned on that surface treats a shape that will not exist in a few weeks. RLES AI screens nine warpage indicators together on every topography it reads.

NINE INDICATORS, READ AS ONE PATTERN

• Surface asymmetry and zonal cylinder spread across the 3–7 mm zones, with axis rotation between zones
• Apex-to-periphery curvature steps measured in diopters — and converted to microns of depression
• Serial pachymetry drops: hypoxic stromal oedema resolving between visits
• Repeatability failures between consecutive autorefractions and acquisitions

Two or more positive indicators trigger a structured contact-lens history interrogation — lens type, daily hours, sleeping in lenses, last removal — because patients rarely volunteer it.

THE OEDEMA TRAP THAT FLATTERS EVERY SAFETY NUMBER AT ONCE

Oedema-inflated pachymetry is the most dangerous finding of all: 25–30 extra microns of swollen stroma make PTA, RSB and RCT all look better simultaneously — three independent safety floors fooled by a single artefact. RLES AI flags the drop between serial measurements and insists on the lower, resolved value for planning.

PROOF, NOT ASSERTION: 3D RECONSTRUCTION

Every warpage analysis includes a three-panel 3D corneal surface reconstruction built from the map itself — shaded elevation, 3D surface and a measured meridian cross-section — so the surgeon sees the depression the flat map cannot convey. Whether the result is positive or clean, the reconstruction is included: negative findings deserve proof too. Planning resumes only after two consecutive concordant topographies confirm the surface is stable.^[1]

FREQUENTLY ASKED QUESTIONS