Emre Güler1, Ramazan Yağci2, Mesut Akyol3, Zeynel Arslanyılmaz4, Mehmet Balci5, Ibrahim F Hepşen6. 1. Turgut Özal University, Medical School, Department of Ophthalmology, Ankara, Turkey. Electronic address: guleremre83@hotmail.com. 2. Pamukkale University, Medical School, Department of Ophthalmology, Denizli, Turkey. 3. Yıldırım Beyazıt University, Department of Biostatistics, Ankara, Turkey. 4. Adıyaman University Training and Research Hospital, Department of Ophthalmology, Adıyaman, Turkey. 5. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Ophthalmology, Ankara, Turkey. 6. Gazi University, Medical School, Department of Ophthalmology, Ankara, Turkey.
Abstract
OBJECTIVE: To assess the repeatability and reproducibility of the anterior segment measurements performed with a dual Scheimpflug analyzer (Galilei) in normal, keratoconic and post-refractive surgery corneas. METHODS: To evaluate the repeatability, two additional measurements were performed by the first examiner. To assess reproducibility, this was later followed by a single reading by the second examiner. The following parameters were recorded and evaluated in this study; central corneal thickness (CCT), thinnest corneal thickness (TCT), mean total corneal power (TCP) in central (0-4mm), mean posterior corneal power (PCP) in central (0.5-2mm), anterior and posterior elevation (best fit sphere [BFS]) in central 8mm anterior and posterior eccentricity (ɛ(2)) in central 8mm. Repeatability and reproducibility for each corneal parameter was assessed using the Bland-Altman analysis. RESULTS: Each of the three groups was consisted of 20 subjects (totally 60 patients, 30 men and 30 women). The 95% LoA for repeatability was very small, indicating small discrepancies between measurements related to CCT. Acceptable repeatability was also achieved for the other parameters in each group. However, the 95% LoA for value TCP was larger in keratoconic eyes. The 95% LoA for reproducibility was also very small, and acceptable for all measured parameters in each group. In addition, the 95% LoA was larger for the measurement of CCT and TCT for postrefractive corneas. CONCLUSIONS: The anterior segment measurements provided by Galilei showed good repeatability and reproducibility for normal, keratoconic and postrefractive corneas.
OBJECTIVE: To assess the repeatability and reproducibility of the anterior segment measurements performed with a dual Scheimpflug analyzer (Galilei) in normal, keratoconic and post-refractive surgery corneas. METHODS: To evaluate the repeatability, two additional measurements were performed by the first examiner. To assess reproducibility, this was later followed by a single reading by the second examiner. The following parameters were recorded and evaluated in this study; central corneal thickness (CCT), thinnest corneal thickness (TCT), mean total corneal power (TCP) in central (0-4mm), mean posterior corneal power (PCP) in central (0.5-2mm), anterior and posterior elevation (best fit sphere [BFS]) in central 8mm anterior and posterior eccentricity (ɛ(2)) in central 8mm. Repeatability and reproducibility for each corneal parameter was assessed using the Bland-Altman analysis. RESULTS: Each of the three groups was consisted of 20 subjects (totally 60 patients, 30 men and 30 women). The 95% LoA for repeatability was very small, indicating small discrepancies between measurements related to CCT. Acceptable repeatability was also achieved for the other parameters in each group. However, the 95% LoA for value TCP was larger in keratoconic eyes. The 95% LoA for reproducibility was also very small, and acceptable for all measured parameters in each group. In addition, the 95% LoA was larger for the measurement of CCT and TCT for postrefractive corneas. CONCLUSIONS: The anterior segment measurements provided by Galilei showed good repeatability and reproducibility for normal, keratoconic and postrefractive corneas.
Authors: David P Piñero; Alberto López-Navarro; Inmaculada Cabezos; Dolores de Fez; María T Caballero; Vicent J Camps Journal: J Ophthalmol Date: 2017-01-04 Impact factor: 1.909