Evidence map›Paper›PMID 36856979›Full record

ArticleOphthalmology and therapy2023

Ultra-High Resolution Optical Aberrometry in Patients with Keratoconus: A Cross-Sectional Study.

Gonzalo Velarde-Rodriguez, Carolina Belda-Para, Miriam Velasco-Ocaña, Juan M Trujillo-Sevilla, Javier Rodríguez-Martin, Ignacio Jiménez-Alfaro, José M Rodriguez-Ramos, Nicolas Alejandre-Alba

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Article in Ophthalmology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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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

8 authors.

Gonzalo Velarde-RodriguezFundación Jiménez Díaz University Hospital, Avda. Reyes Católicos, 2, Madrid, Spain. gonzalo.velarde@quironsalud.es.ORCID http://orcid.org/0000-0002-6150-7193
Carolina Belda-ParaWooptix S.L. Avda, Trinidad 61 Planta 7, La Laguna, Tenerife, Canary Islands, Spain.
Miriam Velasco-OcañaWooptix S.L. Avda, Trinidad 61 Planta 7, La Laguna, Tenerife, Canary Islands, Spain.
Juan M Trujillo-SevillaWooptix S.L. Avda, Trinidad 61 Planta 7, La Laguna, Tenerife, Canary Islands, Spain.
Javier Rodríguez-MartinClinica Nivaria, Avda. Reyes Católicos, 25, Tenerife, Canary Islands, Spain.
Ignacio Jiménez-AlfaroFundación Jiménez Díaz University Hospital, Avda. Reyes Católicos, 2, Madrid, Spain.
José M Rodriguez-RamosWooptix S.L. Avda, Trinidad 61 Planta 7, La Laguna, Tenerife, Canary Islands, Spain.
Nicolas Alejandre-AlbaFundación Jiménez Díaz University Hospital, Avda. Reyes Católicos, 2, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study performs optical aberration assessment in patients using a novel ultra-high-resolution device. The objective of this study is to analyze optical aberrations, especially the very high order wavefront (more than 10th order of Zernike coefficients), and compare between keratoconus and healthy patients.

methodsIn this cross-sectional study, we analyzed 43 eyes from 25 healthy patients and 43 eyes from 27 patients with keratoconus using corneal tomography and a very high-resolution (8.55 µm) aberrometer prototype (T-eyede) outfitted with a sensor originally developed for use in the field of astrophysics. Corneal aberration values were assessed using an optical model built with Zemax optical software, while ocular aberrations were assessed using T-eyede. In addition, image-processing analysis was performed of the wavefront phase, creating a high-pass filter map.

resultsWe found lower values for ocular aberrations than corneal aberrations in both groups (p < 0.001). Specifically, we found a reduction in primary astigmatism (0.145 µm) and primary coma (0.017 µm). Also, the keratoconus group showed significantly higher wavefront aberration values compared with controls (p < 0.001). An analysis of the high-pass filter map revealed 2 contrasting results: one smooth or clear, while the other presented a banding pattern. Almost all in the control group (95%) showed the first pattern, while 77% of the keratoconus group showed a banding pattern on the filtered map (chi-squared test, p < 0.001).

conclusionThis device provides reliable, precise measurements of ocular aberrations that correlate well with corneal aberrations. Furthermore, the extraordinary high-resolution measurements revealed unprecedented micro changes in the wavefront phase of patients with keratoconus that varied with disease stage. These findings could lead to new screening or follow-up methods.

Indexed as

AberrometryCorneaKeratoconusOptical aberrationOptics

Identifiers

PMID36856979
PMCPMC10164210

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