Comparison of Two Different Scheimpflug Devices in the Detection of Keratoconus, Regular Astigmatism, and Healthy Corneas

Aim. The aim of this study was to determine the intra- and interobserver variability of two Scheimpflug based camera systems, Pentacam and Sirius. In addition, the comparability of the measurements was tested in healthy subjects, subjects with regular astigmatism, and keratoconus patients. Methods....

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Main Authors: David Finis, Bernhard Ralla, Maria Karbe, Maria Borrelli, Stefan Schrader, Gerd Geerling
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/315281
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author David Finis
Bernhard Ralla
Maria Karbe
Maria Borrelli
Stefan Schrader
Gerd Geerling
author_facet David Finis
Bernhard Ralla
Maria Karbe
Maria Borrelli
Stefan Schrader
Gerd Geerling
author_sort David Finis
collection DOAJ
description Aim. The aim of this study was to determine the intra- and interobserver variability of two Scheimpflug based camera systems, Pentacam and Sirius. In addition, the comparability of the measurements was tested in healthy subjects, subjects with regular astigmatism, and keratoconus patients. Methods. Intra- and interobserver variability were assessed in 20 healthy corneas. Pachymetry values were also compared with ultrasound pachymetry as a reference measurement. To detect possible differences between the two devices, 82 eyes with clinically established keratoconus, 30 eyes with regular astigmatism (>1.5 D), and 60 eyes without corneal pathologies were included in this prospective study. Results. Pachymetry and keratometry showed good intra- and interobserver variability for both devices. Pachymetry values obtained with the Sirius system (579±58 μm) were significantly higher compared to the Pentacam system (551±40 μm, P<0.001) and to ultrasound pachymetry (550±43 μm, P<0.001). Significant interdevice differences were found regarding the majority of the detected keratometry parameters. Conclusions. Both devices show almost perfect reproducibility in healthy subjects. However, pachymetry and keratometry values of the two devices should not be used interchangeably.
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spelling doaj-art-e396c5b4bb9c43689eff043cbac593f12025-02-03T05:58:14ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/315281315281Comparison of Two Different Scheimpflug Devices in the Detection of Keratoconus, Regular Astigmatism, and Healthy CorneasDavid Finis0Bernhard Ralla1Maria Karbe2Maria Borrelli3Stefan Schrader4Gerd Geerling5Department of Ophthalmology, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, GermanyDepartment of Ophthalmology, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, GermanyDepartment of Ophthalmology, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, GermanyDepartment of Ophthalmology, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, GermanyDepartment of Ophthalmology, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, GermanyDepartment of Ophthalmology, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, GermanyAim. The aim of this study was to determine the intra- and interobserver variability of two Scheimpflug based camera systems, Pentacam and Sirius. In addition, the comparability of the measurements was tested in healthy subjects, subjects with regular astigmatism, and keratoconus patients. Methods. Intra- and interobserver variability were assessed in 20 healthy corneas. Pachymetry values were also compared with ultrasound pachymetry as a reference measurement. To detect possible differences between the two devices, 82 eyes with clinically established keratoconus, 30 eyes with regular astigmatism (>1.5 D), and 60 eyes without corneal pathologies were included in this prospective study. Results. Pachymetry and keratometry showed good intra- and interobserver variability for both devices. Pachymetry values obtained with the Sirius system (579±58 μm) were significantly higher compared to the Pentacam system (551±40 μm, P<0.001) and to ultrasound pachymetry (550±43 μm, P<0.001). Significant interdevice differences were found regarding the majority of the detected keratometry parameters. Conclusions. Both devices show almost perfect reproducibility in healthy subjects. However, pachymetry and keratometry values of the two devices should not be used interchangeably.http://dx.doi.org/10.1155/2015/315281
spellingShingle David Finis
Bernhard Ralla
Maria Karbe
Maria Borrelli
Stefan Schrader
Gerd Geerling
Comparison of Two Different Scheimpflug Devices in the Detection of Keratoconus, Regular Astigmatism, and Healthy Corneas
Journal of Ophthalmology
title Comparison of Two Different Scheimpflug Devices in the Detection of Keratoconus, Regular Astigmatism, and Healthy Corneas
title_full Comparison of Two Different Scheimpflug Devices in the Detection of Keratoconus, Regular Astigmatism, and Healthy Corneas
title_fullStr Comparison of Two Different Scheimpflug Devices in the Detection of Keratoconus, Regular Astigmatism, and Healthy Corneas
title_full_unstemmed Comparison of Two Different Scheimpflug Devices in the Detection of Keratoconus, Regular Astigmatism, and Healthy Corneas
title_short Comparison of Two Different Scheimpflug Devices in the Detection of Keratoconus, Regular Astigmatism, and Healthy Corneas
title_sort comparison of two different scheimpflug devices in the detection of keratoconus regular astigmatism and healthy corneas
url http://dx.doi.org/10.1155/2015/315281
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