Accuracy of Orbscan Pachymetry Measurements and Ultrasonic Pachymetry before and after LASIK with Orbscan II(R) Topography. |
Sung Hyun Kim, Jae Ho Cho, Byung Joo Song |
1Department of Ophthalmology, Hanil General Hospital, Korea. 2Department of Ophthalmology, Hanyang University Hospital, Korea. Song@email.hanyang.ac.kr |
라식 수술 전후에 Orbscan Topography System과 Ultrasonic pachymetry 의 각막두께측정의 정확성 |
김성현 ( Sung Hyun Kim ) , 조재호 ( Jae Ho Cho ) , 송병주 ( Byung Joo Song ) |
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Abstract |
PURPOSE To assess the the accuracy and variability in pachymetry measurements obtained by Orbscan and ultrasonic pachymeter in laser in situ keratomileusis (LASIK). METHODS: Thirty two eyes of 16 patients before LASIK were measured by ultrasonic pachymeter and Orbscan. Thirty eyes of 16 patients that had LASIK were measured by ultrasonic pachymeter and Orbscan postoperatively. The theoretical residual corneal thickness was compared to measurements by both instruments in eyes that had LASIK procedures. RESULTS: The ultrasound pachymeter measurements (543.8+/-24.2 micrometer) were thicker than the Orbscan pachymetry measurements, (541.2+/-24.9 micrometer) by mean of 2.7+/-7.4 micrometer (SD), preoperatively. But this is not statistically significant (p>0.05). Postoperatively, the ultrsound measurements were consistent with theoretical residual corneal thickness, 461.8+/-37.4 micrometer versus 467.9+/-30.71 micrometer (p=0.064), while Orbscan measurements were statistically less than the theoretical residual corneal thickness, 433.2+/-48.75 micrometer versus 464.32+/-33.4 micrometer (p<0.001). CONCLUSIONS: In LASIK eyes, the ultrasonic pachymetry was a more accurate measurement of corneal pachymetry than Orbscan topography system. |
Key Words:
Corneal thickness;LASIK;Orbscan topography system;Ultrasonic pachymetry |
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