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Differences in anterior chamber depth in keratoconus patients with binocular very asymmetry ectasia

To evaluate the difference in anterior chamber depth (ACD) between two eyes among keratoconus patients with binocular very asymmetric ectasia (VAE) and to explore the influencing factors. The corneal curvature and ACD in both eyes of patients with VAE were measured by Sirius (version 3.2, CSO, Italy...

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Published in:BMC ophthalmology 2024-02, Vol.24 (1), p.87-87, Article 87
Main Authors: Wang, Zizhen, Ma, Haowen, Zhang, Yu, Yuan, Yifei, Liu, Yan, Chen, Yueguo
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Ma, Haowen
Zhang, Yu
Yuan, Yifei
Liu, Yan
Chen, Yueguo
description To evaluate the difference in anterior chamber depth (ACD) between two eyes among keratoconus patients with binocular very asymmetric ectasia (VAE) and to explore the influencing factors. The corneal curvature and ACD in both eyes of patients with VAE were measured by Sirius (version 3.2, CSO, Italy) at the following points: corneal vertex, maximum curvature (apex), and the 1.5 mm, 2.5 mm, and 3.5 mm superior-, inferior-, nasal-, temporal-paracentral from center. The mean pupil power (MPP) and corneal morphology parameters were also measured. Correlations between ACD and curvature and morphology parameters were analyzed by linear regression. 172 eyes of 86 patients (9 to 45 years) were classified into the VAE-N (n = 86) group and the VAE-E group (n = 86) based on the corneal morphology. The central (3.32 ± 0.27 mm versus 3.43 ± 0.29 mm, P 
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The corneal curvature and ACD in both eyes of patients with VAE were measured by Sirius (version 3.2, CSO, Italy) at the following points: corneal vertex, maximum curvature (apex), and the 1.5 mm, 2.5 mm, and 3.5 mm superior-, inferior-, nasal-, temporal-paracentral from center. The mean pupil power (MPP) and corneal morphology parameters were also measured. Correlations between ACD and curvature and morphology parameters were analyzed by linear regression. 172 eyes of 86 patients (9 to 45 years) were classified into the VAE-N (n = 86) group and the VAE-E group (n = 86) based on the corneal morphology. The central (3.32 ± 0.27 mm versus 3.43 ± 0.29 mm, P &lt; 0.001) and paracentral ACDs increased significantly in the VAE-E group, and the corneal morphology parameters were also significantly higher. The central ACD was significantly correlated with the MPP (r = 0.465), KVf/b (Keratoconus Vertex front/back) (r = 0.306, r = 0.327), and BCVf/b (Baiocchi Calossi Versaci front/back) (r = 0.356, r = 0.416). Linear regression showed good relationships between △ACD and △MPP (R  = 0.429) and △KVf/b (R  = 0.504, R  = 0.536). The ACD was larger in the VAE-E group. The difference in ACD between the VAE-E and VAE-N groups was significantly correlated with corneal curvature and the extent of corneal elevation, indicating the influences of both the corneal magnification effect and corneal ectasia on ACD.</description><identifier>ISSN: 1471-2415</identifier><identifier>EISSN: 1471-2415</identifier><identifier>DOI: 10.1186/s12886-024-03353-5</identifier><identifier>PMID: 38408954</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Anterior Chamber ; Anterior chamber depth ; Astigmatism ; Asymmetry ; Cornea ; Corneal magnification effect ; Corneal Pachymetry ; Corneal Topography ; Corneal transplantation ; Dilatation, Pathologic ; Eye surgery ; Humans ; Intraocular lenses ; Keratoconus ; Keratoconus - complications ; Keratoconus - diagnosis ; Morphology ; Myopia ; Symmetry ; Tomography ; Topography ; Very asymmetry ectasia ; Visual acuity</subject><ispartof>BMC ophthalmology, 2024-02, Vol.24 (1), p.87-87, Article 87</ispartof><rights>2024. 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The corneal curvature and ACD in both eyes of patients with VAE were measured by Sirius (version 3.2, CSO, Italy) at the following points: corneal vertex, maximum curvature (apex), and the 1.5 mm, 2.5 mm, and 3.5 mm superior-, inferior-, nasal-, temporal-paracentral from center. The mean pupil power (MPP) and corneal morphology parameters were also measured. Correlations between ACD and curvature and morphology parameters were analyzed by linear regression. 172 eyes of 86 patients (9 to 45 years) were classified into the VAE-N (n = 86) group and the VAE-E group (n = 86) based on the corneal morphology. The central (3.32 ± 0.27 mm versus 3.43 ± 0.29 mm, P &lt; 0.001) and paracentral ACDs increased significantly in the VAE-E group, and the corneal morphology parameters were also significantly higher. The central ACD was significantly correlated with the MPP (r = 0.465), KVf/b (Keratoconus Vertex front/back) (r = 0.306, r = 0.327), and BCVf/b (Baiocchi Calossi Versaci front/back) (r = 0.356, r = 0.416). Linear regression showed good relationships between △ACD and △MPP (R  = 0.429) and △KVf/b (R  = 0.504, R  = 0.536). The ACD was larger in the VAE-E group. The difference in ACD between the VAE-E and VAE-N groups was significantly correlated with corneal curvature and the extent of corneal elevation, indicating the influences of both the corneal magnification effect and corneal ectasia on ACD.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>38408954</pmid><doi>10.1186/s12886-024-03353-5</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Anterior Chamber
Anterior chamber depth
Astigmatism
Asymmetry
Cornea
Corneal magnification effect
Corneal Pachymetry
Corneal Topography
Corneal transplantation
Dilatation, Pathologic
Eye surgery
Humans
Intraocular lenses
Keratoconus
Keratoconus - complications
Keratoconus - diagnosis
Morphology
Myopia
Symmetry
Tomography
Topography
Very asymmetry ectasia
Visual acuity
title Differences in anterior chamber depth in keratoconus patients with binocular very asymmetry ectasia
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