Evaluation of ocular biometric parameters in keratoconic eyes relative to healthy myopic eyes

2021 ◽  
pp. 112067212110644
Author(s):  
Ayşe Yağmur Kanra ◽  
Haşim Uslu

Objective To assess the biometric features of keratoconic eyes using the Lenstar LS900 and Pentacam systems relative to healthy myopic eyes. Materials and Methods Seventy-three eyes of keratoconic subjects and 83 eyes of control subjects were enrolled. To evaluate the reproducibility of the Lenstar and Pentacam devices’ measurements, keratometric readings [in flattest meridian (Kf), in steepest meridian (Ks), and mean (Km)], central corneal thickness (CCT), and anterior chamber depth (ACD) were obtained using both systems. Axial length and lens thickness (LT) were measured by the Lenstar. The compatibility between the two devices was investigated using the Bland-Altman statistical method. Results Axial length was longer in the myopic group than in eyes with keratoconus (24.94  ±  0.7 and 23.88  ±  0.96 mm, respectively, p  <  0.001). LT and vitreous depth were also higher in the myopic group, although ACD values were similar. Compared to the Lenstar, the Pentacam measured the ACD and CCT values higher in the myopia group [with a difference of 0.07  ±  0.12 mm ( p <0.001) and 4.47  ±  11.33 µm ( p   =   0.001), respectively] and measured the CCT values higher in the keratoconus group. Pentacam found all keratometry values significantly lower than Lenstar in the keratoconus group. Conclusions Axial length was longer in the myopic eyes due to the differences starting from the lens and extending to the posterior segment. Lenstar and Pentacam can be used interchangeably for Km, Kf, and ACD in the myopic group and only for ACD in the keratoconus group.

2020 ◽  
pp. 112067212091453
Author(s):  
Ali Keleş ◽  
Emine Şen ◽  
Ufuk Elgin

Purpose: The aims of this study were to compare the biometric parameters and axial lengths of eyes with phacomorphic glaucoma and mature cataract and to identify differences that might predispose to development of phacomorphic glaucoma. Methods: Three hundred forty-two patients were enrolled in this retrospective study. The eyes were divided into four groups—Group (G)1: phacomorphic glaucoma ( n = 29), G2: mature cataract ( n = 313), G3: contralateral phacomorphic glaucoma ( n = 29), and G4: contralateral mature cataract ( n = 313). Central corneal thickness and anterior chamber depth were assessed by optical low-coherence reflectometry (Lenstar LS 900®; Haag-Streit AG, Switzerland), while axial length was determined by A-scan ultrasound biometry. Results: The mean central corneal thickness of G1 was significantly higher than in other groups ( p < 0.001) and the mean anterior chamber depth of G1 was the lowest among the groups ( p < 0.001). Also, G2 had lower mean anterior chamber depth than G4 ( p < 0.001) and G3 had lower mean anterior chamber depth than G4 ( p = 0.007). Anterior chamber depth less than 3.27 mm had the higher odds ratio for distinguishing G3 versus G4 (odds ratio = 10.79, p < 0.001). Furthermore, patients aged ⩾68.9 years had the higher odds ratio for distinguishing G1 versus G2 (odds ratio = 2.82, p = 0.019). There was no significant difference in the presence of pseudoexfoliation material between G1 and G2 ( p = 0.057). There were no significant differences in axial length values among the four groups ( p = 0.097). Conclusion: Advanced age and shallow anterior chamber depth were found to be risk factors for developing phacomorphic glaucoma, but the presence of pseudoexfoliation material was not found to play a role as a risk factor in phacomorphic glaucoma development.


1970 ◽  
Vol 3 (2) ◽  
pp. 155-158
Author(s):  
M Gupta ◽  
RR Sukul ◽  
Y Gupta ◽  
M Dey ◽  
A Phougat ◽  
...  

Aim: To study the various ocular anatomical and physiological parameters in presbyopia. Materials and methods: We studied the various ocular anatomical and physiological parameters like corneal curvature (keratometry readings: K1 and K2), central corneal thickness (CCT), anterior chamber depth (ACD), lens thickness (LT) and axial length (AL) in 100 presbyopic patients between 35 - 55 years of age. The patients were divided into two age groups: I (35 – 44 years) and II (45-55 yrs). ACD, AL and LT were measured using an Ascan. CCT was measured with ultrasonic pachymetry. Results: The CCT decreased (BE), LT increased and ACD decreased (RE) significantly with increasing age (p < 0.05). There was no significant difference in males and females. Nearly 3/4th of the total increase in lens thickness was responsible for the decrease in the anterior chamber depth and the rest, 1/4th , goes posteriorly. Corneal curvature and AL showed no significant change with age. Conclusions: The mean of CCT decreased significantly with advancing age. As age increased, the mean value of lens thickness increased and anterior chamber depth decreased. Nearly 3/ 4th of total increase in LT was anteriorly, decreasing the ACD. Corneal curvature and AL has no relation with age. Key words: Presbyopia, central corneal thickness, anterior chamber depth, lens thickness, axial length DOI: http://dx.doi.org/10.3126/nepjoph.v3i2.5269 Nepal J Ophthalmol 2011; 3(2): 155-158


2016 ◽  
Vol 7 (2) ◽  
pp. 108-116
Author(s):  
Adem Gul ◽  
Adnan Cinal ◽  
Cagatay Caglar ◽  
Tekin Yasar ◽  
Adil Kilic

Objective: To compare ocular biometry and central corneal thickness of unaffected healthy eyes of pediatric patients with monocular cataracts/corneal opacities and age- matched controls.Materials and methods: We studied 329 eyes of 329 children who were between 1 and 12 years old. The study group (n: 164) consisted of healthy fellow eyes of children operated for unilateral congenital/traumatic cataract and corneal laceration. Axial length, anterior chamber depth, lens thickness, vitreous chamber depth, and central corneal thickness were measured by ultrasound biometry/ pachymetry. Results: Axial length was 22.16 mm in the study group and 21.99 mm in the control group. Anterior chamber depth, lens thickness, and vitreous chamber depth results were 3.35; 3.64 and 15.20 in the treatment group and 3.20; 3.63, and 15.15 mm in the control group, respectively. The axial length and all the components, i.e. anterior chamber depth, lens thickness, and vitreous chamber depth are higher in the unaffected healthy eyes of the pediatric patients than that of the control group but only the difference in the anterior chamber depth was statistically significant. The central corneal thickness was 548 microns and 559 microns in the study and the control groups, respectively, and the difference was found to be significant. Conclusion: Greater anterior chamber depth was chiefly responsible for the overall increase in the axial length in the study group. The central corneal thickness was significantly thinner in the study group than that of the control group. 


2021 ◽  
Vol 14 (2) ◽  
pp. 277-282
Author(s):  
Damla Erginturk Acar ◽  
◽  
Zuhal Ozen Tunay ◽  
Aysegul Arman ◽  
Anil Barak ◽  
...  

AIM: To investigate the effects of diode laser treatment on ocular biometric parameters in premature infants with retinopathy of prematurity (ROP). METHODS: Premature infants who received diode laser treatment for ROP (n=68) and premature infants with spontaneous regressed ROP without treatment (n=50) were performed longitudinal ocular biometric measurements including anterior chamber depth, lens thickness and axial length as follows: 1d prior to laser treatment, and 3, 6, 9, and 12mo after the laser treatment. RESULTS: The mean birth weight, gestational age and initial examination time values were 936.53±302.07 g, 26.66±2.42wk, 36.26±2.73wk in the treatment group and 959.78±260.08 g, 27.28±2.10wk, 36.56±2.54wk in the control group. There was no statistically significant difference in these demographic characteristics of the groups. Anterior chamber depth, lens thickness and axial length demonstrated statistically significant linear increases during the study period in the two groups (P<0.001 for each). There were no statistically significant differences between the two groups in terms of anterior chamber depth after laser treatment. Measurements of the lens thickness at 9th and 12th months (9th month 3.70±0.22 vs 3.60±0.21 mm, P=0.017; 12th month 3.81±0.21 vs 3.69±0.22 mm, P=0.002) and the axial length at 12th month (19.35±0.79 vs 19.13±0.54 mm, P=0.031) after laser treatment were statistically higher in the treatment group. CONCLUSION: Diode laser retinal photocoagulation treatment in premature infants seems to increase the lens thickness and axial length.


2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Muhammad Suhail Sarwar ◽  
Sehrish Shahid ◽  
Muhammad Arslan Ashraf ◽  
Shaista Kanwal

Purpose:  To check inter observer reproducibility of axial ocular measurements i.e. central corneal thickness (CCT), anterior chamber depth (ACD), aqueous depth (AD), lens thickness (LT), anterior segment lens (ASL), vitreous length (VL) and axial length (AL) with non-contact HAAG-STRAIT biometer. Study Design:  Comparative Reproducibility Analysis. Place and Duration of Study:  College of ophthalmology and allied vision sciences (COAVS), Mayo Hospital, Lahore. Methods:  This study included 66 healthy students (132 eyes). Data was collected through self-designed proforma by 2 operators independently. SPSS 21 was used for data analysis. Interclass correlation was applied for agreement between the two readings. Interclass coefficient (ICC) value greater than 0.7 was considered as excellent correlation. Results:  The mean CCT, AD, ACD, LT, ASL, VL, and AL were 526.47 ± 35.72 µm and 526.47 ± 36.06 µm (ICC = 0.92); 2.93 ± 0.29 mm and 2.93 ± 0.29 mm (ICC = 0.81); 3.45 ± 0.30 mm and 3.46 ± 0.30 mm (ICC = 0.79); 3.58 ± 0.28 mm and 3.56 ± 0.22 mm (ICC = 0.76); 7.03 ± 0.30 mm and 7.02 ± 0.27 mm (ICC = 0.80); 16.56 ± 0.85 mm and 16.62 ± 0.81 mm (ICC = 0.72); and 23.59 ± 0.85 mm and 23.64 ± 0.87 mm (ICC: 0.76) of observer 1 and 2, respectively. Conclusion:  Non-contact Biometer (HAAG-STRAIT) has high inter-observer reproducibility with strong interclass coefficient of greater than 0.72. Key Words:  Biometry, Axial Length, Central Corneal Thickness, Anterior Chamber Depth.


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