Effectiveness and comfort of Oculus Keratograph on tear film function test before corneal refractive surgery

AIM: To explore correlation, consistency and comfort between traditional tear film examination methods and Oculus Keratograph. <p>METHODS: A retrospective study. Totally 101 cases(101 eyes)were diagnosed myopia and then accepted LASEK(laser epithelial keratomileusis). Non-invasive tear film br...

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Main Authors: Peng Zhang, Ju-Ling Lyu, Ju-Fen Wu, Lan Wang, Jie Zhang, Shu-Ping Huo, Jin-Peng Chen
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2017-08-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2017/8/201708028.pdf
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author Peng Zhang
Ju-Ling Lyu
Ju-Fen Wu
Lan Wang
Jie Zhang
Shu-Ping Huo
Jin-Peng Chen
author_facet Peng Zhang
Ju-Ling Lyu
Ju-Fen Wu
Lan Wang
Jie Zhang
Shu-Ping Huo
Jin-Peng Chen
author_sort Peng Zhang
collection DOAJ
description AIM: To explore correlation, consistency and comfort between traditional tear film examination methods and Oculus Keratograph. <p>METHODS: A retrospective study. Totally 101 cases(101 eyes)were diagnosed myopia and then accepted LASEK(laser epithelial keratomileusis). Non-invasive tear film break-up time(NIBUT), lower tear meniscus height(LTMH)were measured with Oculus Keratograph, fluorescein tear film break-up time(fl-BUT)and Schimer Ⅰ test(SⅠt)were performed on all cases. The correlations analysis between NIBUT and fl-BUT, LTMH and SⅠt were performed by Spearman rank correlation, consistency check between NIBUT and fl-BUT by Bland-Altman analysis. Visual analogue scale(VAS)was applied on evaluating the comfort of two kinds of examination methods. <p>RESULTS: LTMH and SⅠt showed positive correlation(<i>r</i><sub>s</sub>=0.346, <i>P</i>=0.001). NIBUT and fl-BUT showed positive correlation(<i>r</i><sub>s</sub>=0.393, <i>P</i>=0.001), 95% consistency limits range -9.62 to 14.18 in Bland-Altman Figure. There was significant difference between VAS of NIBUT and VAS of fl-BUT(<i>z</i>=-2.324, <i>P</i>=0.020). There was significant difference between VAS of LTMH and VAS of SⅠt(<i>z</i>=-8.845,<i>P</i>=0.001).<p>CONCLUSION: Oculus Keratograph can objectively measure NIBUT and LTMH, and was more comfortable than traditional tear film examination methods. It can effectively assess tear film function before corneal refractive surgery.
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spelling doaj.art-2a9a3493ea8f4ee0b4de33d2b094aff32022-12-21T22:08:07ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232017-08-011781512151510.3980/j.issn.1672-5123.2017.8.28Effectiveness and comfort of Oculus Keratograph on tear film function test before corneal refractive surgeryPeng Zhang0Ju-Ling Lyu1Ju-Fen Wu2Lan Wang3Jie Zhang4Shu-Ping Huo5Jin-Peng Chen6Ezhou Hospital of Renmin Hospital of Wuhan University; Ezhou Central Hospital, Ezhou 436000, Hubei Province, ChinaEzhou Hospital of Renmin Hospital of Wuhan University; Ezhou Central Hospital, Ezhou 436000, Hubei Province, ChinaEzhou Hospital of Renmin Hospital of Wuhan University; Ezhou Central Hospital, Ezhou 436000, Hubei Province, ChinaEzhou Hospital of Renmin Hospital of Wuhan University; Ezhou Central Hospital, Ezhou 436000, Hubei Province, ChinaEzhou Hospital of Renmin Hospital of Wuhan University; Ezhou Central Hospital, Ezhou 436000, Hubei Province, ChinaEzhou Hospital of Renmin Hospital of Wuhan University; Ezhou Central Hospital, Ezhou 436000, Hubei Province, ChinaEzhou Hospital of Renmin Hospital of Wuhan University; Ezhou Central Hospital, Ezhou 436000, Hubei Province, ChinaAIM: To explore correlation, consistency and comfort between traditional tear film examination methods and Oculus Keratograph. <p>METHODS: A retrospective study. Totally 101 cases(101 eyes)were diagnosed myopia and then accepted LASEK(laser epithelial keratomileusis). Non-invasive tear film break-up time(NIBUT), lower tear meniscus height(LTMH)were measured with Oculus Keratograph, fluorescein tear film break-up time(fl-BUT)and Schimer Ⅰ test(SⅠt)were performed on all cases. The correlations analysis between NIBUT and fl-BUT, LTMH and SⅠt were performed by Spearman rank correlation, consistency check between NIBUT and fl-BUT by Bland-Altman analysis. Visual analogue scale(VAS)was applied on evaluating the comfort of two kinds of examination methods. <p>RESULTS: LTMH and SⅠt showed positive correlation(<i>r</i><sub>s</sub>=0.346, <i>P</i>=0.001). NIBUT and fl-BUT showed positive correlation(<i>r</i><sub>s</sub>=0.393, <i>P</i>=0.001), 95% consistency limits range -9.62 to 14.18 in Bland-Altman Figure. There was significant difference between VAS of NIBUT and VAS of fl-BUT(<i>z</i>=-2.324, <i>P</i>=0.020). There was significant difference between VAS of LTMH and VAS of SⅠt(<i>z</i>=-8.845,<i>P</i>=0.001).<p>CONCLUSION: Oculus Keratograph can objectively measure NIBUT and LTMH, and was more comfortable than traditional tear film examination methods. It can effectively assess tear film function before corneal refractive surgery.http://ies.ijo.cn/cn_publish/2017/8/201708028.pdfKeratograph 5Mexcimer laser corneal operationtear filmcomfortcomfort
spellingShingle Peng Zhang
Ju-Ling Lyu
Ju-Fen Wu
Lan Wang
Jie Zhang
Shu-Ping Huo
Jin-Peng Chen
Effectiveness and comfort of Oculus Keratograph on tear film function test before corneal refractive surgery
Guoji Yanke Zazhi
Keratograph 5M
excimer laser corneal operation
tear film
comfort
comfort
title Effectiveness and comfort of Oculus Keratograph on tear film function test before corneal refractive surgery
title_full Effectiveness and comfort of Oculus Keratograph on tear film function test before corneal refractive surgery
title_fullStr Effectiveness and comfort of Oculus Keratograph on tear film function test before corneal refractive surgery
title_full_unstemmed Effectiveness and comfort of Oculus Keratograph on tear film function test before corneal refractive surgery
title_short Effectiveness and comfort of Oculus Keratograph on tear film function test before corneal refractive surgery
title_sort effectiveness and comfort of oculus keratograph on tear film function test before corneal refractive surgery
topic Keratograph 5M
excimer laser corneal operation
tear film
comfort
comfort
url http://ies.ijo.cn/cn_publish/2017/8/201708028.pdf
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