TY - JOUR
T1 - Corneal ectasia detection by epithelial pattern standard deviation from OCT
AU - Salomão, Marcella Q.
AU - Hofling-Lima, Ana Luisa
AU - Gomes Esporcatte, Louise Pellegrino
AU - Correa, Fernando Faria
AU - Meneses, Erica Ferreira
AU - Li, Yan
AU - Huang, David
AU - Lopes, Bernardo
AU - Sena, Nelson
AU - MacHado, Aydano P.
AU - Ambrósio, Renato
N1 - Publisher Copyright:
© 2023 Elsevier Inc.. All rights reserved.
PY - 2023/2/1
Y1 - 2023/2/1
N2 - Purpose:To test the ability of the corneal epithelial pattern standard deviation (PSD) to distinguish between normal and cases with corneal ectatic condition.Setting:Instituto de Olhos Renato Ambrósio, Rio de Janeiro, Brazil.Design:Cross-sectional retrospective study.Methods:Patients were stratified into 4 groups based on clinical data and corneal tomography. Groups 1 and 2 comprised 1 eye randomly selected from 105 patients with normal corneas (N) and 86 patients with bilateral keratoconus (KC). Groups 3 and 4, respectively, comprised 11 ectatic eyes with no surgical treatment for KC (very asymmetric ectasia [VAE]-E) from patients whose fellow eyes (61) presented with normal topographic patterns (VAE-NT). Corneas were scanned using an OCT system (RT Vue) and Scheimpflug corneal tomography (Pentacam) and also had biomechanical assessment through the Corvis ST. Corneal epithelial thickness maps were analyzed, and the PSD value was calculated. The area under the receiver operating characteristic curve analysis was used to evaluate the diagnostic accuracy of the indices.Results:A total of 105 normal eyes, 86 keratoconic eyes, and 11 ectatic eyes whose fellow eyes (61) presented normal topographic patterns were evaluated. Epithelial PSD was significantly different across the 4 groups (P <.0001). The pairwise comparison revealed that the normal group presented significantly lower values than both ectasia groups (KC and VAE-E, P <.0001) and the VAE-NT group (P =.0008). There was no statistical significant difference between KC and VAE-E (P =.4284), while they were significantly higher than the VAE-NT group (P <.0001 and P =.0004).Conclusions:Epithelial PSD can be used to detect abnormal epithelial thickness patterns. Corneal epithelial thickness changes could be detected accurately in patients with KC, even in the form fruste of the disease.
AB - Purpose:To test the ability of the corneal epithelial pattern standard deviation (PSD) to distinguish between normal and cases with corneal ectatic condition.Setting:Instituto de Olhos Renato Ambrósio, Rio de Janeiro, Brazil.Design:Cross-sectional retrospective study.Methods:Patients were stratified into 4 groups based on clinical data and corneal tomography. Groups 1 and 2 comprised 1 eye randomly selected from 105 patients with normal corneas (N) and 86 patients with bilateral keratoconus (KC). Groups 3 and 4, respectively, comprised 11 ectatic eyes with no surgical treatment for KC (very asymmetric ectasia [VAE]-E) from patients whose fellow eyes (61) presented with normal topographic patterns (VAE-NT). Corneas were scanned using an OCT system (RT Vue) and Scheimpflug corneal tomography (Pentacam) and also had biomechanical assessment through the Corvis ST. Corneal epithelial thickness maps were analyzed, and the PSD value was calculated. The area under the receiver operating characteristic curve analysis was used to evaluate the diagnostic accuracy of the indices.Results:A total of 105 normal eyes, 86 keratoconic eyes, and 11 ectatic eyes whose fellow eyes (61) presented normal topographic patterns were evaluated. Epithelial PSD was significantly different across the 4 groups (P <.0001). The pairwise comparison revealed that the normal group presented significantly lower values than both ectasia groups (KC and VAE-E, P <.0001) and the VAE-NT group (P =.0008). There was no statistical significant difference between KC and VAE-E (P =.4284), while they were significantly higher than the VAE-NT group (P <.0001 and P =.0004).Conclusions:Epithelial PSD can be used to detect abnormal epithelial thickness patterns. Corneal epithelial thickness changes could be detected accurately in patients with KC, even in the form fruste of the disease.
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U2 - 10.1097/j.jcrs.0000000000001066
DO - 10.1097/j.jcrs.0000000000001066
M3 - Article
C2 - 36201664
AN - SCOPUS:85147046708
SN - 0886-3350
VL - 49
SP - 190
EP - 194
JO - Journal of cataract and refractive surgery
JF - Journal of cataract and refractive surgery
IS - 2
ER -