1
|
McLintock C, Niyazmand H, Seo S, Barrett G, Kumar Nilagiri V, Karimian S, McKelvie J. Agreement between a new swept-source ocular coherence tomography and a Placido disc-dual Scheimpflug ocular biometric devices. Eur J Ophthalmol 2022; 33:11206721221143160. [PMID: 36475915 DOI: 10.1177/11206721221143160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2024]
Abstract
PURPOSE To evaluate the agreement between two biometry devices, the Heidelberg Anterion and the Galilei G6 Lens Professional. METHODS Eyes were scanned with both biometry devices. Analysis of inter-device agreement was conducted for the following metrics: flat (K1), steep (K2) and mean K (Km) for anterior, posterior and total cornea, lens thickness (LT), central corneal thickness (CCT), anterior chamber depth (ACD), white to white (WTW) and axial length (AL). Generalised Estimating Equations were used to account for inter-eye correlation. Bland-Altman analysis was conducted to derive the mean difference (MD) and limits of agreement (LoA) between devices. Differences were deemed clinically significant if they would result in a change in post-operative refraction of 0.25D or more. RESULTS 159 eyes of 91 patients were included. For the anterior cornea, no significant MD was found for K1 (-0.11D) and K2 (-0.10D), although a significant MD was found for Km (-0.10D). For posterior cornea, while there were no significant MDs between devices, the LoAs were wide for both posterior K1(-0.70, 0.68) and posterior K2 (-1.01, 1.29). For total corneal power, significant MDs were found in K1 (0.36D), and Km (0.26D) but not for K2 (0.17D). Significant MDs were found for LT (0.179mm), CCT (-0.005mm), ACD (-0.111mm) and WTW (-0.158mm), but not for AL (-0.021mm, p > 0.05).Conclusion: There are statistically but not clinically significant differences between Anterion and Galilei G6 Lens Professional in anterior Km, LT, CCT, ACD and WTW. Measurements of the posterior and total cornea are not interchangeable between devices.
Collapse
Affiliation(s)
- Cameron McLintock
- Department of Ophthalmology, 1966Princess Alexandra hospital, 199 Ipswich Road, Woolloongabba, Brisbane, QLD 4102, Australia
- School of Medicine, University of Queensland, Brisbane, Australia
| | - Hamed Niyazmand
- Division of Optometry, School of Allied Health, Faculty of Health and Medical Sciences, 2720The University of Western Australia, QEII Health Campus, Nedlands, 6009, Western Australia, Australia
- Contact Lens and Visual Optics Laboratory, Centre for Vision and Eye Research, School of Optometry and Vision Science, Queensland University of Technology, Kelvin Grove, QLD, Australia
| | - Shiney Seo
- Department of Ophthalmology, 1966Princess Alexandra hospital, 199 Ipswich Road, Woolloongabba, Brisbane, QLD 4102, Australia
| | - Graham Barrett
- 10111Centre for Ophthalmology and Visual Sciences (incorporating the Lions Eye Institute), University of Western Australia, Perth, Western Australia, Australia
- Centre for Ophthalmology and Visual Science, University of Western Australia, Perth, Western Australia, Australia
- Sir Charles Gairdner Hospital, Perth, Western Australia, Australia
| | | | - Sahar Karimian
- Rockingham Medical Research Centre, Rockingham, Perth, Australia
| | - James McKelvie
- Department of Ophthalmology, 1415University of Auckland, Auckland, New Zealand
| |
Collapse
|
2
|
Montés-Micó R. Evaluation of 6 biometers based on different optical technologies. J Cataract Refract Surg 2022; 48:16-25. [PMID: 34091551 PMCID: PMC8700306 DOI: 10.1097/j.jcrs.0000000000000690] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 04/25/2021] [Accepted: 04/26/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE To evaluate repeatability and agreement between various biometric parameters using 6 biometers based on different optical technologies. SETTING University of Valencia, Spain. DESIGN Prospective, comparative case series. METHODS 150 eyes were measured using the Aladdin, AL-Scan, Argos, IOLMaster700, Lenstar LS900, and OA-2000 biometers. Keratometry (K1 and K2), J0 and J45, central corneal thickness (CCT), anterior chamber depth (ACD), lens thickness (LT), axial length (AL), white to white (WTW), and pupil size (PS) were measured 5 times with each device. Intrasubject SD, coefficient of variability (CoV), coefficient of repeatability, intraclass correlation coefficient, and Bland -Altman graphs were analyzed. RESULTS CoV values were <0.30% for K1, K2, and AL and up to 1.61% for CCT, ACD, LT, and WTW. PS values were higher (from 4.2% to 7.68%). There was statistically significant differences between biometers for all parameters evaluated (P < .001), and these differences varied as a function of the parameter analyzed. The limit of agreement (LoA) width of some comparisons for K1 and the majority for K2 were >0.50 diopter. A similar pattern was found for J0/J45. For CCT, many comparisons showed LoA width values of >25 μm. The LoA width for ACD ranged from 0.366 mm to 0.175 mm and for LT was about 0.2 mm. AL showed a highest LoA width of 0.225 mm. The LoA width for WTW was, in most cases, about ≥0.50 mm. The LoA width for PS ranged from 1.578 mm to 3.541 mm. CONCLUSIONS The 6 biometers provided repeatable measurements for the different parameters analyzed. The LoA obtained for each comparison should be analyzed carefully to consider the interchangeability of these devices.
Collapse
|
3
|
Yağmur Kanra A, Uslu H. Evaluation of ocular biometric parameters in keratoconic eyes relative to healthy myopic eyes. Eur J Ophthalmol 2021; 32:11206721211064481. [PMID: 34851216 DOI: 10.1177/11206721211064481] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To assess the biometric features of keratoconic eyes using the Lenstar LS900 and Pentacam systems relative to healthy myopic eyes. MATERIALS AND METHODS Seventy-three eyes of keratoconic subjects and 83 eyes of control subjects were enrolled. To evaluate the reproducibility of the Lenstar and Pentacam devices' measurements, keratometric readings [in flattest meridian (Kf), in steepest meridian (Ks), and mean (Km)], central corneal thickness (CCT), and anterior chamber depth (ACD) were obtained using both systems. Axial length and lens thickness (LT) were measured by the Lenstar. The compatibility between the two devices was investigated using the Bland-Altman statistical method. RESULTS Axial length was longer in the myopic group than in eyes with keratoconus (24.94 ± 0.7 and 23.88 ± 0.96 mm, respectively, p < 0.001). LT and vitreous depth were also higher in the myopic group, although ACD values were similar. Compared to the Lenstar, the Pentacam measured the ACD and CCT values higher in the myopia group [with a difference of 0.07 ± 0.12 mm (p <0.001) and 4.47 ± 11.33 µm (p = 0.001), respectively] and measured the CCT values higher in the keratoconus group. Pentacam found all keratometry values significantly lower than Lenstar in the keratoconus group. CONCLUSIONS Axial length was longer in the myopic eyes due to the differences starting from the lens and extending to the posterior segment. Lenstar and Pentacam can be used interchangeably for Km, Kf, and ACD in the myopic group and only for ACD in the keratoconus group.
Collapse
Affiliation(s)
- Ayşe Yağmur Kanra
- 506079Sultan Abdülhamid Han Training and Research Hospital, Department of Ophthalmology, Istanbul, Turkey
| | - Haşim Uslu
- Hisar Intercontinental Hospital, Department of Ophthalmology, Istanbul, Turkey
| |
Collapse
|
4
|
Averich VV, Avetisov KS, Alkhumidi K, Avetisov SE. [Phacosurgery features in keratoconus]. Vestn Oftalmol 2020; 136:296-300. [PMID: 33063980 DOI: 10.17116/oftalma2020136052296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The review summarizes the results of surgical treatment of cataracts in patients with keratoconus. The major challenges of phacosurgery in keratoconus are associated with intraocular lens (IOL) power calculation, choice of the most appropriate IOL model and additional interventions required to stabilize keratectasia and reduce corneal irregularity.
Collapse
Affiliation(s)
- V V Averich
- Research Institute of Eye Diseases, Moscow, Russia
| | - K S Avetisov
- Research Institute of Eye Diseases, Moscow, Russia
| | - K Alkhumidi
- Research Institute of Eye Diseases, Moscow, Russia
| | - S E Avetisov
- Research Institute of Eye Diseases, Moscow, Russia.,I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| |
Collapse
|
5
|
Ziaei M, Meyer J, Gokul A, Vellara H, McGhee CNJ. Direct measurement of anterior corneal curvature changes attributable to epithelial removal in keratoconus. J Cataract Refract Surg 2019; 44:71-77. [PMID: 29502621 DOI: 10.1016/j.jcrs.2017.10.044] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2017] [Revised: 10/09/2017] [Accepted: 10/10/2017] [Indexed: 02/08/2023]
Abstract
PURPOSE To compare the tomography of the corneal epithelium and Bowman layer in eyes with moderate to severe keratoconus before and after epithelial debridement. SETTING University hospital tertiary referral center. DESIGN Prospective case series. METHODS Dual-channel Scheimpflug combined with Placido-disk tomography was used to measure the corneal variables in eyes with keratoconus having corneal crosslinking immediately before and after epithelial debridement. The differences in pachymetry, axial keratometry, astigmatism magnitude, asphericity, total corneal power, and spherical aberrations were computed. RESULTS The study comprised 30 eyes of 30 patients. After epithelial removal, the central (0.0 to 4.0 mm) and midperipheral (4.0 to 7.0 mm) corneal zones were significantly thinner mean (21 μm ± 14 [SD] and 35 ± 44 μm, respectively). The mean anterior axial flat keratometry (K) (+1.71 diopters [D]), steep K (+2.14 D), maximum K (+2.13 D), corneal astigmatism (+1.11 D), asphericity (-0.31), and total corneal power changes (+2.03 D) were significantly different after epithelial debridement. There were no significant changes in posterior corneal flat K or steep K, posterior corneal astigmatism, or posterior asphericity. There were no significant differences in the mean astigmatic axis (anterior or posterior corneal surface) or spherical aberration after epithelial debridement. CONCLUSIONS In eyes with moderate to severe keratoconus, the tomography of Bowman layer was significantly steeper than that of the epithelium; thus, epithelial debridement increased the magnitude of anterior corneal keratometry, astigmatism, and prolateness. These data suggest that the corneal epithelium smooths the underlying Bowman layer irregularity in keratoconus.
Collapse
Affiliation(s)
- Mohammed Ziaei
- From the Department of Ophthalmology, New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand.
| | - Jay Meyer
- From the Department of Ophthalmology, New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand
| | - Akilesh Gokul
- From the Department of Ophthalmology, New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand
| | - Hans Vellara
- From the Department of Ophthalmology, New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand
| | - Charles N J McGhee
- From the Department of Ophthalmology, New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand
| |
Collapse
|
6
|
Vastardis I, Sagri D, Fili S, Wölfelschneider P, Kohlhaas M. Current Trends in Modern Visual Intraocular Lens Enhancement Surgery in Stable Keratoconus: A Synopsis of Do's, Don'ts and Pitfalls. Ophthalmol Ther 2019; 8:33-47. [PMID: 31605318 PMCID: PMC6789053 DOI: 10.1007/s40123-019-00212-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Indexed: 10/29/2022] Open
Abstract
Keratoconus is a relatively common ectatic, non-inflammatory corneal disorder that involves gradual visual deterioration through progressive alteration of the shape of the cornea. The corneal thinning, irregular astigmatism and higher order aberrations that occur as the disease progresses pose major challenges in the visual rehabilitation of such patients. This paper summarizes the current literature regarding the results of visual enhancement procedures in patients with stable keratoconus treated with standalone anterior or posterior chamber phakic intraocular lens implantation and monofocal, toric or multifocal toric intraocular lens implantation following phacoemulsification for age-related cataract extraction or refractive lens exchange.
Collapse
Affiliation(s)
| | | | - Sofia Fili
- St Johannes Hospital, Eye Clinic, Dortmund, Germany
| | | | | |
Collapse
|
7
|
Analysis of Intrasession Repeatability of Ocular Aberrometric Measurements and Validation of Keratometry Provided by a New Integrated System in Mild to Moderate Keratoconus. Cornea 2019; 38:1097-1104. [DOI: 10.1097/ico.0000000000002034] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
|
8
|
Aiello F, Nasser QJ, Nucci C, Angunawela RI, Gatzioufas Z, Maurino V. Cataract Surgery in Patients with Keratoconus: Pearls and Pitfalls. Open Ophthalmol J 2017; 11:194-200. [PMID: 28932335 PMCID: PMC5585461 DOI: 10.2174/1874364101711010194] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Revised: 04/17/2017] [Accepted: 06/12/2017] [Indexed: 11/22/2022] Open
Abstract
Background: Keratoconus (KC) is a common ectatic disorder resulting in progressive corneal thinning and irregular astigmatism. It has been observed that patients affected by KC are more likely to develop lens opacities earlier compared to non-keratoconic patients. Objective: Intraocular lens (IOL) selection and refractive outcome prediction are among a number of factors that can make cataract surgery in keratoconic patients challenging. Accurate biometry is often difficult to obtain due to unreliable K measurements and lack of dedicated biometric formulae. The use of toric IOLs has also been investigated. Conclusions: Determining the stage of KC, pre-operative patient counselling and the preferred method of refractive correction are all crucial to obtain successful postoperative outcomes and good patient satisfaction. The use of toric IOLs can achieve good results only in selected low-grade keratoconic eyes.
Collapse
Affiliation(s)
- F Aiello
- Moorfields Eye Hospital, NHS Foundation Trust. London - United Kingdom.,Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata" Rome - Italy
| | - Q J Nasser
- Moorfields Eye Hospital, NHS Foundation Trust. London - United Kingdom
| | - C Nucci
- Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata" Rome - Italy
| | - R I Angunawela
- Moorfields Eye Hospital, NHS Foundation Trust. London - United Kingdom
| | - Z Gatzioufas
- Moorfields Eye Hospital, NHS Foundation Trust. London - United Kingdom
| | - V Maurino
- Moorfields Eye Hospital, NHS Foundation Trust. London - United Kingdom
| |
Collapse
|
9
|
Koc M, Uzel MM, Aydemir E, Yavrum F, Kosekahya P, Yılmazbaş P. Pterygium size and effect on intraocular lens power calculation. J Cataract Refract Surg 2016; 42:1620-1625. [DOI: 10.1016/j.jcrs.2016.09.015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2016] [Revised: 08/31/2016] [Accepted: 09/01/2016] [Indexed: 11/26/2022]
|
10
|
Çağlar Ç, Kocamış Sİ, Demir E, Durmuş M. Comparison of the measurements of a novel optical biometry: Nidek AL-Scan with Sirius and a ultrasound biometry. Int Ophthalmol 2016; 37:491-498. [PMID: 27392914 DOI: 10.1007/s10792-016-0284-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 07/02/2016] [Indexed: 11/25/2022]
Affiliation(s)
- Çağatay Çağlar
- Department of Ophthalmology, Faculty of Medicine, Hitit University, Çorum, Turkey.
| | | | - Emre Demir
- Department of Biostatistics, Faculty of Medicine, Hitit University, Çorum, Turkey
| | - Mustafa Durmuş
- Department of Ophthalmology, Faculty of Medicine, Hitit University, Çorum, Turkey
| |
Collapse
|
11
|
|
12
|
|