Evidence map›Paper›PMID 39004731›Full record

ArticleEye and vision (London, England)2024

Insights into atypical segmental layer thicknesses and phase retardation in thick corneas using ultrahigh-resolution polarization-sensitive optical coherence tomography.

Rahul P Patil, Rohit Shetty, Pooja Khamar, Yash G Patel, Raghav R Narasimhan, Anushree A Bhatkal, Christopher K Hitzenberger, Michael Pircher, Rudy M M R Nuijts, Abhijit Sinha Roy

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Article in Eye and vision (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Rahul P PatilImaging, Biomechanics and Mathematical Modelling Solutions Lab, Narayana Nethralaya Foundation, Narayana Nethralaya, Bangalore, India.
Rohit ShettyDepartment of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, India.
Pooja KhamarDepartment of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, India.
Yash G PatelImaging, Biomechanics and Mathematical Modelling Solutions Lab, Narayana Nethralaya Foundation, Narayana Nethralaya, Bangalore, India.
Raghav R NarasimhanImaging, Biomechanics and Mathematical Modelling Solutions Lab, Narayana Nethralaya Foundation, Narayana Nethralaya, Bangalore, India.
Anushree A BhatkalDepartment of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, India.
Christopher K HitzenbergerCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Michael PircherCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Rudy M M R NuijtsUniversity Eye Clinic Maastricht, Maastricht University Medical Center, Maastricht, The Netherlands.
Abhijit Sinha RoyImaging, Biomechanics and Mathematical Modelling Solutions Lab, Narayana Nethralaya Foundation, Narayana Nethralaya, Bangalore, India. asroy27@yahoo.com.ORCID http://orcid.org/0000-0003-2039-728X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurately assessing corneal structural status is challenging when thickness deviates from the average. Polarization-sensitive optical coherence tomography (PS-OCT) measures tissue-specific polarization changes, providing additional contrast for accurate segmentations and aids in phase retardation (PR) measurements. Previous studies have shown PR's effectiveness in identifying sub-clinical keratoconus (KC) in asymmetric cases. Thus, this study aims to assess PR distribution in thick corneas with and without KC.

methodsIn this retrospective and cross-sectional study, 45 thick corneas from 30 Asian-Indian subjects, categorized into healthy (n = 26) and KC (n = 19) groups were analyzed. All eyes underwent standard clinical evaluations, tomographic assessments, and corneal biomechanics measurements. PR and individual layer thicknesses were measured using custom-designed ultrahigh-resolution PS-OCT. PR en-face maps were generated. Individual layer thicknesses and PR analysis was conducted across multiple zones, extending up to 8-10 mm in diameter. All eyes in the study had not undergone interventions, received topical medications, or had previous corneal disease history.

resultsSignificant differences were found in spherical and cylindrical powers, keratometry, pachymetry, and biomechanical indices (all P < 0.01). Thickness profiles from PS-OCT showed significant differences in the 4-8 mm zones only. Bowman's layer thickness significantly differed only in the central 2 mm zone (P = 0.02). The median PR values showed marginal differences in the central 2 mm zone (P = 0.0565). Additionally, there were significant differences observed in the 2-4 mm and 4-6 mm zones (P = 0.0274 and P = 0.0456, respectively). KC eyes exhibited an atypical PR distribution and corneal thinning, while normal eyes maintained a uniform Bowman's layer thickness and PR maps with larger areas of higher PR.

conclusionThe study revealed distinctive PR distribution in thick corneas among healthy and KC groups. Using an ultrahigh-resolution PS-OCT the significance of Bowman's layer thickness in these groups was also emphasized. The study offered potential improvements in clinical diagnostics by enhancing our understanding of corneal structure and its altered function.

Indexed as

BirefringenceCollagenKeratoconusPhase retardationPS-OCTStromaThick cornea

Identifiers

PMID39004731
PMCPMC11247896

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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.