Repeatability and agreement of Scheimpflug-based and swept-source optical biometry measurements.

Purpose: To evaluate the repeatability and comparability of biometry parameters between a Scheimpflug-based topography with axial length measurement (Pentacam AXL, Oculus, Wetzlar, Germany) and a swept-source optical biometry (IOLMaster 700, Carl Zeiss Meditec AG, Jena, Germany).Methods: A total of...

Full description

Bibliographic Details
Published in:Contact Lens & Anterior Eye Vol. 40; no. 5; pp. 318 - 323
Main Authors: Sel, Saadettin, Stange, Jana, Kaiser, Delia, Kiraly, Laszlo
Format: Journal Article
Published: Elsevier B.V. Oct2017
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124938756&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 124938756
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        13670484
        KJM
      jtl: Contact Lens & Anterior Eye
      issn: 13670484
      maglogo: N
    pubinfo:
      dt: Oct2017
      vid: 40
      iid: 5
      pid: 467
      pub: Elsevier B.V.
      place: New York, New York
    artinfo:
      ui:
        124938756
        124938756
        NLM28342729
        10.1016/j.clae.2017.03.007
        NLM28342729
        124938756
      ppf: 318
      ppct: 5
      formats:
      tig:
        atl: Repeatability and agreement of Scheimpflug-based and swept-source optical biometry measurements.
      aug:
        au:
          Sel, Saadettin
          Stange, Jana
          Kaiser, Delia
          Kiraly, Laszlo
        affil: Universitäts-Augenklinik, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany
      sug:
        subj:
          Cornea Anatomy and Histology
          Biometrics Equipment and Supplies
          Anterior Chamber Anatomy and Histology
          Diagnosis, Eye
          Photography Equipment and Supplies
          Middle Age
          Adult
          Female
          Male
          Prospective Studies
          Astigmatism Diagnosis
          Adolescence
          Corneal Topography
          Young Adult
          Research Subjects
          Tomography, Optical Coherence Equipment and Supplies
          Reproducibility of Results
          Observer Bias
          Scales
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Adolescent: 13-18 years
          Female
          Male
      ab: Purpose: To evaluate the repeatability and comparability of biometry parameters between a Scheimpflug-based topography with axial length measurement (Pentacam AXL, Oculus, Wetzlar, Germany) and a swept-source optical biometry (IOLMaster 700, Carl Zeiss Meditec AG, Jena, Germany).Methods: A total of 50 eyes from 50 adult subjects had biometry measurements in one session three times using the Pentacam AXL and the IOLMaster 700. Keratometry, anterior chamber depth (ACD) and axial length (AL) values were obtained by both devices. Mean keratometry (Kmean) was calculated and the corneal spherocylinder was converted into power vectors (J0, J45). Repeatability was assessed based on intraclass correlation coefficient (ICC). Agreement was evaluated by linear regression analysis and Bland-Altman analysis by calculating the mean difference and 95% limits of agreement (LoA).Results: Assessment of intraoperator repeatability by means of ICC showed excellent reproducibility of measurements for both devices and all parameters examined ranging from 0.994 to 1.0. IOLMaster 700 exhibited significantly higher Kmean (p<0.001) and AL (p<0.001) values than the Pentacam AXL. Pentacam AXL showed significantly higher ACD (p<0.001) measurements than IOLMaster 700. There was no statistically significant difference of J0 (p=0.115) and J45 (p=0.255) values between Pentacam AXL and IOLMaster 700.Conclusions: Both devices provide high reproducible values for all parameters investigated. J0 and J45 values are statistically and clinically interchangeable between Pentacam AXL and IOLMaster 700. All other parameters are statistically different. In clinical practice, the differences for ACD and AL are to small and the values can be used interchangeable. However, Kmean values are clinically and statistically different and cannot be used interchangeable between the two devices.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N