Corneal Densitometry in Bilateral Keratoconus Patients with Unilateral Corneal Vogt's Striae: A Contralateral Eye Study
Abstract BackgroundWe aimed to investigate corneal densitometry and correlations with corneal morphological parameters in bilateral keratoconus (KCN) patients with unilateral Vogt's striae.MethodsOne hundred and-twelve patients (224 eyes) with bilateral KCN and unilateral Vogt's striae were enrolled in this cross-sectional contralateral eye study. Corneal densitometry and morphological parameters were measured using Pentacam HR.ResultsOur study revealed that corneal densitometry values of the anterior 0–2 mm and 2–6 mm, intermediate 0–2 mm and 2–6 mm, posterior 2–6 mm, and total cornea 2–6 mm in eyes with Vogt’s striae were significantly higher than those in eyes without Vogt's striae (P < 0.05). The corneal densitometry values of the anterior 6–10 mm, posterior 0–2 mm, and total cornea 6–10 mm were significantly lower in eyes with Vogt's striae (P < 0.05). The corneal densitometry values in the anterior 0–2 mm and total cornea 2–6 mm were positively correlated with K1, K2, Km, Kmax, ACE, and PCE (P < 0.05) and negatively correlated with CCT and TCT in eyes with Vogt's striae (P < 0.05). K2, Km, and Kmax were significantly correlated with densitometry values of the anterior 0–2 mm and the intermediate 0–2 mm in eyes without Vogt’s striae (P < 0.05). Corneal densitometry values of the anterior and intermediate layers in the central cornea were higher in KCN eyes with Vogt's striae than in eyes without Vogt's striae, and the densitometry values of the anterior corneal stroma in the central region of the cornea were higher than those of the peripheral cornea in KCN eyes with and without Vogt's striae.ConclusionsIn conclusion, these results indicate that Vogt's striae mainly occur on the anterior and intermediate layers during the progression of KCN.