Evidence map›Paper›PMID 40832557›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2025

Repeatability of a Dual-Scheimpflug Placido Disc Corneal Tomographer/Topographer in Eyes with Keratoconus.

Anne Poulsen, Diane Haeji Jang, Mahmood Khan, Zaina Nabil Al-Mohtaseb, Michael Chen, Kalins Banerjee, Ingrid U Scott, Seth M Pantanelli

Abstract read
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Article in Clinical ophthalmology (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Anne PoulsenSt. Paul Eye Clinic, St. Paul, MN, USA.ORCID 0009-0003-5170-5975
Diane Haeji JangVirginia Mason Medical Center, Seattle, WA, USA.
Mahmood KhanDepartment of Ophthalmology, Weill Cornell Medical College, New York, NY, USA.
Zaina Nabil Al-MohtasebWhitsett Vision Group, Houston, TX, USA.
Michael ChenDepartment of Ophthalmology, Denver Health, Denver, CO, USA.
Kalins BanerjeeDepartment of Biostatistics, University of Michigan, Ann Arbor, MI, USA.
Ingrid U ScottDepartment of Biostatistics, University of Michigan, Ann Arbor, MI, USA.
Seth M PantanelliDepartment of Ophthalmology, Penn State College of Medicine, Hershey, PA, USA.ORCID 0000-0003-4992-9606

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate the repeatability of a combined Dual-Scheimpflug placido disc corneal tomographer/topographer (Ziemer Galilei G4) with respect to keratometric indices used to monitor progression of keratoconus (KCN). Methods: Patients with KCN were prospectively enrolled. For each eye lacking history of corneal surgery, 5 measurements were taken in succession. Eyes in which 3 or more measurements could be obtained (defined by the device's 4 image quality metrics) were included in the analysis. The repeatability limits (RL) and interclass correlation coefficients (ICC) were calculated for various parameters. Results: Thirty-two eyes from 25 patients met all image quality metrics, and 54 eyes from 38 patients met at least 3/4 criteria (all except the placido image quality metric). RLs for key parameters when 4/4 or ≥3/4 image quality metrics were met included: 0.37 and 0.77 diopters (D) for steep simulated keratometry, 0.79 and 1.65 D for maximum keratometry, 13.80 and 13.88 degrees for astigmatism axis, 0.64 and 0.56 µm for vertical coma magnitude, and 3.76 and 3.84 µm for thinnest pachymetry, respectively. The ICCs for all parameters were excellent (above 0.87) except for spherical aberration (0.77), which was still considered good. Conclusion: The dual-Scheimpflug placido disc corneal tomographer/topographer is highly repeatable in quantifying parameters used in monitoring KCN. Excellent placido images are difficult to capture in eyes with KCN, but when available, increase the reliability of the measurements. When clinicians find that a topographic index changes by more than the RLs defined herein, they can have confidence that this represents real change and may appropriately recommend interventions such as corneal cross-linking or intrastromal corneal ring segments.

Indexed as

keratoconuskeratoconus progressionScheimpflug imagingtomographytopography

Identifiers

PMID40832557
PMCPMC12360328

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