Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/22983
Title: Corneal deformation measurement using scheimpflug noncontact tonometry
Authors: Hon, Y
Lam, AKC 
Keywords: corneal biomechanics
corneal deformation amplitude
noncontact tonometry
repeatability
reproducibility
Issue Date: 2013
Publisher: Lippincott Williams & Wilkins
Source: Optometry and vision science, 2013, v. 90, no. 1, p. e1-e8 How to cite?
Journal: Optometry and vision science 
Abstract: PURPOSE: To determine the intraexaminer repeatability and intersession reproducibility of corneal deformation measurement using Scheimpflug noncontact tonometry (Corvis ST) on normal subjects. METHODS: Thirty-seven adults aged 20 to 48 years were invited to have their corneal deformation and curvature measurements taken using Corvis ST and Pentacam, respectively. Three consecutive measurements were taken for each instrument between 9:00 and 11:00 AM for intraexaminer repeatability analysis. Participants returned between 3:00 and 5:00 PM the same day for intersession reproducibility analysis. RESULTS: The most repeatable corneal parameter measured by Corvis ST was central corneal thickness ([CCT] ICC, 0.96; precision, 10.85 μm; repeatability, 15.34 μm; CV, 1.01%), followed by deformation amplitude ([DA] ICC, 0.80; precision, 0.08 mm; repeatability, 0.13 mm; CV, 4.33%), first applanation time ([1st A-time] ICC, 0.77; precision, 0.22 milliseconds; repeatability, 0.31 milliseconds; CV, 1.42), and intraocular pressure ([IOP] ICC, 0.75; precision, 1.39 mm Hg; repeatability, 1.97 mm Hg; CV, 4.98). Other parameters showed poor repeatability. The DA and 1st A-time showed good intersession reproducibility. The 95% limits of agreement were +0.13 to -0.13 mm for DA and +0.27 to -0.33 milliseconds for 1st A-time. The DA was negatively correlated with central corneal thickness (r = -0.53, p < 0.001) but not with corneal curvatures (flattest curvature, r = 0.13, p = 0.46; steepest curvature, r = 0.05, p = 0.75). CONCLUSIONS: Corneal deformation parameters DA and 1st A-time were repeatable and reproducible. A thinner cornea was associated with a higher corneal deformation. Measurement of DA serves as an indicator of corneal biomechanical properties.
URI: http://hdl.handle.net/10397/22983
ISSN: 1040-5488
EISSN: 1538-9235
DOI: 10.1097/OPX.0b013e318279eb87
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