An inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus

Abstract The progression of keratoconus is commonly determined by comparing the results of corneal tomographic measurements on different occasions. However, investigations on the repeatability of measurements are commonly performed within the same day, thus not taking the inter-day variation into ac...

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Autores principales: Ingemar Gustafsson, Tove Faxén, André Vicente, Anders Bergström, Anders Ivarsen, Jesper Østergaard Hjortdal
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/de63dbbd3ac842789586de16e901895a
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spelling oai:doaj.org-article:de63dbbd3ac842789586de16e901895a2021-12-02T18:49:36ZAn inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus10.1038/s41598-021-95503-82045-2322https://doaj.org/article/de63dbbd3ac842789586de16e901895a2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95503-8https://doaj.org/toc/2045-2322Abstract The progression of keratoconus is commonly determined by comparing the results of corneal tomographic measurements on different occasions. However, investigations on the repeatability of measurements are commonly performed within the same day, thus not taking the inter-day variation into account. The effect of keratoconus disease severity on the measurement error is also seldom considered. In this post hoc investigation, the parameters A, B and C in the Belin ABCD Progression Display were evaluated in relation to disease severity in intra-day and inter-day measurements. Four consecutive measurements were performed on 61 patients with keratoconus on the same day (intra-day). In another cohort, four consecutive measurements were obtained and then repeated 3 days later in 25 patients with keratoconus and 25 healthy controls (inter-day). The results suggest that the diagnosis of disease progression would benefit from inter-day measurements, and the stratification of the parameters A and C according to disease severity. It is also recommended that tomographic systems such as the Pentacam HR be modified to allow the comparison of both single measurements and the mean of replicate measurements of the parameters used in the assessment of progression of keratoconus.Ingemar GustafssonTove FaxénAndré VicenteAnders BergströmAnders IvarsenJesper Østergaard HjortdalNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ingemar Gustafsson
Tove Faxén
André Vicente
Anders Bergström
Anders Ivarsen
Jesper Østergaard Hjortdal
An inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus
description Abstract The progression of keratoconus is commonly determined by comparing the results of corneal tomographic measurements on different occasions. However, investigations on the repeatability of measurements are commonly performed within the same day, thus not taking the inter-day variation into account. The effect of keratoconus disease severity on the measurement error is also seldom considered. In this post hoc investigation, the parameters A, B and C in the Belin ABCD Progression Display were evaluated in relation to disease severity in intra-day and inter-day measurements. Four consecutive measurements were performed on 61 patients with keratoconus on the same day (intra-day). In another cohort, four consecutive measurements were obtained and then repeated 3 days later in 25 patients with keratoconus and 25 healthy controls (inter-day). The results suggest that the diagnosis of disease progression would benefit from inter-day measurements, and the stratification of the parameters A and C according to disease severity. It is also recommended that tomographic systems such as the Pentacam HR be modified to allow the comparison of both single measurements and the mean of replicate measurements of the parameters used in the assessment of progression of keratoconus.
format article
author Ingemar Gustafsson
Tove Faxén
André Vicente
Anders Bergström
Anders Ivarsen
Jesper Østergaard Hjortdal
author_facet Ingemar Gustafsson
Tove Faxén
André Vicente
Anders Bergström
Anders Ivarsen
Jesper Østergaard Hjortdal
author_sort Ingemar Gustafsson
title An inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus
title_short An inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus
title_full An inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus
title_fullStr An inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus
title_full_unstemmed An inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus
title_sort inter-day assessment of the abc parameters in the evaluation of progressive keratoconus
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/de63dbbd3ac842789586de16e901895a
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