Mean posterior corneal power and astigmatism in normal versus keratoconic eyes.

Purpose: To compare mean posterior corneal power and astigmatism in normal versus keratoconus affected eyes and determine the optimal cut-off points to maximize sensitivity and specificity in discriminating keratoconus from normal corneas. Methods: A total of 204 normal eyes and 142 keratoconus affe...

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Publicado en:Journal of Ophthalmic & Vision Research Vol. 13; no. 2; pp. 93 - 101
Autores principales: Feizi, Sepehr, Delfazayebaher, Siamak, Javadi, Mohammad, Karimian, Farid, Ownagh, Vahid, Sadeghpour, Fatemeh
Formato: research tables/charts Journal Article
Publicado: Knowledge E DMCC Apr-Jun2018
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Ophthalmic & Vision Research
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      dt: Apr-Jun2018
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      pub: Knowledge E DMCC
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        10.4103/jovr.jovr_19_17
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        atl: Mean posterior corneal power and astigmatism in normal versus keratoconic eyes.
      aug:
        au:
          Feizi, Sepehr
          Delfazayebaher, Siamak
          Javadi, Mohammad
          Karimian, Farid
          Ownagh, Vahid
          Sadeghpour, Fatemeh
        affil: Ocular Tissue Engineering Research Center, Shahid Beheshti University of Medical Sciences, Tehran
      sug:
        subj:
          Cornea Pathology
          Keratoconus Diagnosis
          Astigmatism Diagnosis
          Diagnosis, Eye Methods
          Sensitivity and Specificity
          Human
          Prospective Studies
          Comparative Studies
          Correlation Coefficient
          ROC Curve
      ab: Purpose: To compare mean posterior corneal power and astigmatism in normal versus keratoconus affected eyes and determine the optimal cut-off points to maximize sensitivity and specificity in discriminating keratoconus from normal corneas. Methods: A total of 204 normal eyes and 142 keratoconus affected eyes were enrolled in this prospective comparative study. Mean posterior corneal power and astigmatism were measured using a dual Scheimpflug camera. Correlation coefficients were calculated to assess the relationship between the magnitudes of keratometric and posterior corneal astigmatism in the study groups. Receiver operating characteristic curves were used to compare the sensitivity and specificity of the measured parameters and to identify the optimal cut-off points for discriminating keratoconus from normal corneas. Results: The mean posterior corneal power was −6.29 ± 0.20 D in the normal group and −7.77 ± 0.87 D in the keratoconus group (P < 0.001). The mean magnitudes of the posterior corneal astigmatisms were −0.32 ± 0.15 D and −0.94 ± 0.39 D in the normal and keratoconus groups, respectively (P < 0.001). Significant correlations were found between the magnitudes of keratometric and posterior corneal astigmatism in the normal (r=−0.76, P < 0.001) and keratoconus (r=−0.72, P < 0.001) groups. The mean posterior corneal power and astigmatism were highly reliable characteristics that distinguished keratoconus from normal corneas (area under the curve, 0.99 and 0.95, respectively). The optimal cut-off points of mean posterior corneal power and astigmatism were −6.70 D and −0.54 D, respectively. Conclusion: Mean posterior corneal power and astigmatism measured using a Galilei analyzer camera might have potential in diagnosing keratoconus. The cut-off points provided can be used for keratoconus screening.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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