Evaluation of total and corneal wavefront high order aberrations for the detection of forme fruste keratoconus.

Abstract:

PURPOSE:To investigate the application of anterior corneal and ocular aberrations in detecting mildly ectatic corneas. METHODS:This study retrospectively reviewed the data of 220 eyes separated into three groups by the NIDEK Corneal Navigator System automated corneal classification software: normal (N) (n = 123); forme fruste keratoconus (N topography with contralateral KC) (n = 34); and KC (n = 63). Anterior corneal and ocular aberrations were obtained with the optical path difference scan and compared using a Kruskal-Wallis test. Evaluation of these data to discriminate between the three groups was assessed using a Receiver-Operating Characteristic curve analysis. RESULTS:Corneal and ocular tilt, vertical coma, and trefoil were significantly different in the FFKC as compared with the N group. The discriminant functions between the FFKC and the N group, and between the KC and the N group reached an area under the receiver operating characteristic curve of 0.98 and 0.96, respectively. CONCLUSION:Indices generated from corneal and ocular wavefront can identify very mild forms of ectasia that may be undetected by Placido-based neural network programs.

authors

Saad A,Gatinel D

doi

10.1167/iovs.11-8803

subject

Has Abstract

pub_date

2012-05-17 00:00:00

pages

2978-92

issue

6

eissn

0146-0404

issn

1552-5783

pii

iovs.11-8803

journal_volume

53

pub_type

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