Comparison of central corneal thickness measured by four different pachymeters

Elliott H Myrowitz, Shiquan Ren, Roy S. Chuck

Research output: Contribution to journalArticle

Abstract

PURPOSE. To compare three different ultrasound pachymeters and an optical scanning device for measuring central corneal thickness (CCT). METHODS. This was a prospective study of 45 consecutive patients (90 eyes), who were seen in consultation for corneal refractive surgery and were tested by the same clinician on one visit. Thirty-five patients with no previous corneal eye surgery (group 1) and 10 who had undergone LASIK (group 2) were analyzed separately. Pachymetry was measured with the Pach V, PachPen, PachMate, and Orbscan II instruments. RESULTS. Generalized Estimation Equations showed significant differences between the Orbscan II and the ultrasound instruments (5.2-22.8 μm) in group 1 and 2, and between the Pach V and the PachPen or PachMate (2.3-3.8 μm) in group 1. In group 2, 10 of 20 eyes had a range of measurements over 20 microns. CONCLUSIONS. In 45 consecutive patients tested on one visit by the same clinician, CCT measured with three ultrasonic pachymeters, including two hand-held units, was clinically comparable in group 2. CCT measured with two ultrasonic pachymeters (i.e., PachMate and PachPen) was clinically comparable in group 1. The Orbscan II data differ from the other three instruments in both groups but more in the patients who had undergone LASIK (group 2).

Original languageEnglish (US)
Pages (from-to)156-160
Number of pages5
JournalEye and Contact Lens
Volume33
Issue number3
DOIs
StatePublished - May 2007

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Laser In Situ Keratomileusis
Ultrasonics
Refractive Surgical Procedures
Optical Devices
Referral and Consultation
Hand
Prospective Studies

Keywords

  • Central corneal thickness
  • Orbscan
  • Pachymetry
  • Ultrasound pachymetry

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Comparison of central corneal thickness measured by four different pachymeters. / Myrowitz, Elliott H; Ren, Shiquan; Chuck, Roy S.

In: Eye and Contact Lens, Vol. 33, No. 3, 05.2007, p. 156-160.

Research output: Contribution to journalArticle

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N2 - PURPOSE. To compare three different ultrasound pachymeters and an optical scanning device for measuring central corneal thickness (CCT). METHODS. This was a prospective study of 45 consecutive patients (90 eyes), who were seen in consultation for corneal refractive surgery and were tested by the same clinician on one visit. Thirty-five patients with no previous corneal eye surgery (group 1) and 10 who had undergone LASIK (group 2) were analyzed separately. Pachymetry was measured with the Pach V, PachPen, PachMate, and Orbscan II instruments. RESULTS. Generalized Estimation Equations showed significant differences between the Orbscan II and the ultrasound instruments (5.2-22.8 μm) in group 1 and 2, and between the Pach V and the PachPen or PachMate (2.3-3.8 μm) in group 1. In group 2, 10 of 20 eyes had a range of measurements over 20 microns. CONCLUSIONS. In 45 consecutive patients tested on one visit by the same clinician, CCT measured with three ultrasonic pachymeters, including two hand-held units, was clinically comparable in group 2. CCT measured with two ultrasonic pachymeters (i.e., PachMate and PachPen) was clinically comparable in group 1. The Orbscan II data differ from the other three instruments in both groups but more in the patients who had undergone LASIK (group 2).

AB - PURPOSE. To compare three different ultrasound pachymeters and an optical scanning device for measuring central corneal thickness (CCT). METHODS. This was a prospective study of 45 consecutive patients (90 eyes), who were seen in consultation for corneal refractive surgery and were tested by the same clinician on one visit. Thirty-five patients with no previous corneal eye surgery (group 1) and 10 who had undergone LASIK (group 2) were analyzed separately. Pachymetry was measured with the Pach V, PachPen, PachMate, and Orbscan II instruments. RESULTS. Generalized Estimation Equations showed significant differences between the Orbscan II and the ultrasound instruments (5.2-22.8 μm) in group 1 and 2, and between the Pach V and the PachPen or PachMate (2.3-3.8 μm) in group 1. In group 2, 10 of 20 eyes had a range of measurements over 20 microns. CONCLUSIONS. In 45 consecutive patients tested on one visit by the same clinician, CCT measured with three ultrasonic pachymeters, including two hand-held units, was clinically comparable in group 2. CCT measured with two ultrasonic pachymeters (i.e., PachMate and PachPen) was clinically comparable in group 1. The Orbscan II data differ from the other three instruments in both groups but more in the patients who had undergone LASIK (group 2).

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