Corneal densitometry and its correlation with anterior and posterior elevation in keratoconus

AIM: To evaluate the corneal densitometry in treatment-naive patients with keratoconus and its relevance with anterior and posterior corneal elevation.<p>METHODS: Keratoconic corneas were examined using the Pentacam. Corneal densitometry was measured over a 12-mm diameter area, divided by annu...

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Main Authors: Mohammad Mirzaei, Nazli Taheri, Hossein Akhlaghi, Hesam Sadat Hashemi
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2018-06-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2018/6/201806003.pdf
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author Mohammad Mirzaei
Nazli Taheri
Hossein Akhlaghi
Hesam Sadat Hashemi
author_facet Mohammad Mirzaei
Nazli Taheri
Hossein Akhlaghi
Hesam Sadat Hashemi
author_sort Mohammad Mirzaei
collection DOAJ
description AIM: To evaluate the corneal densitometry in treatment-naive patients with keratoconus and its relevance with anterior and posterior corneal elevation.<p>METHODS: Keratoconic corneas were examined using the Pentacam. Corneal densitometry was measured over a 12-mm diameter area, divided by annular concentric zones and depths, more over anterior and posterior corneal elevation was measured. Keratoconus was classified according to the topographic keratoconus classification.<p>RESULTS: A total of 152 subjects \〖72 patients with keratoconus(46 male, 26 female)and 80 healthy control subjects(50 male,30 female)\〗 were included in the study. There were significant differences in corneal densitometry values of the groups in central 2 mm keratoconus(KC)=19.62±4.17 gray scale unit(GSU), N=15.38±1.54 GSU(<i>P</i><0.0001), and in annulus of 2 to 6 mm in diameter(K=16.40±2.18 GSU, N=15.31±1.25 GSU, <i>P</i><0.0001). When densitometry values for different depths were examined, the anterior layer presented the highest value(KC=23.69±3.71 GSU, N=20.91±2.52 GSU,<i> P</i><0.0001), which was significantly higher than the values obtained in the central and posterior layer(KC=14.34±1.70 GSU, N=13.61±1.21 GSU, <i>P</i>=0.001 and KC=11.40±1.23 GSU, N=12.35±0.88, <i>P</i>=0.002 respectively). Analysis of the correlation between corneal densitometry for each layer depth(anterior, central and posterior)with posterior corneal elevation values demonstrated significant association(<i>r</i>=0.293, <i>r</i>=0.278 and <i>r</i>=0.294 respectively). The similar correlation was not found between corneal densitometry for each layer depth and anterior corneal elevation(<i>r</i>=-0.211, <i>r</i>=-0.101, <i>r</i>=0.99 respectively). In the control patients such a significant correlation between posterior/anterior corneal elevation and corneal light backscatter for each layer depth was not found.<p>CONCLUSION: The densitometry map reveals that light backscatter was higher in the central portion of the anterior keratoconic cornea. Corneal densitometry values of keratoconus patients were correlated with posterior corneal elevation in 0-2, 6-10 and 10-12 annuli and in all anterior, central and posterior layers. The densitometry level was higher in more advanced stages.
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spelling doaj.art-d4f30e125d20462585c0fc41e9a7b0ba2022-12-22T01:13:59ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232018-06-0118698599310.3980/j.issn.1672-5123.2018.6.03Corneal densitometry and its correlation with anterior and posterior elevation in keratoconusMohammad Mirzaei0Nazli Taheri1Hossein Akhlaghi2Hesam Sadat Hashemi3 Department of Ophthalmology, Nikookari Eye Hospital, Tabriz University of Medical Sciences, Tabriz 5154645395, Iran Department of Ophthalmology, Nikookari Eye Hospital, Tabriz University of Medical Sciences, Tabriz 5154645395, Iran Department of Ophthalmology, Nikookari Eye Hospital, Tabriz University of Medical Sciences, Tabriz 5154645395, Iran Department of Ophthalmology, Nikookari Eye Hospital, Tabriz University of Medical Sciences, Tabriz 5154645395, IranAIM: To evaluate the corneal densitometry in treatment-naive patients with keratoconus and its relevance with anterior and posterior corneal elevation.<p>METHODS: Keratoconic corneas were examined using the Pentacam. Corneal densitometry was measured over a 12-mm diameter area, divided by annular concentric zones and depths, more over anterior and posterior corneal elevation was measured. Keratoconus was classified according to the topographic keratoconus classification.<p>RESULTS: A total of 152 subjects \〖72 patients with keratoconus(46 male, 26 female)and 80 healthy control subjects(50 male,30 female)\〗 were included in the study. There were significant differences in corneal densitometry values of the groups in central 2 mm keratoconus(KC)=19.62±4.17 gray scale unit(GSU), N=15.38±1.54 GSU(<i>P</i><0.0001), and in annulus of 2 to 6 mm in diameter(K=16.40±2.18 GSU, N=15.31±1.25 GSU, <i>P</i><0.0001). When densitometry values for different depths were examined, the anterior layer presented the highest value(KC=23.69±3.71 GSU, N=20.91±2.52 GSU,<i> P</i><0.0001), which was significantly higher than the values obtained in the central and posterior layer(KC=14.34±1.70 GSU, N=13.61±1.21 GSU, <i>P</i>=0.001 and KC=11.40±1.23 GSU, N=12.35±0.88, <i>P</i>=0.002 respectively). Analysis of the correlation between corneal densitometry for each layer depth(anterior, central and posterior)with posterior corneal elevation values demonstrated significant association(<i>r</i>=0.293, <i>r</i>=0.278 and <i>r</i>=0.294 respectively). The similar correlation was not found between corneal densitometry for each layer depth and anterior corneal elevation(<i>r</i>=-0.211, <i>r</i>=-0.101, <i>r</i>=0.99 respectively). In the control patients such a significant correlation between posterior/anterior corneal elevation and corneal light backscatter for each layer depth was not found.<p>CONCLUSION: The densitometry map reveals that light backscatter was higher in the central portion of the anterior keratoconic cornea. Corneal densitometry values of keratoconus patients were correlated with posterior corneal elevation in 0-2, 6-10 and 10-12 annuli and in all anterior, central and posterior layers. The densitometry level was higher in more advanced stages.http://ies.ijo.cn/cn_publish/2018/6/201806003.pdfcorneal densitometrylight backscatterkeratoconusScheimpflug imagingScheimpflug imaging
spellingShingle Mohammad Mirzaei
Nazli Taheri
Hossein Akhlaghi
Hesam Sadat Hashemi
Corneal densitometry and its correlation with anterior and posterior elevation in keratoconus
Guoji Yanke Zazhi
corneal densitometry
light backscatter
keratoconus
Scheimpflug imaging
Scheimpflug imaging
title Corneal densitometry and its correlation with anterior and posterior elevation in keratoconus
title_full Corneal densitometry and its correlation with anterior and posterior elevation in keratoconus
title_fullStr Corneal densitometry and its correlation with anterior and posterior elevation in keratoconus
title_full_unstemmed Corneal densitometry and its correlation with anterior and posterior elevation in keratoconus
title_short Corneal densitometry and its correlation with anterior and posterior elevation in keratoconus
title_sort corneal densitometry and its correlation with anterior and posterior elevation in keratoconus
topic corneal densitometry
light backscatter
keratoconus
Scheimpflug imaging
Scheimpflug imaging
url http://ies.ijo.cn/cn_publish/2018/6/201806003.pdf
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AT nazlitaheri cornealdensitometryanditscorrelationwithanteriorandposteriorelevationinkeratoconus
AT hosseinakhlaghi cornealdensitometryanditscorrelationwithanteriorandposteriorelevationinkeratoconus
AT hesamsadathashemi cornealdensitometryanditscorrelationwithanteriorandposteriorelevationinkeratoconus