Comparison of central corneal thickness with four noncontact devices: An agreement analysis of swept-source technology

Purpose: The purpose of this study was to compare the central corneal thickness (CCT) measurements of four noncontact devices in healthy eyes. Materials and Methods: In a sample of 45 healthy controls, CCT was measured using an optical biometer (IOLMaster 700) based on swept-source optical coherence...

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Main Authors: Erhan Ozyol, Pelin Özyol
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=6;spage=461;epage=465;aulast=Ozyol
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author Erhan Ozyol
Pelin Özyol
author_facet Erhan Ozyol
Pelin Özyol
author_sort Erhan Ozyol
collection DOAJ
description Purpose: The purpose of this study was to compare the central corneal thickness (CCT) measurements of four noncontact devices in healthy eyes. Materials and Methods: In a sample of 45 healthy controls, CCT was measured using an optical biometer (IOLMaster 700) based on swept-source optical coherence tomography (SS-OCT), high-resolution rotating Scheimpflug camera system (Pentacam HR), spectral-domain OCT (SD-OCT) device with an anterior segment module (Spectralis), and noncontact pachymetry (NCP) device (Topcon TRK-2P). Agreement among the devices was analyzed using mean differences (i.e., bias) and Bland–Altman analysis with 95% limits of agreement (LoA). Results: Mean CCT measurements were 537.5 ± 47.5 μm for SS-OCT optical biometer, 532.3 ± 43.8 μm for Scheimpflug system, 521.3 ± 44.7 μm for SD-OCT device, and 518.0 ± 43.1 μm for NCP (P < 0.001). The SD-OCT device and NCP showed the closest agreement, with a bias of 2.6 μm (95% LoA, −3.6–8.8 μm), whereas the SS-OCT optical biometer and NCP showed the least agreement, with a bias of 18.7 μm (95% LoA, −2.1–39.5 μm). Bias was 16.1 μm (95% LoA, −3.1–35.3 μm) for SS-OCT optical biometer and SD-OCT, 5.1 μm (95% LoA, −6.8–17.0 μm) for SS-OCT optical biometer and Scheimpflug system, 10.9 μm (95% LoA, −15.1–36.9 μm) for SD-OCT device and Scheimpflug system, and 13.6 μm (95% LoA, −5–32.2 μm) for Scheimpflug system and NCP. Conclusions: SS-OCT optical biometer overestimates CCT measurements compared to Scheimpflug system, SD-OCT device, and NCP. Given mean differences and range variations in CCT measurements between devices, SS-OCT optical biometer and Scheimpflug system are interchangeable as are SD-OCT and NCP.
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spelling doaj.art-6628ec5dfe1841f9a9772bc81373124b2022-12-22T02:44:53ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892017-01-0165646146510.4103/ijo.IJO_618_16Comparison of central corneal thickness with four noncontact devices: An agreement analysis of swept-source technologyErhan OzyolPelin ÖzyolPurpose: The purpose of this study was to compare the central corneal thickness (CCT) measurements of four noncontact devices in healthy eyes. Materials and Methods: In a sample of 45 healthy controls, CCT was measured using an optical biometer (IOLMaster 700) based on swept-source optical coherence tomography (SS-OCT), high-resolution rotating Scheimpflug camera system (Pentacam HR), spectral-domain OCT (SD-OCT) device with an anterior segment module (Spectralis), and noncontact pachymetry (NCP) device (Topcon TRK-2P). Agreement among the devices was analyzed using mean differences (i.e., bias) and Bland–Altman analysis with 95% limits of agreement (LoA). Results: Mean CCT measurements were 537.5 ± 47.5 μm for SS-OCT optical biometer, 532.3 ± 43.8 μm for Scheimpflug system, 521.3 ± 44.7 μm for SD-OCT device, and 518.0 ± 43.1 μm for NCP (P < 0.001). The SD-OCT device and NCP showed the closest agreement, with a bias of 2.6 μm (95% LoA, −3.6–8.8 μm), whereas the SS-OCT optical biometer and NCP showed the least agreement, with a bias of 18.7 μm (95% LoA, −2.1–39.5 μm). Bias was 16.1 μm (95% LoA, −3.1–35.3 μm) for SS-OCT optical biometer and SD-OCT, 5.1 μm (95% LoA, −6.8–17.0 μm) for SS-OCT optical biometer and Scheimpflug system, 10.9 μm (95% LoA, −15.1–36.9 μm) for SD-OCT device and Scheimpflug system, and 13.6 μm (95% LoA, −5–32.2 μm) for Scheimpflug system and NCP. Conclusions: SS-OCT optical biometer overestimates CCT measurements compared to Scheimpflug system, SD-OCT device, and NCP. Given mean differences and range variations in CCT measurements between devices, SS-OCT optical biometer and Scheimpflug system are interchangeable as are SD-OCT and NCP.http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=6;spage=461;epage=465;aulast=OzyolAnterior segment optical coherence tomographycentral corneal thicknessnoncontact pachymetryScheimpflug analysis systemswept-source optical biometer
spellingShingle Erhan Ozyol
Pelin Özyol
Comparison of central corneal thickness with four noncontact devices: An agreement analysis of swept-source technology
Indian Journal of Ophthalmology
Anterior segment optical coherence tomography
central corneal thickness
noncontact pachymetry
Scheimpflug analysis system
swept-source optical biometer
title Comparison of central corneal thickness with four noncontact devices: An agreement analysis of swept-source technology
title_full Comparison of central corneal thickness with four noncontact devices: An agreement analysis of swept-source technology
title_fullStr Comparison of central corneal thickness with four noncontact devices: An agreement analysis of swept-source technology
title_full_unstemmed Comparison of central corneal thickness with four noncontact devices: An agreement analysis of swept-source technology
title_short Comparison of central corneal thickness with four noncontact devices: An agreement analysis of swept-source technology
title_sort comparison of central corneal thickness with four noncontact devices an agreement analysis of swept source technology
topic Anterior segment optical coherence tomography
central corneal thickness
noncontact pachymetry
Scheimpflug analysis system
swept-source optical biometer
url http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=6;spage=461;epage=465;aulast=Ozyol
work_keys_str_mv AT erhanozyol comparisonofcentralcornealthicknesswithfournoncontactdevicesanagreementanalysisofsweptsourcetechnology
AT pelinozyol comparisonofcentralcornealthicknesswithfournoncontactdevicesanagreementanalysisofsweptsourcetechnology