Comparison of keratometric and pachymetric parameters with Scheimpflug imaging in normal and keratoconic Asian eyes

Hou-Boon Lim,1 Gavin Tan,1 Li Lim,1 Hla Myint Htoon2 1Singapore National Eye Centre, Singapore; 2Singapore Eye Research Institute, Singapore Purpose: To evaluate the keratometric and pachymetric parameters of keratoconic corneas of Asian eyes with the Scheimpflug imaging camera. Patients and meth...

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Autores principales: Lim HB, Tan GS, Lim L, Htoon HM
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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Acceso en línea:https://doaj.org/article/06e5b87e457f4cc486e76b6571c83bca
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spelling oai:doaj.org-article:06e5b87e457f4cc486e76b6571c83bca2021-12-02T01:25:46ZComparison of keratometric and pachymetric parameters with Scheimpflug imaging in normal and keratoconic Asian eyes1177-5483https://doaj.org/article/06e5b87e457f4cc486e76b6571c83bca2014-11-01T00:00:00Zhttp://www.dovepress.com/comparison-of-keratometric-and-pachymetric-parameters-with-scheimpflug-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Hou-Boon Lim,1 Gavin Tan,1 Li Lim,1 Hla Myint Htoon2 1Singapore National Eye Centre, Singapore; 2Singapore Eye Research Institute, Singapore Purpose: To evaluate the keratometric and pachymetric parameters of keratoconic corneas of Asian eyes with the Scheimpflug imaging camera. Patients and methods: This is a cross-sectional study of 22 eyes with Amsler-Krumeich stage 1 keratoconus and 48 eyes from normal subjects conducted in a tertiary eye hospital. A rotating Scheimpflug imaging system, the Pentacam, was used to evaluate all eyes for tomographic parameters, as well as pachymetric progression indices (PPI) and Ambrósio relational thickness (ART). Results: All PPI and ART parameter values were significantly different between study and control groups. Cornea minimum radius of curvature, absolute distance from corneal apex to thinnest location, as well as the distance from corneal apex to thinnest location in Y-axis also demonstrated statistically significant differences. The mean ART values for keratoconus eyes were 241 µm (ART-maximum) and 352 µm (ART-average), falling within previously reported best cutoff values for detecting keratoconus. On receiver operating characteristics curve analysis, the area under the curve values were highest for PPI and ART parameters. Conclusion: There are significant differences in tomographic parameters between stage 1 keratoconic and normal Asian eyes. Pachymetric indices such as the PPI and the ART index can serve as additional tools in differentiating keratoconic from normal eyes. The findings validate the usefulness of the ART in identifying keratoconic eyes in Asians. Keywords: keratoconus, pentacam, corneal tomography, Ambrósio relational thicknessLim HBTan GSLim LHtoon HMDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 2215-2220 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Lim HB
Tan GS
Lim L
Htoon HM
Comparison of keratometric and pachymetric parameters with Scheimpflug imaging in normal and keratoconic Asian eyes
description Hou-Boon Lim,1 Gavin Tan,1 Li Lim,1 Hla Myint Htoon2 1Singapore National Eye Centre, Singapore; 2Singapore Eye Research Institute, Singapore Purpose: To evaluate the keratometric and pachymetric parameters of keratoconic corneas of Asian eyes with the Scheimpflug imaging camera. Patients and methods: This is a cross-sectional study of 22 eyes with Amsler-Krumeich stage 1 keratoconus and 48 eyes from normal subjects conducted in a tertiary eye hospital. A rotating Scheimpflug imaging system, the Pentacam, was used to evaluate all eyes for tomographic parameters, as well as pachymetric progression indices (PPI) and Ambrósio relational thickness (ART). Results: All PPI and ART parameter values were significantly different between study and control groups. Cornea minimum radius of curvature, absolute distance from corneal apex to thinnest location, as well as the distance from corneal apex to thinnest location in Y-axis also demonstrated statistically significant differences. The mean ART values for keratoconus eyes were 241 µm (ART-maximum) and 352 µm (ART-average), falling within previously reported best cutoff values for detecting keratoconus. On receiver operating characteristics curve analysis, the area under the curve values were highest for PPI and ART parameters. Conclusion: There are significant differences in tomographic parameters between stage 1 keratoconic and normal Asian eyes. Pachymetric indices such as the PPI and the ART index can serve as additional tools in differentiating keratoconic from normal eyes. The findings validate the usefulness of the ART in identifying keratoconic eyes in Asians. Keywords: keratoconus, pentacam, corneal tomography, Ambrósio relational thickness
format article
author Lim HB
Tan GS
Lim L
Htoon HM
author_facet Lim HB
Tan GS
Lim L
Htoon HM
author_sort Lim HB
title Comparison of keratometric and pachymetric parameters with Scheimpflug imaging in normal and keratoconic Asian eyes
title_short Comparison of keratometric and pachymetric parameters with Scheimpflug imaging in normal and keratoconic Asian eyes
title_full Comparison of keratometric and pachymetric parameters with Scheimpflug imaging in normal and keratoconic Asian eyes
title_fullStr Comparison of keratometric and pachymetric parameters with Scheimpflug imaging in normal and keratoconic Asian eyes
title_full_unstemmed Comparison of keratometric and pachymetric parameters with Scheimpflug imaging in normal and keratoconic Asian eyes
title_sort comparison of keratometric and pachymetric parameters with scheimpflug imaging in normal and keratoconic asian eyes
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/06e5b87e457f4cc486e76b6571c83bca
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AT tangs comparisonofkeratometricandpachymetricparameterswithscheimpflugimaginginnormalandkeratoconicasianeyes
AT liml comparisonofkeratometricandpachymetricparameterswithscheimpflugimaginginnormalandkeratoconicasianeyes
AT htoonhm comparisonofkeratometricandpachymetricparameterswithscheimpflugimaginginnormalandkeratoconicasianeyes
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