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Evaluation of topographic, tomographic, topometric, densitometric, and aberrometric features of cornea with pentacam HR system in subclinical keratoconus

Purpose To investigate topographic, tomographic, topometric, densitometric, and aberrometric parameters in subclinical keratoconus with the Pentacam HR imaging system. Methods Data of 3128 patients were evaluated, finding in 108 patients clinical keratoconus in one eye and subclinical keratoconus in...

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Published in:International ophthalmology 2021-05, Vol.41 (5), p.1729-1741
Main Authors: Ozkan, Haci Hasan, Koc, Mustafa, Kiziltoprak, Hasan, Tekin, Kemal, Aydemir, Emre
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Koc, Mustafa
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Aydemir, Emre
description Purpose To investigate topographic, tomographic, topometric, densitometric, and aberrometric parameters in subclinical keratoconus with the Pentacam HR imaging system. Methods Data of 3128 patients were evaluated, finding in 108 patients clinical keratoconus in one eye and subclinical keratoconus in the other. Corneal topographic, tomographic, topometric, densitometric, and aberrometric values obtained using the Pentacam HR imaging system were compared between clinical keratoconus, subclinical keratoconus, and normal eyes. Results Comparing eyes with subclinical keratoconus and the control group, while flat K, horizontal coma, horizontal trefoil, and vertical trefoil values were similar ( p  > 0.05 for each), all other parameters were significantly different ( p  
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Methods Data of 3128 patients were evaluated, finding in 108 patients clinical keratoconus in one eye and subclinical keratoconus in the other. Corneal topographic, tomographic, topometric, densitometric, and aberrometric values obtained using the Pentacam HR imaging system were compared between clinical keratoconus, subclinical keratoconus, and normal eyes. Results Comparing eyes with subclinical keratoconus and the control group, while flat K, horizontal coma, horizontal trefoil, and vertical trefoil values were similar ( p  &gt; 0.05 for each), all other parameters were significantly different ( p  &lt; 0.05 for each). Densitometry values of eyes with subclinical keratoconus were significantly higher in all layers of the 0–2 mm annular area and in the anterior and central layers of the 2–6 mm annular area compared to the control group ( p  &lt; 0.05 for each). According to the receiver operating characteristic curve analysis, the densitometry region with the largest area under the curve was the anterior layer of the 0–2 mm annular area. The sensitivity in this region was 79.4% and the specificity 73.2% in distinguishing eyes with subclinical keratoconus from normal eyes when 19.3 GSU was considered the threshold. Conclusion Corneal densitometry values in the 0–2 and 2–6 mm annular areas, especially in the anterior layers, are parameters that can be used to predict and distinguish subclinical keratoconus from normal eyes.</description><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-021-01732-1</identifier><identifier>PMID: 33772701</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Cornea ; Densitometers ; Densitometry ; Eye (anatomy) ; Keratoconus ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Original Paper ; Parameters ; Topography</subject><ispartof>International ophthalmology, 2021-05, Vol.41 (5), p.1729-1741</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021</rights><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-b77969e66d4a672cf4d7dd499fad2fa7bb81c57736534611defe9c1b1af9ff1d3</citedby><cites>FETCH-LOGICAL-c375t-b77969e66d4a672cf4d7dd499fad2fa7bb81c57736534611defe9c1b1af9ff1d3</cites><orcidid>0000-0002-6896-2949</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33772701$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozkan, Haci Hasan</creatorcontrib><creatorcontrib>Koc, Mustafa</creatorcontrib><creatorcontrib>Kiziltoprak, Hasan</creatorcontrib><creatorcontrib>Tekin, Kemal</creatorcontrib><creatorcontrib>Aydemir, Emre</creatorcontrib><title>Evaluation of topographic, tomographic, topometric, densitometric, and aberrometric features of cornea with pentacam HR system in subclinical keratoconus</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose To investigate topographic, tomographic, topometric, densitometric, and aberrometric parameters in subclinical keratoconus with the Pentacam HR imaging system. Methods Data of 3128 patients were evaluated, finding in 108 patients clinical keratoconus in one eye and subclinical keratoconus in the other. Corneal topographic, tomographic, topometric, densitometric, and aberrometric values obtained using the Pentacam HR imaging system were compared between clinical keratoconus, subclinical keratoconus, and normal eyes. Results Comparing eyes with subclinical keratoconus and the control group, while flat K, horizontal coma, horizontal trefoil, and vertical trefoil values were similar ( p  &gt; 0.05 for each), all other parameters were significantly different ( p  &lt; 0.05 for each). Densitometry values of eyes with subclinical keratoconus were significantly higher in all layers of the 0–2 mm annular area and in the anterior and central layers of the 2–6 mm annular area compared to the control group ( p  &lt; 0.05 for each). 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Methods Data of 3128 patients were evaluated, finding in 108 patients clinical keratoconus in one eye and subclinical keratoconus in the other. Corneal topographic, tomographic, topometric, densitometric, and aberrometric values obtained using the Pentacam HR imaging system were compared between clinical keratoconus, subclinical keratoconus, and normal eyes. Results Comparing eyes with subclinical keratoconus and the control group, while flat K, horizontal coma, horizontal trefoil, and vertical trefoil values were similar ( p  &gt; 0.05 for each), all other parameters were significantly different ( p  &lt; 0.05 for each). Densitometry values of eyes with subclinical keratoconus were significantly higher in all layers of the 0–2 mm annular area and in the anterior and central layers of the 2–6 mm annular area compared to the control group ( p  &lt; 0.05 for each). 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subjects Cornea
Densitometers
Densitometry
Eye (anatomy)
Keratoconus
Medicine
Medicine & Public Health
Ophthalmology
Original Paper
Parameters
Topography
title Evaluation of topographic, tomographic, topometric, densitometric, and aberrometric features of cornea with pentacam HR system in subclinical keratoconus
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