Comprehensive Assessment of Corvis ST Biomechanical Indices in Normal and Keratoconus Corneas with Reference to Corneal Enantiomorphism

The aim of this study was to assess Corvis ST biomechanical indices in reference to corneal enantiomorphism. In a prospective observational cohort study, 117 eyes from 63 patients with normal or keratoconus corneas were assessed by three independent observers. In the control group (n = 62), no significant differences were observed between the three observers for all indices. The best reproducibility was obtained with pachymetry and the weakest with CBI. All indices but CBI and arc length featured COV < 10%. All indices except the PD and SSI correlated with pachymetry; all but Rad correlated with IOP. The comparison of the thinnest with the thickest corneas showed no significant differences for any index except pachymetry. In the keratoconus group (n = 55), loss of corneal enantiomorphism was confirmed for all indices except the arc length, velocity, and PD. Significant differences between both groups were found for all indices, even after adjustment for pachymetry and intraocular pressure. The CBI featured the best accuracy (92%), sensitivity (91%), and graphical relevance for keratoconus diagnosis. However, its reproducibility was weak in normal corneas and was strongly dependent on corneal thickness. The SSI was independent of corneal thickness, highly reproducible, and provided the expected enantiomorphism characteristics in both groups, making it a relevant biomarker of biomechanical corneal behavior.

Enantiomorphs and taxonomy of three conchological species in flat-shelled snails Trichocathaica (Pulmonata, Camaenidae)

Biomodal (flat/globular or slender/tall) shell/body shapes are associated with dichotomous (simultaneous reciprocal or non-reciprocal) modes of copulation behaviour in the fully-shelled stylommatophoran snails. In flat-shelled groups that copulate simultaneously reciprocally, no study has found an example of enantiomorphism that persists within a population. However, the original description of a flat camaenid snail, Trichocathaicaamphidroma, noted that it is dextral- or sinistral-coiled. By examination of shell surface morphology, we found that shell specimens classified as those of this species include shells of three different morphological species. Namely, T.amphidroma, Trichocathaicavestita (Pilsbry, 1934), comb. n., and Trichocathaicamacrosquamata Páll-Gergely, sp. n. In each of the three species, both sinistral and dextral shells have been collected from presumably one area. Ethanol-fixed soft bodies of single dextral and sinistral individuals of T.vestita, which were available for the first time for interchiral comparison of genital morphology in the present genus, differed from each other in the pattern of penial microsculpture. They might represent enantiomorphs that have recently diverged in allopatry instead of enantiomorphism within a population or species. However, their shell and genital differences were not discrete enough to divide them taxonomically into two morphologically distinct species. Our results demonstrate the importance of evaluating individual variation relative to differences between incipient species in penial morphology, especially between conchologically indistinguishable enantiomorphs in the flat groups. We revise the taxonomy of the genus Trichocathaica including the above-mentioned new species, and Trichocathaicaputeolata Páll-Gergely, sp. n.