TY - JOUR
T1 - Angle and its effect on the corneal elevation maps in refractive surgery candidates
AU - Salouti, Ramin
AU - Nowroozzadeh, M. Hossein
AU - Azizi, Ali
AU - Salouti, Kia
AU - Ghoreyshi, Maryam
AU - Oboodi, Reza
AU - Tajbakhsh, Zahra
N1 - Publisher Copyright:
© 2022 Elsevier Inc.. All rights reserved.
PY - 2022/10/1
Y1 - 2022/10/1
N2 - Purpose: To assess the associations of angle and Pentacam decentration indices with elevation maps in normal refractive surgery candidates. Setting: Salouti Cornea Research Center, Salouti Eye Clinic, Shiraz, Iran. Design: Retrospective observational study. Methods: In this research, the right eyes of 173 refractive surgery candidates were assessed. Data of front and back corneal elevation maps, keratometric data, decentration indices, and corneal astigmatism obtained by Pentacam HR system and angle obtained by Orbscan IIz were extracted. Maximum elevation (or depression) for each of the 4 quadrants was recorded. Correlations of elevation values with angle, Pentacam decentration indices, keratometry, and astigmatism were examined by Pearson correlation coefficient. 148 age- and sex-matched cases with keratoconus grade 1 were selected as a positive control group, and Pentacam variables were compared between the groups. Results: Overall, data from 173 eyes of 173 normal refractive surgery candidates and 148 eyes of 148 patients with keratoconus were recorded and analyzed. In normal refractive surgery candidates, the mean of angle was 5.32 ± 1.36 (SD) degrees. Angle had a positive correlation with front and back temporal elevations based on a best-fit sphere (BFS) (r = 0.339, P =.001; r = 0.300, P <.001, respectively). Front and back keratometric astigmatisms were positively correlated with front and back nasal and temporal elevations (r ≥ 0.543, P <.001) and negatively correlated with superior and inferior elevations (r ≤ -0.547, P <.001). These associations no longer existed when using best-fit toric ellipse (BFTE) for calculating elevation data. The thinnest point to vertex decentration was significantly associated with the back temporal elevation (based on the BFTE) in both normal (r = 0.311, P <.001) and keratoconus (r = 0.190, P =.021) eyes. Conclusions: This study showed that elevation maps obtained by the Pentacam system using BFS might be affected by both the large angle and corneal astigmatism, confounding the preoperative assessment of refractive surgery candidates. Using BFTE as a reference for calculating elevation data should eliminate most diagnostic issues and thus is encouraged in this context.
AB - Purpose: To assess the associations of angle and Pentacam decentration indices with elevation maps in normal refractive surgery candidates. Setting: Salouti Cornea Research Center, Salouti Eye Clinic, Shiraz, Iran. Design: Retrospective observational study. Methods: In this research, the right eyes of 173 refractive surgery candidates were assessed. Data of front and back corneal elevation maps, keratometric data, decentration indices, and corneal astigmatism obtained by Pentacam HR system and angle obtained by Orbscan IIz were extracted. Maximum elevation (or depression) for each of the 4 quadrants was recorded. Correlations of elevation values with angle, Pentacam decentration indices, keratometry, and astigmatism were examined by Pearson correlation coefficient. 148 age- and sex-matched cases with keratoconus grade 1 were selected as a positive control group, and Pentacam variables were compared between the groups. Results: Overall, data from 173 eyes of 173 normal refractive surgery candidates and 148 eyes of 148 patients with keratoconus were recorded and analyzed. In normal refractive surgery candidates, the mean of angle was 5.32 ± 1.36 (SD) degrees. Angle had a positive correlation with front and back temporal elevations based on a best-fit sphere (BFS) (r = 0.339, P =.001; r = 0.300, P <.001, respectively). Front and back keratometric astigmatisms were positively correlated with front and back nasal and temporal elevations (r ≥ 0.543, P <.001) and negatively correlated with superior and inferior elevations (r ≤ -0.547, P <.001). These associations no longer existed when using best-fit toric ellipse (BFTE) for calculating elevation data. The thinnest point to vertex decentration was significantly associated with the back temporal elevation (based on the BFTE) in both normal (r = 0.311, P <.001) and keratoconus (r = 0.190, P =.021) eyes. Conclusions: This study showed that elevation maps obtained by the Pentacam system using BFS might be affected by both the large angle and corneal astigmatism, confounding the preoperative assessment of refractive surgery candidates. Using BFTE as a reference for calculating elevation data should eliminate most diagnostic issues and thus is encouraged in this context.
UR - http://www.scopus.com/inward/record.url?scp=85139535434&partnerID=8YFLogxK
U2 - 10.1097/j.jcrs.0000000000000953
DO - 10.1097/j.jcrs.0000000000000953
M3 - Article
C2 - 35404317
AN - SCOPUS:85139535434
SN - 0886-3350
VL - 48
SP - 1148
EP - 1154
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
IS - 10
ER -