Reliability of corneal thickness and endothelial cell density measures.

作者: Mark A Bullimore , Jason J Nichols , Gregory M Kosunick

DOI: 10.3928/1081-597X-20030501-12

关键词: Endothelial cell densityIntraclass correlationCorneaOpticsCorneal pachymetryMaterials scienceOphthalmologyLimits of agreementUltrasoundReliability (statistics)Pachymeters

摘要: PURPOSE: We evaluated the reliability and agreement between Orbscan, an ultrasonic pachymeter (Humphrey 855), Konan SP 9000-LC in terms of central corneal thickness. The was also used to study endothelial cell density measures. METHODS: Twenty-five normal subjects were examined on two occasions (mean separation = 9 ± 5 days) by a single examiner using all three instruments for pachymetry. Center Method manual counting method performed examiners determine density. Reliability assessed calculating 95% limits (LoA) intraclass correlation coefficients (ICC). RESULTS: For pachymetry test-retest reliability, -20 +17 µm ultrasound, -27 +22 Konan, -13 +13 Orbscan. There fair-to-good pachymeters (intraclass range 0.85 0.92). -498 +530, -482 +333 cells/mm 2 1 2, respectively. overlaid grid -355 +355, -535 +670 CONCLUSIONS: Orbscan good, although estimating fair, at best. [J Refract Surg 2003;19:344-352]

参考文章(52)
B A Holden, G W Mertz, J J McNally, Corneal swelling response to contact lenses worn under extended wear conditions. Investigative Ophthalmology & Visual Science. ,vol. 24, pp. 218- 226 ,(1983)
Erickson P, Jones Wf, Apollonio A, Robboy M, Optical design considerations for contact lens bifocals. Journal of the American Optometric Association. ,vol. 59, pp. 198- 202 ,(1988)
Peter M. Fayers and David Machin, Quality of life : assessment, analysis and interpretation John Wiley. ,(2000)
Antti Vannas, Nathan Efron, Brien A. Holden, Deborah F. Sweeney, Klas T. Nilsson, Effects of long-term extended contact lens wear on the human cornea. Investigative Ophthalmology & Visual Science. ,vol. 26, pp. 1489- 1501 ,(1985)
Michael J Doughty, Mohammed L Zaman, Human Corneal Thickness and Its Impact on Intraocular Pressure Measures Survey of Ophthalmology. ,vol. 44, pp. 367- 408 ,(2000) , 10.1016/S0039-6257(00)00110-7
Steen F. Urbak, Ultrasound biomicroscopy. III. Accuracy and agreement of measurements. Acta Ophthalmologica Scandinavica. ,vol. 77, pp. 293- 297 ,(1999) , 10.1034/J.1600-0420.1999.770309.X
Hong Fang Li, W. Matthew Petroll, Torben Møller-Pedersen, James K. Maurer, H. Dwight Cavanagh, James V. Jester, Epithelial and corneal thickness measurements by in vivo confocal microscopy through focusing (CMTF) Current Eye Research. ,vol. 16, pp. 214- 221 ,(1997) , 10.1076/CEYR.16.3.214.15412
Christopher Wirbelauer, Christian Scholz, Hans Hoerauf, Duy Thoai Pham, Horst Laqua, Reginald Birngruber, Noncontact corneal pachymetry with slit lamp-adapted optical coherence tomography. American Journal of Ophthalmology. ,vol. 133, pp. 444- 450 ,(2002) , 10.1016/S0002-9394(01)01425-8