Jämförelse mellan Scheimpflug imaging och anterior segment OCT i mätning av Corneal tjocklek.
Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Purpose: The purpose of this study was to compare corneal thickness measured both centrally and midperipherally, between two instruments using different measuring principles. The study also looked at correlation between corneal thickness and intraocular pressure (IOP).
Methods: Central and midperipheral corneal thickness was measured on the right eyes of 31 subjects with two different instruments. Instruments were Scheimpflug-camera from Bon Sirius and an AS/OCT from Optos. Measurements were taken on central cornea (CCT) and midperipheral (nasal (NCT), temporal (TCT), superior (SCT) and inferior (ICT)) at a distance of 1.75 mm from the apex. Mean age of the subjects was 23.6 ± 4.5 years. (19-44 years). A CT-80A non-contact tonometer (NonCT) from Topcon was used to measure the intraocular pressure (IOP).
Results: A mean-value for central corneal thickness was calculated to 542.4 µm and 540.4 µm for Bon Sirius and AS/OCT repectively. Remaining measured points had mean-values for corneal thickness of, NCT: 577.7 µm & 558.5 µm. TCT: 555.0 µm & 545.2 µm. SCT: 585.7 µm & 554.5 µm. ICT: 563.0 µm & 548.9 µm, respectively. Mean-difference for CCT was 2.4 µm and it showed a significant difference between the two instruments with a p-value of 0.007. Remaining measured points all showed a significant difference of p<0.05. NCT: 19.2 µm. TCT: 9.8 µm. SCT: 31 µm. ICT: 14 µm. A correlation between IOP and CCT measured in both Sirius and AS/OCT was positive with r = 0.7 and p<0.05.
Conclusion: The results showed that Sirius gives higher values for corneal thickness then ASOCT in all five measurement points. The results show that these instruments can be used interchangeably when measuring central corneal thickness. However, caution should be used when measuring midperipheral corneal thickness as the there is a significant differences between these two instruments.
Place, publisher, year, edition, pages
2015. , 29 p.
Corneal tjocklek, pachymetri, Bon Sirius, Optos Spectral OCT/SLO, non contact tonometer, Topcon CT-80A.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:lnu:diva-44694OAI: oai:DiVA.org:lnu-44694DiVA: diva2:823077
Subject / course
Optometry Programme, 180 credits
Baskaran, Karthikeyan, Lektor, PhD.
Gierow, Peter, Professor, PhD, FAAO.