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Repeatability and comparability of corneal power and corneal astigmatism obtained from a point-source color light-emitting diode topographer, a Placido-based corneal topographer, and a low-coherence reflectometer.
Ventura, Bruna V; Al-Mohtaseb, Zaina; Wang, Li; Koch, Douglas D; Weikert, Mitchell P.
Afiliação
  • Ventura BV; From the Cullen Eye Institute (Ventura, Al-Mohtaseb, Wang, Koch, Weikert), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA; the Altino Ventura Foundation (Ventura), Recife, and the Department of Ophthalmology, Federal University of São Paulo (Ventura), São Paulo, Brazil.
  • Al-Mohtaseb Z; From the Cullen Eye Institute (Ventura, Al-Mohtaseb, Wang, Koch, Weikert), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA; the Altino Ventura Foundation (Ventura), Recife, and the Department of Ophthalmology, Federal University of São Paulo (Ventura), São Paulo, Brazil.
  • Wang L; From the Cullen Eye Institute (Ventura, Al-Mohtaseb, Wang, Koch, Weikert), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA; the Altino Ventura Foundation (Ventura), Recife, and the Department of Ophthalmology, Federal University of São Paulo (Ventura), São Paulo, Brazil.
  • Koch DD; From the Cullen Eye Institute (Ventura, Al-Mohtaseb, Wang, Koch, Weikert), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA; the Altino Ventura Foundation (Ventura), Recife, and the Department of Ophthalmology, Federal University of São Paulo (Ventura), São Paulo, Brazil.
  • Weikert MP; From the Cullen Eye Institute (Ventura, Al-Mohtaseb, Wang, Koch, Weikert), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA; the Altino Ventura Foundation (Ventura), Recife, and the Department of Ophthalmology, Federal University of São Paulo (Ventura), São Paulo, Brazil.
J Cataract Refract Surg ; 41(10): 2242-50, 2015 Oct.
Article em En | MEDLINE | ID: mdl-26703301
PURPOSE: To assess the repeatability and agreement of corneal power and astigmatism obtained from the Cassini point-source color light-emitting diode (LED) topographer, Humphrey Atlas 9000 Placido-based corneal topographer, and Lenstar LS-900 low-coherence reflectometer in normal eyes. SETTING: Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. DESIGN: Evaluation of diagnostic test or technology. METHODS: Consecutively enrolled patients with normal corneas were enrolled. Three sets of measurements were obtained using the color-LED topographer, the Placido topographer, and the reflectometer. Vector analysis was used in the astigmatism analysis. The repeatability was evaluated using the within-subject standard deviation, coefficient of variation (CoV), and intraclass correlation coefficient (ICC). Agreement was verified using Bland-Altman plots. The paired Student t test was used to assess statistical significance. RESULTS: Thirty-two eyes (32 patients) were evaluated. All devices provided highly repeatable corneal power and astigmatism measurements (ICC > 0.9) except for the Placido topographer with regard to J45 (ICC = 0.721). The color-LED topographer and the reflectometer obtained similar mean values of corneal power, astigmatism magnitude, J0, and J45 (P > .05), which was also true when comparing the color-LED topographer and the Placido topographer, except for the mean corneal power (P = .0007). The Bland-Altman plots showed a wide data spread for all analyzed variables. CONCLUSIONS: The color-LED topographer provided highly repeatable corneal power and astigmatism measurements. Even though it obtained values similar to those of the reflectometer and the Placido topographer, the wide data spread discourages their interchangeable use to assess corneal power and astigmatism. FINANCIAL DISCLOSURE: Drs. Wang, Koch, and Weikert are consultants to Ziemer USA, Inc. Dr. Koch is a consultant to Abbott Medical Optics, Inc., Alcon Surgical, Inc., and i-Optics, Corp. Drs. Ventura and Al-Mohtaseb have no financial or proprietary interest in any material or method mentioned.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refração Ocular / Astigmatismo / Córnea / Topografia da Córnea Tipo de estudo: Observational_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Cataract Refract Surg Assunto da revista: OFTALMOLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refração Ocular / Astigmatismo / Córnea / Topografia da Córnea Tipo de estudo: Observational_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Cataract Refract Surg Assunto da revista: OFTALMOLOGIA Ano de publicação: 2015 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos