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<dc:title>Reliability and agreement of apparent chord mu measurements between static and dynamic evaluations</dc:title>
<dc:creator>Martínez Plaza, Elena</dc:creator>
<dc:creator>Marcos, Mario</dc:creator>
<dc:creator>López De La Rosa, Alberto</dc:creator>
<dc:creator>López Miguel, Alberto</dc:creator>
<dc:creator>Maldonado López, Miguel José</dc:creator>
<dc:subject>Chord mu</dc:subject>
<dc:subject>Scheimpflug and Placido-disk technology</dc:subject>
<dc:subject>repeatability</dc:subject>
<dc:subject>agreement</dc:subject>
<dc:description>Purpose: To assess the repeatability and agreement of Cartesian coordinates and the length of apparent chord mu and pupil diameter measurements during static (Galilei G4) and dynamic (Topolyzer Vario) evaluations.&#xd;
Setting: IOBA-Eye Institute, Valladolid, Spain.&#xd;
Design: Case series.&#xd;
Methods: 3 consecutive measurements per scenario (Galilei G4 and Topolyzer Vario under low mesopic and photopic conditions) were performed by the same clinician. The intrasession repeatability was assessed using the within-subject SD (Sw), the precision, the coefficient of variation, and the intraclass correlation coefficient (ICC). The agreement was analyzed using repeated-measures analysis of variance and the Bland-Altman method.&#xd;
Results: Thirty-seven healthy participants were recruited. The Sw values for chord mu parameters and pupil diameter ranged from 0.01 to 0.03 and 0.08 to 0.21, respectively. The ICC was ≥0.89 for all parameters. Galilei G4 and Topolyzer Vario under low mesopic and photopic conditions provided significantly different measures of apparent chord mu length (0.23 ± 0.11 mm, 0.30 ± 0.10 mm, and 0.25 ± 0.11 mm, respectively, P ≤ .02), X-coordinate (-0.18 ± 0.12 mm, -0.27 ± 0.11 mm, and -0.21 ± 0.12 mm, respectively, P &lt; .001), and pupil diameter (3.38 ± 0.50 mm, 6.29 ± 0.60 mm, and 3.04 ± 0.41 mm, respectively, P &lt; .001). Y-coordinate values obtained by Galilei G4 and Topolyzer Vario under low mesopic conditions were significantly different (0.06 ± 0.13 mm vs 0.03 ± 0.11 mm, respectively, P = .02), in contrast to Galilei G4 and Topolyzer Vario under photopic conditions (0.05 ± 0.13 mm, P = .82) and both illumination conditions of Topolyzer Vario (P ≥ .23).&#xd;
Conclusions: Galilei G4 and Topolyzer Vario provide consistent measurements of apparent chord mu Cartesian coordinates and length, as well as pupil diameter; however, the measurements are not interchangeable. Ophthalmic surgeons should consider these findings when planning customized intraocular lens implantation and refractive surgery procedures.</dc:description>
<dc:date>2025-02-27T12:20:19Z</dc:date>
<dc:date>2025-02-27T12:20:19Z</dc:date>
<dc:date>2023</dc:date>
<dc:type>info:eu-repo/semantics/article</dc:type>
<dc:type>info:eu-repo/semantics/draft</dc:type>
<dc:identifier>Journal of Cataract &amp; Refractive Surgery, 2023, vol. 49, n. 1, p. 21-28.</dc:identifier>
<dc:identifier>0886-3350</dc:identifier>
<dc:identifier>https://uvadoc.uva.es/handle/10324/75174</dc:identifier>
<dc:identifier>10.1097/j.jcrs.0000000000001036</dc:identifier>
<dc:identifier>21</dc:identifier>
<dc:identifier>1</dc:identifier>
<dc:identifier>28</dc:identifier>
<dc:identifier>Journal of Cataract and Refractive Surgery</dc:identifier>
<dc:identifier>49</dc:identifier>
<dc:identifier>1873-4502</dc:identifier>
<dc:language>eng</dc:language>
<dc:relation>https://journals.lww.com/jcrs/abstract/2023/01000/reliability_and_agreement_of_apparent_chord_mu.6.aspx</dc:relation>
<dc:rights>Atribución-NoComercial-SinDerivados 4.0 Internacional</dc:rights>
<dc:rights>info:eu-repo/semantics/restrictedAccess</dc:rights>
<dc:rights>https://creativecommons.org/licenses/by-nc-nd/4.0/</dc:rights>
<dc:format>application/pdf</dc:format>
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<europeana:provider>Hispana</europeana:provider>
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<europeana:rights>https://creativecommons.org/licenses/by-nc-nd/4.0/</europeana:rights>
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