ArticleEye and vision (London, England)2026
Establishing a precision reference benchmark for corneal epithelial aberration measurements using a new hybrid device across keratoconus stages.
Article in Eye and vision (London, England), 2026. 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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Abstract
backgroundTo establish a precision reference benchmark for corneal epithelial aberration measurements across different stages of keratoconus (KC) by evaluating the precision of a new spectral-domain optical coherence tomography-Placido disk device (MS-39; CSO).
methodsEyes with KC were classified into forme fruste keratoconus (FFKC), mild, moderate, and severe disease stage. Three consecutive corneal epithelial aberration measurements were obtained with the MS-39 by two skilled operators. The intraobserver repeatability and interobserver reproducibility were evaluated using within-subject standard deviation (S
resultsThe prospective study enrolled 141 eyes from 141 KC subjects. Subgroups included 32 eyes with FFKC, 29 with mild, 45 with moderate, and 35 with severe KC. In the FFKC, mild, moderate, and total groups, S
conclusionsThe new MS-39 device demonstrated moderate-to-good precision in corneal epithelial aberration measurements for FFKC, mild, moderate and total KC. Despite the decrease associated with increasing KC severity, the potential of the device for early diagnosis and monitoring was still evident. The instrument's precision should be tailored to disease severity. Stage-specific TRT thresholds for epithelial aberration measurements were proposed for KC management.
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