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An inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus

Gustafsson, Ingemar LU ; Faxén, Tove LU ; Vicente, André LU ; Bergström, Anders LU ; Ivarsen, Anders and Hjortdal, Jesper Østergaard (2021) In Scientific Reports 11(1).
Abstract

The progression of keratoconus is commonly determined by comparing the results of corneal tomographic measurements on different occasions. However, investigations on the repeatability of measurements are commonly performed within the same day, thus not taking the inter-day variation into account. The effect of keratoconus disease severity on the measurement error is also seldom considered. In this post hoc investigation, the parameters A, B and C in the Belin ABCD Progression Display were evaluated in relation to disease severity in intra-day and inter-day measurements. Four consecutive measurements were performed on 61 patients with keratoconus on the same day (intra-day). In another cohort, four consecutive measurements were obtained... (More)

The progression of keratoconus is commonly determined by comparing the results of corneal tomographic measurements on different occasions. However, investigations on the repeatability of measurements are commonly performed within the same day, thus not taking the inter-day variation into account. The effect of keratoconus disease severity on the measurement error is also seldom considered. In this post hoc investigation, the parameters A, B and C in the Belin ABCD Progression Display were evaluated in relation to disease severity in intra-day and inter-day measurements. Four consecutive measurements were performed on 61 patients with keratoconus on the same day (intra-day). In another cohort, four consecutive measurements were obtained and then repeated 3 days later in 25 patients with keratoconus and 25 healthy controls (inter-day). The results suggest that the diagnosis of disease progression would benefit from inter-day measurements, and the stratification of the parameters A and C according to disease severity. It is also recommended that tomographic systems such as the Pentacam HR be modified to allow the comparison of both single measurements and the mean of replicate measurements of the parameters used in the assessment of progression of keratoconus.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scientific Reports
volume
11
issue
1
article number
16037
publisher
Nature Publishing Group
external identifiers
  • pmid:34362986
  • scopus:85112618064
ISSN
2045-2322
DOI
10.1038/s41598-021-95503-8
language
English
LU publication?
yes
id
02aaad5b-0e69-4c84-89ca-38236137e9e1
date added to LUP
2021-09-06 09:19:44
date last changed
2024-04-20 10:42:20
@article{02aaad5b-0e69-4c84-89ca-38236137e9e1,
  abstract     = {{<p>The progression of keratoconus is commonly determined by comparing the results of corneal tomographic measurements on different occasions. However, investigations on the repeatability of measurements are commonly performed within the same day, thus not taking the inter-day variation into account. The effect of keratoconus disease severity on the measurement error is also seldom considered. In this post hoc investigation, the parameters A, B and C in the Belin ABCD Progression Display were evaluated in relation to disease severity in intra-day and inter-day measurements. Four consecutive measurements were performed on 61 patients with keratoconus on the same day (intra-day). In another cohort, four consecutive measurements were obtained and then repeated 3 days later in 25 patients with keratoconus and 25 healthy controls (inter-day). The results suggest that the diagnosis of disease progression would benefit from inter-day measurements, and the stratification of the parameters A and C according to disease severity. It is also recommended that tomographic systems such as the Pentacam HR be modified to allow the comparison of both single measurements and the mean of replicate measurements of the parameters used in the assessment of progression of keratoconus.</p>}},
  author       = {{Gustafsson, Ingemar and Faxén, Tove and Vicente, André and Bergström, Anders and Ivarsen, Anders and Hjortdal, Jesper Østergaard}},
  issn         = {{2045-2322}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Scientific Reports}},
  title        = {{An inter-day assessment of the ABC parameters in the evaluation of progressive keratoconus}},
  url          = {{http://dx.doi.org/10.1038/s41598-021-95503-8}},
  doi          = {{10.1038/s41598-021-95503-8}},
  volume       = {{11}},
  year         = {{2021}},
}