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Metrics of the normal cornea : anterior segment imaging with the Visante OCT

Sorbara, Luigina, Maram, Jyotsna, Fonn, Desmond, Woods, Craig and Simpson, Trefford 2010, Metrics of the normal cornea : anterior segment imaging with the Visante OCT, Clinical and experimental optometry, vol. 93, no. 3, pp. 150-156, doi: 10.1111/j.1444-0938.2010.00472.x.

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Title Metrics of the normal cornea : anterior segment imaging with the Visante OCT
Author(s) Sorbara, Luigina
Maram, Jyotsna
Fonn, Desmond
Woods, CraigORCID iD for Woods, Craig orcid.org/0000-0002-5942-6247
Simpson, Trefford
Journal name Clinical and experimental optometry
Volume number 93
Issue number 3
Start page 150
End page 156
Total pages 7
Publisher Wiley - Blackwell Publishing
Place of publication Oxford, England
Publication date 2010-05
ISSN 0816-4622
1444-0938
Keyword(s) corneal curvature
corneal/scleral sagittal depth
HVID
optical coherence tomography
Summary Purpose:  The purpose of the study was to obtain anterior segment biometry for 40 normal eyes and to measure variables that may be useful to design large diameter gas permeable contact lenses that sit outside the region normally viewed by corneal topographers. Also, the distribution of these variables in the normal eye and how well they correlated to each other were determined.

Methods:  This is a cross-sectional study, in which data were collected at a single study visit. Corneal topography and imaging of the anterior segment of the eye were performed using the Orbscan II and Visante OCT. The variables that were collected were horizontal K reading, central corneal/scleral sagittal depth at 15 mm chord, and nasal and temporal angles at the 15 mm chord using the built-in software measurement tools.

Results:  The central horizontal K readings for the 40 eyes were 43 ± 1.73 D (7.85 ± 0.31 mm), with ± 95% confidence interval (CI) of 38.7 (8.7 mm) and 46.6 D (7.24 mm). The mean corneal/scleral sagittal depth at the 15 mm chord was 3.74 ± 0.19 mm and the range was 3.14 to 4.04 mm. The average nasal angle (which was not different from the temporal angle) at the 15 mm chord was 39.32 ± 3.07 degrees and the ± 95%CI was 33.7 and 45.5 degrees. The correlation coefficient comparing the K reading and the corneal/scleral sagittal depth showed the best correlation (0.58, p < 0.001). The corneal/scleral sagittal depth at 15 mm correlated less with the nasal angle (0.44, p = 0.004) and the weakest correlation was for the nasal angle at 15 mm with the horizontal readings (0.32, p = 0.046).

Conclusion:  The Visante OCT is a valuable tool for imaging the anterior segment of the eye. The Visante OCT is especially effective in providing the biometry of the peripheral cornea and sclera and may help in fitting GP lenses with a higher percentage of initial lens success, when the corneal sag and lens sag are better matched.
Language eng
DOI 10.1111/j.1444-0938.2010.00472.x
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2010, The Authors
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30047439

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.