Comparison of Corneal Thickness in Candidates for Photorefractive Keratectomy (PRK) Using Three Methods, Orbscan II, Pentacam, and Ultrasound

Document Type : Original Article (s)

Authors

1 Professor, Department of Ophthalmology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 General Practitioner, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: The aim of this study was to compare the central corneal thickness measured by Orbscan II, ultrasound and Pentacam in patients undergoing photorefractive keratectomy (PRK).Methods: This descriptive-analytic study was carried out during one year in Feyz hospital, Isfahan city, Iran in 2013. The sample included 84 eyes of 84 patients undergoing photorefractive keratectomy with no history of corneal or intra-ocular surgery. Each patient's corneal thickness was measured and recorded using 3 devices of Orbscan, ultrasound and Pentacam. The obtained data were analyzed using SPSS software.Findings: Central corneal thickness (CCT) measured by Orbscan II had good correlation with those measured by ultrasound (r = 0.077, P < 0.050). Orbscan II had good correlation in central corneal thickness measurement with Pentacam (r = 0.072, P < 0.050). Peripheral corneal thickness (PCT) measured by Pentacam had good correlation with those measured by ultrasound and there was no considerable discrepancy between the two methods. Orbscan II had good correlation in superior, inferior and temporal corneal thickness but there was considerable discrepancy in nasal corneal thickness measured by Orbscan II with those of ultrasound (r = 0.420, P < 0.050, t = -2.74, P = 0.010).Conclusion: Pentacam and Orbscan II showed good correlation with ultrasound in central corneal thickness measurement; however, in peripheral corneal thickness measurement, Pentacam had better correlation compared to Orbscan II in patients undergoing photorefractive keratectomy.

Keywords


  1. Pallikaris IG, Kymionis GD, Astyrakakis NI. Corneal ectasia induced by laser in situ keratomileusis. J Cataract Refract Surg 2001; 27(11): 1796-802.
  2. Malecaze F, Coullet J, Calvas P, Fournie P, Arne JL, Brodaty C. Corneal ectasia after photorefractive keratectomy for low myopia. Ophthalmology 2006; 113(5): 742-6.
  3. Faramarzi A, Ziaei H. Comparison of Ultrasound and Orbscan II in Measuring Central Corneal Thickness. Bina J Ophthalmol 2008; 13(2): 192-5. [In Persian].
  4. Karimian F, Feizi S, Doozande A, Yaseri M, Kiani H, Ansari S. Central corneal thickness measurements using Galilei, Orbscan II, and ultrasonic pachymetry. Bina J Ophthalmol 2011; 16(2): 113-9. [In Persian].
  5. Yaylali V, Kaufman SC, Thompson HW. Corneal thickness measurements with the Orbscan Topography System and ultrasonic pachymetry. J Cataract Refract Surg 1997; 23(9): 1345-50.
  6. Marsich MW, Bullimore MA. The repeatability of corneal thickness measures. Cornea 2000; 19(6): 792-5.
  7. Chakrabarti HS, Craig JP, Brahma A, Malik TY, McGhee CN. Comparison of corneal thickness measurements using ultrasound and Orbscan slit-scanning topography in normal and post-LASIK eyes. J Cataract Refract Surg 2001; 27(11): 1823-8.
  8. Giraldez Fernandez MJ, Diaz RA, Cervino A, Yebra-Pimentel E. A comparison of two pachymetric systems: slit-scanning and ultrasonic. CLAO J 2002; 28(4): 221-3.
  9. Park SH, Choi SK, Lee D, Jun EJ, Kim JH. Corneal thickness measurement using Orbscan, Pentacam, Galilei, and ultrasound in normal and post-femtosecond laser in situ keratomileusis eyes. Cornea 2012; 31(9): 978-82.
  10. Kim SW, Byun YJ, Kim EK, Kim TI. Central corneal thickness measurements in unoperated eyes and eyes after PRK for myopia using Pentacam, Orbscan II, and ultrasonic pachymetry. J Refract Surg 2007; 23(9): 888-94.
  11. Faramarzi A, Karimian F, Jafarinasab MR, Jabbarpoor Bonyadi MH, Yaseri M. Central corneal thickness measurements after myopic photorefractive keratectomy using Scheimpflug imaging, scanning-slit topography, and ultrasonic pachymetry. J Cataract Refract Surg 2010; 36(9): 1543-9.
  12. Amano S, Honda N, Amano Y, Yamagami S, Miyai T, Samejima T, et al. Comparison of central corneal thickness measurements by rotating Scheimpflug camera, ultrasonic pachymetry, and scanning-slit corneal topography. Ophthalmology 2006; 113(6): 937-41.
  13. Ho T, Cheng AC, Rao SK, Lau S, Leung CK, Lam DS. Central corneal thickness measurements using Orbscan II, Visante, ultrasound, and Pentacam pachymetry after laser in situ keratomileusis for myopia. J Cataract Refract Surg 2007; 33(7): 1177-82.
  14. Shiralivand E, Ghasemi-Broumand M, Jabbavand-Behrouz M, Amiri A, Tabatabaie SM. Determination of validity of corneal thickness measurement between ultrasound pachymetry (US), Scheimpflug imaging (Pentacam, Oculus) and scanning-slit topography (ORBSCAN II, Bausch & Lomb) in Hyperopic eyes after LASEK surgery. J Rehab Med 2014; 3(1): 1-7.