International Journal of Keratoconus and Ectatic Corneal Diseases

Register      Login

VOLUME 3 , ISSUE 1 ( January-April, 2014 ) > List of Articles

RESEARCH ARTICLE

Corneal Elevation Values in Normal Eyes, forme fruste Keratoconus and Keratoconus at Different Stages Measured by Scheimpflug Imaging

Luis Izquierdo, Maria A Henriquez, David Dañin

Citation Information : Izquierdo L, Henriquez MA, Dañin D. Corneal Elevation Values in Normal Eyes, forme fruste Keratoconus and Keratoconus at Different Stages Measured by Scheimpflug Imaging. Int J Kerat Ect Cor Dis 2014; 3 (1):36-39.

DOI: 10.5005/jp-journals-10025-1075

Published Online: 01-06-2016

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Purpose

To compare corneal elevation values in normal eyes, forme fruste keratoconus (FFKC) and different stages of keratoconus using Scheimpflug imaging.

Materials and methods

This prospective, comparative study included 267 eyes (107 normal eyes, 21 FFKC and 139 keratoconus). Keratoconic eyes were divided into four groups according to keratometry values. Maximum posterior elevation (PE) above the (best fit sphere (BFS) at the central 5 mm were measured using the Pentacam (Oculus Optikgeräte GmbH). Receiver operating characteristic curves were used to determine the test's overall predictive accuracy and to identify optimal cutoff points to discriminate between the groups.

Results

PE had the smallest values in normal eyes and increased in FFKC and each progressive stage of keratoconus. Mean PE was 9.98 ± 5.33 µm in normal eyes, 18.09 ± 9.23 µm in FFKC and 24.97 µm ± 15.89, 37.82 ± 18.64, 46.82 ± 21.41 and 66.07 ± 39.09, in keratoconus stage I, II, III and IV respectively.

Conclusion

Posterior elevation values increased according to the severity of keratoconus disease. PE can be used as indicator of keratoconus progression.

How to cite this article

Henriquez MA, Izquierdo L Jr, Dañin D. Corneal Elevation Values in Normal Eyes, forme fruste Keratoconus and Keratoconus at Different Stages Measured by Scheimpflug Imaging. Int J Kerat Ect Cor Dis 2014;3(1):36-39.


PDF Share
  1. Keratoconus. Surv Ophthalmol 1998;42(4):297-319.
  2. Intrasomal Corneal Ring Segments. Canelli (Italy): Fabiano Editore; 2000. Intrastromal inserts in keratoconus and ectatic corneal conditions 2000;95-163.
  3. Corneal higher order aberrations: a method to grade keratoconus. J Refract Surg 2006;22(6):539-545.
  4. Screening for corneal topographic abnormalities before refractive surgery. Ophthalmology 1994;101(1): 145-152.
  5. Keratoconus detected by video- keratography in candidates for photorefractive keratectomy. J Refract Surg 1995;11(3):194-201.
  6. Iatrogenic keratectasia after LASIK in a case of forme fruste keratoconus. J Cataract Refract Surg 1998; 24(9):1007-1009.
  7. Risk factors and prognosis for corneal ectasia after LASIK. Ophthalmology 2003;110(2):267-275.
  8. Keratoconus and corneal ectasia after LASIK. J Cataract Refract Surg 2005;31(1):2035-2038.
  9. Reproducibility and repeatability of central corneal thickness measurement in keratoconus using the rotating Scheimpflug camera and ultrasound pachymetry. Am J Ophthalmol 2007; 144(5):712-718.
  10. Intrasession and intersession repeatability of the Pentacam system on posterior corneal assessment in the normal human eye. J Cataract Refract Surg 2007;33(3):448-454.
  11. Sensitivity and specificity of posterior corneal elevation measured by Pentacam in discriminating keratoconus/ subclinical keratoconus. Ophthalmology 2008;115(9):1534-1539.
  12. Evaluation of keratometric, pachymetric, and elevation parameters of keratoconic corneas with Pentacam. Cornea 2009;28(9):976-980.
  13. Comparison of Pentacam and Orbscan IIz on posterior curvature topography measurements in keratoconus eyes. Ophthalmology 2006;113(9):1629-1632.
  14. Evaluation of anterior segment parameters in keratoconic eyes measured with the Pentacam system. J Cataract Refract Surg 2007;33(10):1708-1712.
  15. Corneal volume, pachymetry and correlation of anterior and posterior corneal shape in subclinical and different stages of clinical keratoconus. J Cataract Refract Surg 2010;36(5):814-825.
  16. Estimation of the incidence and factors pre-dictive of corneal scarring in the Collaborative Longitudinal Evaluation of Keratoconus (CLEK) Study. Cornea 2006;25(1):16-25.
  17. Longitudinal changes in corneal curvature in keratoconus. Cornea 2006;25(3):296-305.
  18. Correlation of Corneal Elevation With Severity of Keratoconus by Means of Anterior and Posterior Topographic Analysis. Cornea 2012;31(3):253-258.
  19. Diagnostic tests 3: receiver operating characteristic plots. BJM 1994;309(6948):188.
  20. Influence of the reference surface shape for Discriminating between Normal Corneas, Subdimical Keratoconus and keratoconus. J Refract Surg 2013;29(4):274-281.
  21. Evaluation of Scheimpflug imaging parameters in subclinical keratoconus, keratoconus, and normal eyes. Journal of cataract and refractive surgery 2011;37(6):1116-1124.
  22. Intereye asymmetry detected by Scheimpflug imaging in subjects with normal corneas and keratoconus. Cornea 2013 Jun;32(6):779-782.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.