Comparison of Methods for Detecting Keratoconus Using Videokeratography

Maeda, Naoyuki; Klyce, Stephen D.; Smolek, Michael K.

doi:10.1001/archopht.1995.01100070044023

Cited by 217 publications

(114 citation statements)

References 19 publications

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“…Spherical and cylindrical refractive error decreased 1.4 diopter and 1.7 diopter respectively. These results are in line with other studies [8,[30][31][32][33][34][35][36][37][38]. UCVA improved three lines which is compatible with studies of Vega estrad et al [31] and Gharibieh et al [38].…”

Section: Discussionsupporting

confidence: 92%

“…UCVA improved three lines which is compatible with studies of Vega estrad et al [31] and Gharibieh et al [38]. Likewise, BSCVA improved one line which is well-matched with other studies [33][34][35][36][37][38].…”

Section: Discussionsupporting

confidence: 88%

“…Written informed consent was obtained in all cases. Keratoconus diagnosis was established by the corneal pachymetry readings and combination of computerized video keratography of the anterior and posterior corneal surfaces (Orbscan IIz) [34,35]. Patients with mild and moderate KCN based on the Amsler-Krumiech classification [36].…”

Section: Methodsmentioning

confidence: 99%

“…On the other hand, most studies measuring corneal aberration used topography [26][27][28][29][30][31][32][33]. In the present study, we investigated Keraring intrastromal segment effect on optical aberrations in KCN treatment using wave front analyzer which evaluates 80.000 points compared to topography evaluating 6.144 points [34].…”

Section: Introductionmentioning

confidence: 96%

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Aberrometric Outcomes of Intrastromal Corneal Ring Segment (KeraRing 355) Implantation Using PocketMaker Microkeratome in Patients with Keratoconus

Jadidi¹,

Nejat²,

Alishiri³

et al. 2017

J Clin Exp Ophthalmol

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Objective: To evaluate aberrometric changes in corneas with keratoconus implanted with intrastromal corneal ring segment (Keraring 355) during a 3-months follow-up. Design: Prospective, consecutive case seriesMethods: In this interventional study, 22 eyes of 21 keratoconic patients with mean age of 29 ± 6 years who underwent KeraRing 355 intrastromal corneal ring insertion using a Pocket Maker Microkeratome for channel creation and completed at least three months of follow-up were included. Uncorrected visual acuity (UCVA), best spectacle corrected visual acuity (BSCVA), refractive outcome, Orbscan finding and corneal aberrations were assessed.Results: Three months postoperately, Low order aberration (defocus and astigmatism) decreased significantly (P<0.001). No statistically significant changes were detected in total RMS, trefoil, secondary trefoil and coma. Moreover, a statistically significant increase in quatrefoil, secondary coma, spherical aberration and secondary spherical was found. In term of visual outcomes, the mean UCVA (in LogMAR value) improved significantly from 0.75 ± 0.33 to 0.31 ± 0.23 and the mean BSCVA improved (from 0.31 ± 0.16 to 0.19 ± 0.15) (P<0.05). The mean spherical refractive error improved (from -1.37 ± 1.36 to 0.01 ± 2.47) and the mean cylindrical refractive error decreased significantly (from -3.8 ± 1.03 to -2.1 ± 1.27 (P<0.001)). Also, the mean keratometry value decreased from 47.61 ± 2.03 to 42.50 ± 2.76. Conclusion: KeraRing 355 implantation provided significant improvement in low order aberrations but was not effective in high order aberrations (HOA) in low/moderate keratoconus patients. However, UCVA, BCVA, spherical and cylindrical refractive error and keratometry results improved significantly.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

See 2 more Smart Citations

Aberrometric Outcomes of Intrastromal Corneal Ring Segment (KeraRing 355) Implantation Using PocketMaker Microkeratome in Patients with Keratoconus

Jadidi¹,

Nejat²,

Alishiri³

et al. 2017

J Clin Exp Ophthalmol

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show abstract

“…1 Several researchers have worked on the grading criteria for keratoconus. [2][3][4][5][6] Most of the grading criteria take into account either keratometric or clinical signs to classify keratoconic and pre-keratoconic corneas. Recently, attempt has been made to use other factors such as ocular hysteresis and corneal wavefront in grading and classifying this disease.…”

Section: Introductionmentioning

confidence: 99%

A new, pachymetry-based approach for diagnostic cutoffs for normal, suspect and keratoconic cornea

Prakash

Mazhari

Kumar

et al. 2012

Eye

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Purpose To analyze whether an association exists between keratometric and pachymetric changes in the cornea, and whether it can be used to create pachymetric cutoff criteria secondary to keratometric criteria. Methods In this cross-sectional study, 1000 candidates presenting to the refractive surgery services of a tertiary care hospital underwent bilateral Orbscan IIz (Bausch and Lomb) assessment along with other ophthalmic evaluation.Results Stepwise regression analysis-based models showed that simulated keratometry (simK) astigmatism was significantly predicted by the minimum corneal thickness (MCT) and difference between central and MCT (dCT), mean SimK by the MCT and dCT, and maximum keratometry in the central 10-mm zone by the MCT and dCT (Po0.001). The mean MCT values were 542.5±39.6, 539.9±39.2, 524.2±49.5, and 449.3±73.7 lm for flatter normal (o44 D), steeper normal (Z44 D), keratoconus suspect and keratoconic eyes, respectively (Po0.001). The mean differences between central corneal thickness and MCT (dCT) were 12.2 ± 7.1 lm, 12.4 ± 7.4 lm, 14.4 ± 8.9 lm and 23.2 ± 10.1 lm for the flatter normal, steeper normal, keratoconus suspect, and keratoconic eyes, respectively (Po0.001). Mean and 2SD cutoff were used to suggest that a cornea having MCTo461 lm or dCT427 lm has only a 2.5% chance of being normal and not a keratoconus suspect or worse. Conclusion Pachymetric diagnostic cutoffs can be used as adjuncts to the existing topographic criteria to screen keratoconus suspect and keratoconic eyes.

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Intraoperative and Postoperative Effects of Corneal Collagen Cross-linking on Progressive Keratoconus

Vinciguerra¹

2009

Arch Ophthalmol

182

115

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To report intraoperative and 24-month refractive, topographic, tomographic, and aberrometric outcomes after corneal collagen cross-linking in progressive advanced keratoconus. Methods: Prospective, nonrandomized single-center clinical study involving 28 eyes. Main outcome measures included uncorrected and best spectaclecorrected visual acuities, sphere and cylinder refraction, topography, tomography, aberrometry, and endothelial cell count evaluated at baseline and follow-up at 1, 3, 6, 12, and 24 months after treatment. Topography was also recorded intraoperatively. Results: Two years after treatment, mean baseline uncorrected and best spectacle-corrected visual acuities improved significantly (P=.048 and Ͻ.001, respectively) and mean spherical equivalent refraction decreased significantly (P=.03). Mean baseline flattest and steepest me

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Comparison of Methods for Detecting Keratoconus Using Videokeratography

Cited by 217 publications

References 19 publications

Aberrometric Outcomes of Intrastromal Corneal Ring Segment (KeraRing 355) Implantation Using PocketMaker Microkeratome in Patients with Keratoconus

Aberrometric Outcomes of Intrastromal Corneal Ring Segment (KeraRing 355) Implantation Using PocketMaker Microkeratome in Patients with Keratoconus

A new, pachymetry-based approach for diagnostic cutoffs for normal, suspect and keratoconic cornea

Intraoperative and Postoperative Effects of Corneal Collagen Cross-linking on Progressive Keratoconus

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