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摘要
PURPOSE: To assess the repeatability, reproducibility, and agreement of the Pentacam HR single-camera and Galilei G2 dual-camera Scheimpflug devices in anterior segment analysis.
SETTING: Begitek Clinica Oftalmologica, San Sebastian, Spain.
DESIGN: Prospective randomized observational study.
METHODS: Healthy young individuals had 3 consecutive tests by 2 examiners. Analyzed parameters were anterior and posterior cornea simulated keratometry (K), K flat, K steep, astigmatism magnitude and axis, J(0) and J(45) vectors, asphericity, total corneal higher-order wavefront aberrations (root mean square [RMS], coma, trefoil, spherical aberration), central cornea and thinnest-point thicknesses, and anterior chamber depth. Repeatability and reproducibility were evaluated by calculating the within-subject standard deviation (S-w), some derived coefficients, and the intraclass correlation coefficient. Agreement was assessed with the Bland-Altman method.
RESULTS: The single-camera device reproducibility (S-w) was simulated K, 0.04 diopter (D); J(0), 0.03 D; J(45), 0.04 D; total power, 0.04 D; spherical aberration, 0.02 mu m; higher-order aberrations (HOAs), 0.02 mu m; central corneal thickness (CCT), 3.39 mu m. The dual-camera device S-w was simulated K, 0.07 D; J(0), 0.13 D; J(45), 0.04 D; total power, 0.08 D; spherical aberration, 0.02 mu m; HOAs, 0.11 mu m; CCT, 1.36 mu m. Agreement was good for most parameters except total corneal power (mean difference 1.58 D +/- 0.22 (SD) and HOA RMS (mean difference 0.48 +/- 0.19 mu m) (both P<.00).
CONCLUSIONS: Repeatability and reproducibility were good for all parameters. The single-camera device was more precise for curvature, astigmatism, and corneal wavefront error measurements and the dual-camera device for pachymetry measurements. Agreement was good with some relevant exceptions.
- 出版日期2012-11
