Comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients

Introduction: Corneal power or keratometric value represents two-third of total refractive power of the eye. It is an important parameter in intraocular lens calculation. Purpose of the study was to evaluate repeatability and agreement of keratometric measurements obtained from a six points-based...

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Main Authors: Md Mustafa, Md Muziman Syah, Sofian Sauri, Aminul Hakim, Mohd Kamal, Khairidzan, Mokhtar, Mahfuzah
Format: Proceeding Paper
Language:English
Published: Kulliyyah of Medicine, International Islamic University Malaysia 2017
Subjects:
Online Access:http://irep.iium.edu.my/62292/
http://irep.iium.edu.my/62292/1/62292_Comparison%20between%20point-based%20and%20ring-based.pdf
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author Md Mustafa, Md Muziman Syah
Sofian Sauri, Aminul Hakim
Mohd Kamal, Khairidzan
Mokhtar, Mahfuzah
author_facet Md Mustafa, Md Muziman Syah
Sofian Sauri, Aminul Hakim
Mohd Kamal, Khairidzan
Mokhtar, Mahfuzah
author_sort Md Mustafa, Md Muziman Syah
building IIUM Repository
collection Online Access
description Introduction: Corneal power or keratometric value represents two-third of total refractive power of the eye. It is an important parameter in intraocular lens calculation. Purpose of the study was to evaluate repeatability and agreement of keratometric measurements obtained from a six points-based keratometry device; IOLMaster 500 (Carl Zeiss Meditec AG, Jena, Germany) and two Placido disc-based keratometry devices; Atlas Topographer 995 and 9000 models (Carl Zeiss Meditec AG, Jena, Germany). Materials and method: A total of 97 post myopic laser refractive surgery subjects were recruited. Three set of mean corneal power measurements from each device were performed by an examiner in a single visit. The repeatability was evaluated by withinsubject standard deviation, coefficient of variation and intraclass correlation coefficient. A one-way repeated measures analysis of variance was conducted to evaluate keratometric measurement differences between the devices. The BlandAltman analysis was employed to assess inter-device agreement. Results: There were no significant differences of three repeated keratometric measurements in each device (p > 0.05). IOLMaster showed the lowest coefficient of variations in all meridians (< 0.30%).The intraclass correlations were higher than 0.90 in all devices. For inter-device agreement, there were statistically significant differences between Atlas 9000-IOLMaster and Atlas 995-IOLMaster (p < 0.05). The 95% limit of agreement ranged from 0.94 to 1.68. Conclusion: The six points-based technology has a higher repeatability compared to ring based technology in measuring postoperative keratometric measurements. Different keratometry technologies cannot be used interchangeably in clinical setting.
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language English
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spelling iium-622922022-04-26T00:36:54Z http://irep.iium.edu.my/62292/ Comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients Md Mustafa, Md Muziman Syah Sofian Sauri, Aminul Hakim Mohd Kamal, Khairidzan Mokhtar, Mahfuzah RE Ophthalmology Introduction: Corneal power or keratometric value represents two-third of total refractive power of the eye. It is an important parameter in intraocular lens calculation. Purpose of the study was to evaluate repeatability and agreement of keratometric measurements obtained from a six points-based keratometry device; IOLMaster 500 (Carl Zeiss Meditec AG, Jena, Germany) and two Placido disc-based keratometry devices; Atlas Topographer 995 and 9000 models (Carl Zeiss Meditec AG, Jena, Germany). Materials and method: A total of 97 post myopic laser refractive surgery subjects were recruited. Three set of mean corneal power measurements from each device were performed by an examiner in a single visit. The repeatability was evaluated by withinsubject standard deviation, coefficient of variation and intraclass correlation coefficient. A one-way repeated measures analysis of variance was conducted to evaluate keratometric measurement differences between the devices. The BlandAltman analysis was employed to assess inter-device agreement. Results: There were no significant differences of three repeated keratometric measurements in each device (p > 0.05). IOLMaster showed the lowest coefficient of variations in all meridians (< 0.30%).The intraclass correlations were higher than 0.90 in all devices. For inter-device agreement, there were statistically significant differences between Atlas 9000-IOLMaster and Atlas 995-IOLMaster (p < 0.05). The 95% limit of agreement ranged from 0.94 to 1.68. Conclusion: The six points-based technology has a higher repeatability compared to ring based technology in measuring postoperative keratometric measurements. Different keratometry technologies cannot be used interchangeably in clinical setting. Kulliyyah of Medicine, International Islamic University Malaysia 2017-08-10 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/62292/1/62292_Comparison%20between%20point-based%20and%20ring-based.pdf Md Mustafa, Md Muziman Syah and Sofian Sauri, Aminul Hakim and Mohd Kamal, Khairidzan and Mokhtar, Mahfuzah (2017) Comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients. In: Medical Research Symposium 2017, 10th August 2017, Kuantan, Pahang Darul Makmur, Malaysia. http://iiumedic.net/imjm/v1/download/Volume%2016%20No%201%20Supp%201/Abstract-Book-for-IMJM-final-v2-23.pdf
spellingShingle RE Ophthalmology
Md Mustafa, Md Muziman Syah
Sofian Sauri, Aminul Hakim
Mohd Kamal, Khairidzan
Mokhtar, Mahfuzah
Comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients
title Comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients
title_full Comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients
title_fullStr Comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients
title_full_unstemmed Comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients
title_short Comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients
title_sort comparison between point-based and ring-based technologies in keratometric measurement among post myopic laser refractive surgery patients
topic RE Ophthalmology
url http://irep.iium.edu.my/62292/
http://irep.iium.edu.my/62292/
http://irep.iium.edu.my/62292/1/62292_Comparison%20between%20point-based%20and%20ring-based.pdf