Evidence map›Paper›PMID 26186562›Full record

ArticleJournal of refractive surgery (Thorofare, N.J. : 1995)2015

Comparison of Corneal Epithelial Thickness Measurement Between Fourier-Domain OCT and Very High-Frequency Digital Ultrasound.

Dan Z Reinstein, Timothy E Yap, Timothy J Archer, Marine Gobbe, Ronald H Silverman

2 registry-linked trialsAbstract readComparative Study
In one paragraph

Article in Journal of refractive surgery (Thorofare, N.J. : 1995), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01403129 completednot on this map

Early Detection of Keratoconus Using Ultrasound

TypeobservationalSponsorColumbia UniversityRan2010 to 2020Enrolled250ConditionsKeratoconusArmsArtemis Ultrasound Exam, Optical Coherence Tomography (OCT) Exam
NCT03473847 nasuspendednot on this mapstarted 2022, after this paper: background citation

Repeatability and Reproducibility of Carl Zeiss Meditec Cirrus HD OCT 5000, Optovue RTVue OCT, CSO MS-39 OCT and ArcScan Insight 100 Very High-frequency Digital Ultrasound and Comparison Between Devices

TypeinterventionalSponsorLondon Vision ClinicRan2022 to 2023Enrolled242ConditionsCorneal Thickness Measurement, Epithelial Thickness Measurement, LASIK Flap Thickness Measurement, SMILE Cap Thickness MeasurementArmsArcScan Insight 100 very high-frequency digital ultrasound, Carl Zeiss Meditec Cirrus HD OCT 5000, Optovue RTVue OCT, CSO MS-39 OCT
3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. The role of corneal epithelial thickness map in detecting early keratoconus.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Transepithelial Photorefractive Keratectomy-Review.Vision (Basel, Switzerland) · 2024
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Current Developments in Corneal Topography and Tomography.Diagnostics (Basel, Switzerland) · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dan Z Reinstein
Timothy E Yap
Timothy J Archer
Marine Gobbe
Ronald H Silverman

Funding

Early Detection of KeratoconusR01EY019055 · NEI · WEILL MEDICAL COLL OF CORNELL UNIV · PI SILVERMAN, RONALD H · 2009 to 2013
$1.8M
NEI NIH HHS R01 EY019055
6 · The paper itself

Abstract

purposeTo compare measurements of corneal epithelial thickness using optical coherence tomography (OCT) and very high-frequency digital ultrasound (VHFDU).

methodsRetrospective analysis of 189 virgin corneas and 175 post-laser refractive surgery (LRS) corneas that had corneal epithelial thickness measurement with RTVue Fourier-domain OCT (Optovue, Inc., Fremont, CA) (tear film included) and Artemis VHFDU (ArcScan Inc., Morrison, CO) (tear film excluded). Averages were calculated for the central 2-mm diameter zone and for two further concentric annuli of 1.5- and 0.5-mm width, each divided into eight sectors. Agreement was analyzed by mean difference (OCT - VHFDU), 95% limits of agreement (LoA) (1.96 standard deviation of the difference), and Bland-Altman analysis.

resultsIn virgin epithelium, mean central thickness was 53.4 ± 3.20 µm (range: 46 to 62 µm) with OCT and 54.1 ± 2.96 µm (range: 48 to 61 µm) with VHFDU; OCT measured thinnest in 70% with a mean difference of -0.71 µm (95% LoA of ± 3.94 µm, P < .001). In post-LRS epithelium, mean central thickness was 57.9 ± 6.08 µm (range: 42 to 77 µm) with OCT and 60.5 ± 6.47 µm (range: 42 to 79 µm) with VHFDU; OCT measured thinnest in 88%, with a mean difference of -2.48 µm (95% LoA of ± 5.33 µm, P < .001). A larger difference between methods was more common with thicker epithelium.

conclusionsCorneal epithelial thickness measurements using OCT were found to be slightly thinner than for VHFDU. In contrast to VHFDU, OCT measurement includes the tear film, so the true difference is probably approximately 4 µm more than reported. The difference was greatest inferiorly and higher for post-LRS eyes and in thicker epithelium.

Indexed as

Corneal PachymetryAdultEpithelium, CornealFemaleFourier AnalysisHumansKeratomileusis, Laser In SituLasers, ExcimerMaleMiddle AgedMyopiaRetrospective StudiesTomography, Optical CoherenceUltrasonicsYoung Adult

Identifiers

PMID26186562
PMCPMC4596531

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.