Pentacam® HR

The Pentacam® HR

The Gold Standard in
Anterior Segment Tomography

  • Scheimpflug Tomography
  • High Resolution

High Resolution, Brilliant Image Quality

The Pentacam® HR stands out for its high resolution and fast optics. This guarantees you brilliant image quality as well as extremely accurate tomographic data, including the front and back corneal surface. It therefore meets all the requirements of cataract and refractive surgeons as well as contact lens specialists who need to be able to inspect IOLs in exquisite detail and detect corneal changes at the earliest moment.

The Pentacam® HR comes with an extensive basic software which can be expanded to include four additional software packages and further modules.

OCULUS Pentacam® HR
Symbol Scheimpflug Tomography

Scheimpflug Tomography

Proven since many years and meanwhile the established gold standard, the Pentacam® is unrivalled for its capabilities around contact-free, tear-film-independent measurement, imaging and analysis of the anterior eye segment.

The Tool For

Screening

The Pentacam® serves to measure and analyze the cornea as well as the entire anterior eye segment.

  • Corneal instability and thinning
  • Corneal pathologies
  • Closed angle glaucoma

Refractive Surgery

The Pentacam® supplies information critical to safely planning refractive procedures such as LASIK or IOL implantation.

  • Corneal refractive surgery
  • Refractive lens exchange
  • Phakic IOLs

Cataract Surgery

The Pentacam® assists in selecting the right IOL for cataract surgery.

  • Pre-op screening
  • IOL selection and calculation
  • Barrett RX post-op tool

Contact Lens Fitting

Full corneal coverage, scleral profilometry, and contact lens fitting software support fittings for all ages and even highly abnormal corneas.

  • RGP
  • Ortho-K
  • Scleral lenses

Core Functions

Analysis at
the highest level

Device Desktop 16-9
Standard Software - Screen: Fast Screening Report

Fast Screening Report
The great challenge in clinical routine is filtering, evaluating and representing data in a clear-cut way. This is exactly what the Indices Report does. The crucial data are represented in such a way that you can gain a comprehensive picture of your patient at a glance.

Standard Software - Screen: Fast Screening Report

Fast Screening Report
The great challenge in clinical routine is filtering, evaluating and representing data in a clear-cut way. This is exactly what the Indices Report does. The crucial data are represented in such a way that you can gain a comprehensive picture of your patient at a glance.

Standard Software - Screen: Topometric / KC Staging (Belin ABCD Staging)

Topometric/KC Staging (Belin ABCD Staging)
Developed by Dr. Michael Belin, USA, this display shows eccentricity results by zone, tomography of the anterior and posterior corneal surface to support the detection of corneal abnormalities.

Standard Software - Screen: Full Sequence Overview

Full Sequence Measurement and Overview Display
Intuitive operation with guided image capture for an overview supporting cataract and refractive surgery planning, plus premium IOL selection.

Why We Love the Pentacam®

FAQ

Why does the Pentacam® not include Placido topography?

Placido topography is based on analyzing reflections of concentric Placido rings on the eye’s tear film, and therefore depends on a stable tear film for accurate results. Due to the need for a central camera, Placido systems cannot project rings onto the central cornea—meaning the most clinically important area is extrapolated rather than directly measured. Additionally, Placido topography provides data only on the anterior corneal surface.

In contrast, Scheimpflug imaging, as used in the Pentacam®, captures true cross-sectional images of the anterior eye segment, providing accurate, tear film–independent measurements. This technology delivers direct measurements of the central cornea and calculates data from both the anterior and posterior corneal surfaces. The integration of Placido technology is unnecessary for enhancing Pentacam® results—an assertion supported by extensive clinical research.

Is the Pentacam® an imaging device as well?

The Pentacam® is often recognized as a powerful imaging device that supports the detection of corneal abnormalities. Each Scheimpflug image captured during the measurement procedure can be viewed individually, and the software allows the operator to adjust the images manually for enhanced analysis. By inspecting the individual Scheimpflug images, the Pentacam® assists in identifying conditions such as Fuchs’ Dystrophy, Pelucid Marginal Degeneration (PMD), Pterygium progression, nuclear lens changes, and more.

Can my current Pentacam® display new software updates when they are released?

Yes, as long as your device is updated with the latest software, it will be able to display the newest features and updates, based on the options available for your Pentacam® model.

What are the differences between the references in the Power Distribution display to calculate K values?

Automated keratometry generates K values on the 3 mm ring centered on the pupil center. The Pentacam® gives the clinician the option to have K values calculated for different maps using either the pupil center or the apex as the center. Once the option for the center reference has been chosen, the area to be calculated can be chosen either as a ring around the center, or in a zone (average of measurements in the area in the ring).

What is the difference between a Best-fit-Sphere (BFS) and an Enhanced Best-fit-Sphere (EBFS) as used in the Belin/Ambrósio Display (BAD)?

In the BAD, all the curvature data for a specific diameter are used to calculate the radius of a reference surface (BFS) to evaluate height data – this supports the detection of suspicious elevation in the anterior and the posterior cornea. The EBFS uses curvature data for the same diameter as above, however it is excluding an area around the thinnest point (TP) of the cornea. In other words, the TP is detected; an area (usually 3.5 mm) around the TP is excluded in calculating the radius for the new reference surface. In a normal cornea, the visual appearance of the maps does not differ between the BFS and the EBFS. But in a potentially ectatic cornea where elevation (different curvature) will occur around the TP, excluding an area around the TP flattens the reference surface making it easier to visually detect early elevation.

Are all the parameters equally important in the Belin Ambrosio Display?

The Belin/Ambrosio Display (BAD) is designed as a screening tool to assess corneal elevation and curvature patterns, particularly in patients being evaluated for refractive procedures.

The most important parameter is the “Final D”. The other 5 parameters contribute to the “Final D” value, but none of the 5 should be used on its own as a screening parameter.

When should the Hyperope option be activated in the Belin Ambrosio Display?

If the patient’s refraction is hyperopic – regardless of amount – the Hyperope option should be activated. The reason for this is that normative data for posterior elevation differs between myopes and hyperopes.

What is ABCD Staging in the Belin ABCD Progression Display?

The Belin ABCD Staging Display is a modern tool designed to support the comprehensive assessment of corneal shape and thickness by incorporating multiple parameters:

  • A – anterior corneal curvature
  • B – posterior corneal curvature
  • C – corneal thickness at the thinnest point
  • D – distance-corrected visual acuity

While older models focused only on anterior curvature and central corneal thickness to assess abnormalities, the ABCD system provides a broader view of the cornea using advanced tomographic data.

The Belin ABCD Progression Display offers valuable insight into structural and visual changes in the cornea over time. This assists eye care professionals in evaluating and documenting changes, particularly when managing patients who may be at risk for progressive corneal conditions.

What is the role of the Pentacam® in corneal crosslinking (CXL)?

The Pentacam® provides detailed tomographic imaging and corneal analysis, offering clinicians valuable insights into the structure and shape of the cornea. Tools such as the Belin/Ambrósio Display and the Belin ABCD Progression Display support the assessment of corneal changes over time by analyzing anterior and posterior curvature, corneal thickness, and visual acuity data.

The Pentacam® aids practitioners in early identification of patterns associated with structural changes and helps guide clinical decision-making, supporting timely intervention strategies aimed at preserving visual function.

Additionally, the Pentacam® can be automatically linked to corneal crosslinking (CXL) planning software (such as Avedro) to streamline the transfer of relevant corneal data. Its comparison displays also allow clinicians to evaluate and document pre- and post-treatment changes, enhancing treatment planning and follow-up.

Can the Pentacam® HR calculate IOL power?

Yes, for the Pentacam® HR the IOL calculator can be added. This IOL calculator includes various IOL formulas and more than 350 IOL geometries. Automatic transfer of correct K measurements eliminates transcription errors and helps to save time. The axial length can be typed in manually.
If the device does not have the IOL calculator, links to various external IOL calculators can be set up with the Pentacam® HR.

What makes the Pentacam® different from other topography devices?

The Pentacam® is a tomographer, generating a 3D image of the anterior segment of the eye and it is not tear film dependent. In only 2 seconds, information regarding the anterior segment is derived, aiding practitioners in contact lens fitting, corneal abnormality screening and staging, and various other functions.

How is it a time-saving tool in my practice?

The measurement is very fast, but also all the important parameters are summarized on one display – Fast Screening Report – comparing each patient’s results to a normal and pathological database. This enables practitioners to detect abnormal results quickly.

Technical Data

Camera Digital CMOS camera
Light source Blue LEDs (475 nm UV-free)
Processor DSP with 400 m operations/s
Speed 100 images in two seconds1)
Curvature 3 to 38 mm
9 to 99 D
Precision ± 0.1 D
Reproducibility ± 0.1 D
Operating distance 80 mm (3.1 in)
Axial length
Dimensions (W x D x H) 275 x 320 – 400 x 500 – 530 mm
(10.8 x 12.6 – 15.7 x 19.7 – 20.9 in)
Weight 7.8 kg
Max. power consumption 35 W
Recommended computer
specifications
Intel® Core™ i5, 500 GB SSD,
8 GB RAM, Windows® 11,
Intel® HD Graphics

1) in “Cornea Fine Scan” imaging mode

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Questions?
Get in touch with us.

Tel. +49 641 2005-800

Contact

OCULUS, Inc.
17721 59th Avenue NE
Arlington, WA 98223-1337

Tel. +1 888 284-8004

Fax +1 425 670-0742

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