Evaluation of Keratometry With a Novel Color-LED Corneal Topographer (original) (raw)

Color light-emitting diode reflection topography: validation of keratometric repeatability in a large sample of wide cylindrical-range corneas

Clinical ophthalmology (Auckland, N.Z.), 2015

To investigate repeatability of steep and flat keratometry measurements, as well as astigmatism axis in cohorts with normal range and regular astigmatic such as: eyes following laser-assisted in situ keratomileusis (LASIK) and normal population, as well as cohorts of high and irregular astigmatism such as keratoconic eyes, and keratoconic eyes following corneal collagen cross-linking, employing a novel corneal reflection topography device. Steep and flat keratometry and astigmatism axis measurement repeatability was investigated employing a novel multicolored-spot reflection topographer (Cassini) in four study groups, namely a post myopic LASIK-treated Group A, a keratoconus Group B, a post-CXL keratoconus Group C, and a control Group D of routine healthy patients. Three separate, maps were obtained employing the Cassini, enabling investigation of the intra-individual repeatability by standard deviation. Additionally we investigated in all groups,the Klyce surface irregularity indic...

Clinical Correlation between Placido, Scheimpflug and LED Color Reflection Topographies in Imaging of a Scarred Cornea

Case reports in ophthalmology, 2014

This case report aims to evaluate safety, efficacy and feasibility of anterior surface imaging by a novel point-source reflection topographer, in comparison to four other corneal imaging modalities. A 17-year-old female patient, clinically diagnosed with chronic herpetic keratitis in her left eye was imaged by a novel multicolored-spot reflection topography system. We comparatively investigated elevation and curvature maps between the novel topographer and established Placido disk topography and Scheimpflug tomography systems. Pachymetry maps were compared between the Scheimpflug system and anterior-segment optical coherence tomography system. The Placido system failed to properly register the abnormal anterior surface due to incomplete mire registration, while the Scheimpflug topometry device imaged the anterior surface properly, but not the posterior (due to media opacity), and thus pachymetry was highly irregular and erroneous in this case. Imaging of corneas infected with herpes...

Comparison of the corneal power measurements with the tms4-topographer, pentacam hr, iol master, and javal keratometer

Middle East African Journal of Ophthalmology, 2015

To compare Orbscan II and Pentacam keratometry readings in terms of their agreement with a manual Javal type keratometer Methods: In this retrospective study, records of patients who had refractive surgery were reviewed. We extracted data of 765 eyes which had keratometry with the Javal keratometer; of these, 577 had Orbscan II and 200 eyes had Pentacam acquisitions. Minimum (min-K) and maximum (max-K) keratometry readings and keratometric astigmatism with the latter two devices were compared with Javal.

Comparison of Corneal Powers Obtained from 4 Different Devices

American Journal of Ophthalmology, 2009

To assess the repeatability and comparability of anterior corneal power values obtained from the Galilei Dual Scheimpflug Analyzer (Ziemer, Port, Switzerland), Humphrey Atlas corneal topographer (Carl Zeiss, Jena, Germany), IOLMaster (Carl Zeiss), and a manual keratometer (Bausch & Lomb Inc, Rochester, New York, USA). • DESIGN: Prospective, comparative study. • METHODS: Prospectively, 20 subjects were enrolled. Three sets of corneal power measurements were obtained by a single observer using the Galilei, Atlas topographer, IOLMaster, and manual keratometer. Repeatability of the 3 measurements from each device was evaluated by means of coefficient of variation, standard deviation (SD), and intraclass correlation coefficient. An analysis of variance was used to compare the differences in corneal powers among devices. The Bland and Altman method also was performed to assess agreement in measurements between devices. Vector analysis was used to compare the astigmatism values obtained from different devices. • RESULTS: For each device, the coefficient of variation of repeated measurements was lower than 0.22%. The SD of 3 repeated measurements ranged from 0.042 to 0.096 diopters (D). The intraclass correlation coefficients were higher than 0.99 in all devices. Mean central corneal powers were 43.80 D, 43.88 D, 43.92 D, and 43.76 D for the Galilei, Atlas, IOLMaster, and manual keratometer, respectively. SDs of the differences between devices ranged from 0.07 D for Galilei and IOLMaster to 0.14 D for Galilei and Atlas. For astigmatism, the mean astigmatism values for the Galilei, Atlas, IOLMaster, and manual keratometer were 0.54 D at 84 degrees, 0.51 D at 88 degrees, 0.62 D at 88 degrees, and 0.52 D at 87 degrees, respectively. • CONCLUSIONS: The corneal power measurements from these 4 devices were highly reproducible, comparable, and correlated.

Comparison of the accuracy and reproducibility of the keratometer and the EyeSys Corneal Analysis System Model I

Journal of Cataract & Refractive Surgery, 1992

The EyeSys Corneal Analysis System Model I measures corneal topography using digital image analysis of placido rings reflected off the cornea. With three observers, we compared the accuracy and reproducibility (precision) of the Marco Keratometer Model 1 and EyeSys Corneal Analysis System Model I using four poly(methyl methacrylate) spheres (37.50, 42.51, 47.54, and 55.06 diopters [D]), three steel spheres (40.50, 42.50, and 44.75 D), and 20 normal human eyes (41.50 to 46.00 D). For the spheres, the standard deviations of intra-observer and overall reproducibility for both devices were less than 0.12 D; the absolute mean differences between the measurements of the seven spheres and the known values were 0.25 D or more for two spheres as measured by the keratometer and none as measured by the EyeSys. For the normal corneas, the standard deviations of intra-observer and overall reproducibility for dioptric measurements were 0.07 D and 0.14 D for the keratometer and 0.13 D and 0.19 D for the EyeSys. The EyeSys Corneal Analysis System Model I exceeds keratometer accuracy in reading calibrated spheres and approaches keratometer reproducibility in measuring the 3-mm zone of normal human corneas.

Stray-light measurements in keratoconic and cross-linked corneas

Will present methodology and pearls in evaluating corneal ectasia and keratoconus diagnosis and progression assessment based on a multitude of contemporary anterior segment imaging modalities (Scheimpflug imaging, Placido Topography, Cornea Rigidity visualization, Anterior-Segment Optical Coherence Tomography Corneal and Epithelial Imaging, ocular Stray-light quantifier, and novel Multicolored-spot reflection topography). Objective: Attendees will share our extensive and long experience in diagnosing ectasia and progressive keratoconus by employment of new anterior-segment imaging modalities, also applicable to post-surgery follow up and assessment. Outline: 1. Diagnosis and Classification of Keratoconus by Anterior-Segment Imaging: Current status and recent developments 2. Scheimpflug imaging indices based on anterior-surface irregularity 3. Cornea Visualization rigidity measurements (CorVis) 4. Anterior-Segment OCT indices based on cornea asymmetry and focal thinning 5. Epithelial thickness indicators based on 3-dimensional display 6. Novel Multicolored-spot reflection topography 7. Imaging of cross-linked corneas: Pearls and Alerts 8. Atomic-Microscopy imaging in keratoconic and cross-linked corneas 9. Corneal thickness imaging limitations 10. Stray-light measurements in keratoconic and cross-linked corneas

Measurements of anterior segment parameters using three different non-contact optical devices in keratoconus patients

International journal of ophthalmology, 2013

To evaluate the measurements of anterior segment parameters using three different non-contact optical devices in keratoconus patients. A hundred and one eyes of 55 keratoconus patients were enrolled in this study. The mean age was 26.2±8.9 years. The inclusion criteria were keratoconus stage I to III according to the Amsler-Krumeich keratoconus classification. All the measurements were done by the same operator, under the mesopic light condition and repeated with three different optical methods; Visante, Orbscan and Pentacam. The evaluated anterior segment parameters were anterior chamber depth (ACD), central and thinnest corneal thickness (CCT and TCT) and pupil diameter (PD). THE MEAN CCT MEASURED BY VISANTE, ORBSCAN AND PENTACAM WERE AS FOLLOWS: 462.0±48.1µm, 463.9±60.9µm, 476.5±45.3µm, respectively (P=0.873). The mean ACD values were 3.34±0.33mm, 3.26±0.33mm, 3.49±0.40mm, respectively (P=0.118). The mean PD measurements were 5.11±1.14mm, 4.80±0.85mm, 3.80±1.38mm, respectively (P...