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KMID : 0360220120530050618
Journal of the Korean Ophthalmological Society
2012 Volume.53 No. 5 p.618 ~ p.625
Comparison of Corneal Curvatures Obtained with Different Devices
Kim So-Yoon

Chung Sung-Kun
Abstract
Purpose: To evaluate device efficacy using the corneal curvature value.

Methods: Prospectively, 35 patients (70 eyes) were enrolled in the present study. Three sets of corneal curvature values were obtained using the autorefractor (RK-F1¨Þ), manual keratometer (OM-2¨Þ), partial coherence interferometry keratometer (IOL Master¨Þ), wavefront analyzer (KR-1W¨Þ), and videokeratography (Orbscan II¨Þ). Repeatability of each device was evaluated by coefficient of variation, standard deviation, and intraclass correlation coefficient. RM-ANOVA on ranks was used to compare the differences in corneal curvatures among the devices. The Bland-Altman plot was performed to assess measurement agreement among the devices.

Results: The coefficient of variation values from each device ranged from 2.92% (IOL master¨Þ) to 3.06% (Orbscan II¨Þ), and the values of intraclass correlation coefficient ranged from 0.965 (KR-1W¨Þ) to 0.997 (IOL master¨Þ). Compared with the manual keratometer, there was a maximum corneal curvature difference of 1.23 D in KR-1W¨Þ, while the other devices had differences less than 0.82 D.

Conclusions: When assessing corneal curvature, the repeatability values were similar among the 5 devices, although a difference greater than 1 D was observed when comparing the KR-1W¨Þ to the manual keratometer.
KEYWORD
Corneal curvature, Keratometry
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