2026-04-23T20:29:48Zhttps://uvadoc.uva.es/oai/request
oai:uvadoc.uva.es:10324/641492025-01-31T12:20:23Zcom_10324_1159com_10324_931com_10324_894col_10324_1310
UVaDOC author Arnalich Montiel, Francisco author Fuente García, Carlota author Auladell, Clara author Ortiz Toquero, Sara 2024-01-04T12:53:16Z 2024-01-04T12:53:16Z 2023 Life, 2023, Vol. 13, Nº. 4, 978 2075-1729 https://uvadoc.uva.es/handle/10324/64149 10.3390/life13040978 978 4 Life 13 2075-1729 Confirming the progression of keratoconus is of paramount relevance to providing the appropriate treatment. Real change should be considered consistent over time. It must be greater than the variability of the measurement of the device used to monitor the cornea. The present study aimed to assess the intraobserver repeatability and intersession reproducibility of a Scheimpflug camera in measuring corneal parameters in virgin keratoconus and intrastromal corneal ring segments (ICRS) implantation eyes to discriminate real change from measurement noise. Sixty keratoconus and 30 ICRS eyes were included. Corneal parameters were determined in three consecutive measurements and were repeated 2 weeks later. The precision within the same session for all parameters was better in the keratoconic eyes, with mean repeatability limits 33% narrower (range 13% to 55%) compared with ICRS eyes. Mean reproducibility limits were 16% narrower (range +48% to −45%) compared with ICRS eyes. The cutoff values to consider a real corneal shape change were lower for virgin keratoconic than for ICRS, except for the thinnest corneal thickness and Stage C (ABCD system), which were the opposite. Corneal tomography measurements in ICRS eyes showed worse accuracy than in virgin keratoconus, which should be taken into account by practitioners in patients’ follow up. eng Atribución 4.0 Internacional Ophthalmology Eye - Diseases - Diagnosis Ojo - Enfermedades y defectos - Tratamiento Prognosis Cornea - Diseases - Treatment Córnea - Enfermedades Repeatability Reproducibility Biomedical engineering Optical data processing Medical technology Medical innovations Detecting true change in keratoconus after intracorneal ring segment implantation info:eu-repo/semantics/article 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URL https://uvadoc.uva.es/bitstream/10324/64149/1/Detecting-True-Change-in-Keratoconus.pdf File MD5 0cc82b10b51e6a71e159b28cd70394f2 243762 application/pdf Detecting-True-Change-in-Keratoconus.pdf