Comparison of Scheimpflug tomography, Placido disc, and combined Placido Scheimpflug in the measurement of pupil offset in myopic population

IntroductionThis study aimed to compare the consistency of pupil offset measurements obtained using the Pentacam, Keratron Scout, and Sirius devices.MethodsThis retrospective cross-sectional study included 146 young myopic individuals (292 eyes) scheduled for refractive surgery at Dalian Third Peopl...

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Main Authors: Jiliang Ning, Lijun Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1490674/full
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author Jiliang Ning
Jiliang Ning
Jiliang Ning
Jiliang Ning
Lijun Zhang
Lijun Zhang
Lijun Zhang
Lijun Zhang
author_facet Jiliang Ning
Jiliang Ning
Jiliang Ning
Jiliang Ning
Lijun Zhang
Lijun Zhang
Lijun Zhang
Lijun Zhang
author_sort Jiliang Ning
collection DOAJ
description IntroductionThis study aimed to compare the consistency of pupil offset measurements obtained using the Pentacam, Keratron Scout, and Sirius devices.MethodsThis retrospective cross-sectional study included 146 young myopic individuals (292 eyes) scheduled for refractive surgery at Dalian Third People’s Hospital between January 2023 and December 2023. Three devices were utilized to measure the chord mu of the pupil deviation along with the Cartesian distances of the X and Y coordinates (Px, Py) associated with the pupil offset. Repeated-measures analysis of variance was used to compare differences in pupil offset acquisition across various devices. Additionally, the intraclass correlation coefficient (ICC) and Bland–Altman plot were utilized to assess the consistency among the three devices.ResultsChord mu, measured using the Pentacam, Keratron Scout, and Sirius devices, were 0.18 ± 0.10, 0.21 ± 0.11, and 0.18 ± 0.11, respectively. The Px values were 0.00 ± 0.14, -0.02 ± 0.16, and -0.01 ± 0.13, respectively, while the Py values were 0.09 ± 0.13, 0.10 ± 0.15, and 0.10 ± 0.13. The ICCs for the three device measurements, chord mu, Px, and Py, were 0.817, 0.900, and 0.855, respectively. When comparing the three devices, the 95% limits of agreement (LoA) for mu and Px measured using the Sirius and Keratron Scout were the narrowest, ranging from −0.15 to 0.08 and −0.11 to 0.13, respectively. Additionally, the 95% LoA for Py measured using the Sirius and Pentacam was the narrowest, ranging from −0.13 to 0.15. The pupil centers in both eyes were predominantly located above the apex of the cornea.ConclusionSirius, Keratron Scout, and Pentacam have good consistency in pupil shift measurement in young myopic patients, and the three devices can be used as references in clinical practice.
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spelling doaj-art-c482a35ad12940f487d3f0e751f29e182025-08-20T02:18:58ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-11-011110.3389/fmed.2024.14906741490674Comparison of Scheimpflug tomography, Placido disc, and combined Placido Scheimpflug in the measurement of pupil offset in myopic populationJiliang Ning0Jiliang Ning1Jiliang Ning2Jiliang Ning3Lijun Zhang4Lijun Zhang5Lijun Zhang6Lijun Zhang7Department of Ophthalmology, The Third People’s Hospital of Dalian, Dalian, ChinaDepartment of Ophthalmology, Dalian Municipal Eye Hospital, Dalian, ChinaLiaoning Provincial Key Laboratory of Cornea and Ocular Surface Diseases, Dalian, ChinaLiaoning Provincial Optometry Technology Engineering Research Center, Dalian, ChinaDepartment of Ophthalmology, The Third People’s Hospital of Dalian, Dalian, ChinaDepartment of Ophthalmology, Dalian Municipal Eye Hospital, Dalian, ChinaLiaoning Provincial Key Laboratory of Cornea and Ocular Surface Diseases, Dalian, ChinaLiaoning Provincial Optometry Technology Engineering Research Center, Dalian, ChinaIntroductionThis study aimed to compare the consistency of pupil offset measurements obtained using the Pentacam, Keratron Scout, and Sirius devices.MethodsThis retrospective cross-sectional study included 146 young myopic individuals (292 eyes) scheduled for refractive surgery at Dalian Third People’s Hospital between January 2023 and December 2023. Three devices were utilized to measure the chord mu of the pupil deviation along with the Cartesian distances of the X and Y coordinates (Px, Py) associated with the pupil offset. Repeated-measures analysis of variance was used to compare differences in pupil offset acquisition across various devices. Additionally, the intraclass correlation coefficient (ICC) and Bland–Altman plot were utilized to assess the consistency among the three devices.ResultsChord mu, measured using the Pentacam, Keratron Scout, and Sirius devices, were 0.18 ± 0.10, 0.21 ± 0.11, and 0.18 ± 0.11, respectively. The Px values were 0.00 ± 0.14, -0.02 ± 0.16, and -0.01 ± 0.13, respectively, while the Py values were 0.09 ± 0.13, 0.10 ± 0.15, and 0.10 ± 0.13. The ICCs for the three device measurements, chord mu, Px, and Py, were 0.817, 0.900, and 0.855, respectively. When comparing the three devices, the 95% limits of agreement (LoA) for mu and Px measured using the Sirius and Keratron Scout were the narrowest, ranging from −0.15 to 0.08 and −0.11 to 0.13, respectively. Additionally, the 95% LoA for Py measured using the Sirius and Pentacam was the narrowest, ranging from −0.13 to 0.15. The pupil centers in both eyes were predominantly located above the apex of the cornea.ConclusionSirius, Keratron Scout, and Pentacam have good consistency in pupil shift measurement in young myopic patients, and the three devices can be used as references in clinical practice.https://www.frontiersin.org/articles/10.3389/fmed.2024.1490674/fullpupil offsetkappa angleSiriusPentacamKeratron ScoutScheimpflug tomography
spellingShingle Jiliang Ning
Jiliang Ning
Jiliang Ning
Jiliang Ning
Lijun Zhang
Lijun Zhang
Lijun Zhang
Lijun Zhang
Comparison of Scheimpflug tomography, Placido disc, and combined Placido Scheimpflug in the measurement of pupil offset in myopic population
Frontiers in Medicine
pupil offset
kappa angle
Sirius
Pentacam
Keratron Scout
Scheimpflug tomography
title Comparison of Scheimpflug tomography, Placido disc, and combined Placido Scheimpflug in the measurement of pupil offset in myopic population
title_full Comparison of Scheimpflug tomography, Placido disc, and combined Placido Scheimpflug in the measurement of pupil offset in myopic population
title_fullStr Comparison of Scheimpflug tomography, Placido disc, and combined Placido Scheimpflug in the measurement of pupil offset in myopic population
title_full_unstemmed Comparison of Scheimpflug tomography, Placido disc, and combined Placido Scheimpflug in the measurement of pupil offset in myopic population
title_short Comparison of Scheimpflug tomography, Placido disc, and combined Placido Scheimpflug in the measurement of pupil offset in myopic population
title_sort comparison of scheimpflug tomography placido disc and combined placido scheimpflug in the measurement of pupil offset in myopic population
topic pupil offset
kappa angle
Sirius
Pentacam
Keratron Scout
Scheimpflug tomography
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1490674/full
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