Comparability and repeatability of pachymetry in keratoconus using four noncontact techniques.

Purpose: To compare and determine the repeatability of central corneal thickness (CCT) measurements using four noncontact pachymetry instruments in eyes with keratoconus. Materials and Methods: The CCT of consecutive patients with keratoconus was measured during a single visit using the swept source optical coherence tomography (SS‑OCT, Casia SS‑1000°CT, Tomey, Nagoya, Japan), a rotating Scheimpflug camera system (Pentacam, Oculus Optikgerate GmbH, Wetzlar, Germany), scanning slit topographer (Orbscan IIz topography, Baush and Lomb Surgical Inc., San Dimas, CA, USA), and a hand‑held spectral domain OCT (HHSD‑OCT, Bioptigen Inc., Durham, North Carolina, USA). Test‑retest variability, correlation between measurements and interdevice agreement were analyzed. Results: Fifty eyes of 25 participants were analyzed in this study. All measurement methods correlated well with each other (r > 0.9, P < 0.001). Mean ± standard deviation CCT measured by HHSD‑OCT, Orbscan IIz, SS‑OCT, and Pentacam was 462 ± 41 μm, 458 ± 41 μm, 454 ± 40 μm, and 447 ± 42 μm, respectively. While the HHSD‑OCT over‑estimated the CCT (P < 0.001), there was a good correlation between the measurements obtained from the other three devices. However, the numerical difference was high and this trend was seen in all the paired comparisons. Conclusions: Though the measurements by different devices correlated well, the numerical agreement may be inadequate for their interchangeable use in clinical practice.

Comparison of intraocular pressure measurement with Scheimpflug‑based noncontact tonometer with and without hydrogel contact lenses.

Objectives: The objective was to determine the repeatability of intraocular pressure (IOP) measurements made through a soft contact lens (CL) using the Scheimpflug noncontact tonometry in healthy subjects. Methods: This prospective, randomized, single‑center study included one eye of 88 subjects (40 male and 48 female). Only participants without glaucoma or any other ocular pathology were included in this study. Three consecutive IOP measurements by the Scheimpflug noncontact tonometry were performed with and without daily disposable hydrogel CLs (−0.50 DS) (Dailies‑nelfilcon A, 69% water, 8.7 mm base curve, 14 mm diameter, center thickness 0.10 mm) by a single operator. To avoid any bias arising from diurnal variation, all measurements were made at a similar time of day (11 am ± 1 h). The repeatability of IOP measurements using the Scheimpflug noncontact tonometry with and without CLs was evaluated using Pearson’s correlation analysis. Bland–Altman plotting was used to assess the limits of agreement between the measurements with and without CLs. Results: The mean (± standard deviation) IOPs with and without CL were 13.80 ± 2.70 and 13.79 ± 2.54 mm of Hg respectively. The mean difference was 0.01 ± 0.16 (95% confidence interval, +1.97 to − 2.00) mm Hg. Statistical analysis via paired t‑test showed no statistical difference between the two groups with (P = 0.15). A good correlation was found for IOP measurements with and without CL (r = 0.93, P < 0.001). Good test‑retest reliability was found when IOP was measured with and without CL. Conclusion: There was no significant difference between IOP measured with and without CLs by Scheimpflug noncontact tonometry.