OCT- versus Scheimpflug-based Total Corneal Power Measurements Changes in Myopic Astigmatic SMILE Procedures

Lischke, Roman; Shajari, Mehdi; Feucht, Nikolaus; Kook, Daniel; Bechmann, Martin; Wiltfang, Rainer; Priglinger, Siegfried; Mayer, Wolfgang J.

doi:10.1080/02713683.2021.1962362

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…They found that total keratometry (TK) measured with swept source OCT by the IOL Master 700 (Carl Zeiss Meditec AG, Jena, Germany) was superior in estimating the SIRC when compared with TCRP ∆map 4mm apex zone. 33 OCT may have the potential for more accurate measurements of corneal power, however further studies should be conducted to better understand the comparisons between OCT accuracy and other corneal power measurements.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Corneal Power Difference Maps with Achieved Myopic Correction Using Scheimpflug Tomography After LASIK, PRK, and SMILE

Moshirfar,

Harvey,

Wang

et al. 2023

OPTH

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Purpose To compare corneal power difference maps (∆maps) obtained from the Pentacam in patients with 1 year follow-up after LASIK, PRK, and SMILE with further stratification to low, moderate, and high myopia. Patients and methods This retrospective study was comprised of patients who had preoperative and 1-year postoperative power maps that were obtained–front sagittal (SagF), refractive power (RP), true net power (TNP), and total corneal refractive power (TCRP)–for evaluation. Measurements were recorded and compared at the 4mm, 5mm and 6mm pupil and apex zones. Comparisons were made between each specific power ∆map and the surgically induced refractive change (SIRC). Further analysis of the ∆maps was performed based on degree of myopia (high, moderate, and low). Correlation and agreement were also assessed with regression and limits of agreement (LoA). Results There were 172 eyes in the LASIK group, 187 eyes in the PRK group, and 46 eyes in the SMILE group. In the LASIK group, TNP ∆map at 5mm pupil zone had the least absolute mean difference with SIRC (0.007 ± 0.42D). In the PRK group, TNP ∆map at 5mm apex zone was most accurate compared to SIRC (0.066 ± 0.45D). In the SMILE group, TCRP ∆map at 4mm apex zone had the closest absolute value when compared to SIRC (0.011 ± 0.50D). There was good correlation and agreement for all three surgery groups, LASIK: r = 0.975, LoA −0.83D to +0.83D, PRK: r = 0.96, LoA −0.83D and +0.95D, and SMILE: r = 0.922, LoA −0.97 D to +0.99D. Conclusion TNP ∆maps most accurately measured corneal power in the LASIK and PRK groups while TCRP ∆maps were most accurate in the SMILE group. The degree of myopia may change which ∆map is most accurate.

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Section: Discussionmentioning

confidence: 99%