Evaluation of keratometric and total corneal astigmatism measurements from optical biometers and anterior segment tomographers and mapping to reconstructed corneal astigmatism vector components.

<h4>Purpose</h4>To investigate different measures for corneal astigmatism in the context of reconstructed corneal astigmatism (recCP) as required to correct the pseudophakic eye, and to derive prediction models to map measured corneal astigmatism to recCP.<h4>Methods</h4>Retr...

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Main Authors: Achim Langenbucher, Nóra Szentmáry, Alan Cayless, Peter Hoffmann, Jascha Wendelstein, Seth Pantanelli
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0313574
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author Achim Langenbucher
Nóra Szentmáry
Alan Cayless
Peter Hoffmann
Jascha Wendelstein
Seth Pantanelli
author_facet Achim Langenbucher
Nóra Szentmáry
Alan Cayless
Peter Hoffmann
Jascha Wendelstein
Seth Pantanelli
author_sort Achim Langenbucher
collection DOAJ
description <h4>Purpose</h4>To investigate different measures for corneal astigmatism in the context of reconstructed corneal astigmatism (recCP) as required to correct the pseudophakic eye, and to derive prediction models to map measured corneal astigmatism to recCP.<h4>Methods</h4>Retrospective single centre study of 509 eyes of 509 cataract patients with monofocal (MX60P) IOL. Corneal power measured with the IOLMaster 700 keratometry (IOLMK), and Galilei G4 keratometry (GK), total corneal power (TCP2), and Alpin's integrated front (CorT) and total corneal power (CorTTP). Feedforward shallow neural network (NET) and linear regression (REG) prediction models were derived to map the measured C0 and C45 power vector components to the respective recCP components.<h4>Results</h4>Both the NET and REG models showed superior performance compared to a constant model correcting the centroid error. The mean squared prediction errors for the NET/REG models were: 0.21/0.33 dpt for IOLMK, 0.23/0.36 dpt for GK, 0.24/0.35 for TCP2, 0.23/0.39 dpt for CorT and 0.22/0.36 dpt for CorTTP respectively (training data) and 0.27/0.37 dpt for IOLMK, 0.26/0.37 dpt for GK, 0.38/0.42 dpt for TCP2, 0.35/0.36 dpt for CorT, and 0.44/0.45 dpt for CorTTP respectively on the test data. Crossvalidation with model optimisation on the training (and validation) data and performance check on the test data showed a slight overfitting especially with the NET models.<h4>Conclusions</h4>Measurement modalities for corneal astigmatism do not yield consistent results. On training data the NET models performed systematically better, but on the test data REG showed similar performance to NET with the advantage of easier implementation.
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spelling doaj-art-0c83b9495a0f4b06aefd0d63c69585b32025-01-17T05:31:34ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031357410.1371/journal.pone.0313574Evaluation of keratometric and total corneal astigmatism measurements from optical biometers and anterior segment tomographers and mapping to reconstructed corneal astigmatism vector components.Achim LangenbucherNóra SzentmáryAlan CaylessPeter HoffmannJascha WendelsteinSeth Pantanelli<h4>Purpose</h4>To investigate different measures for corneal astigmatism in the context of reconstructed corneal astigmatism (recCP) as required to correct the pseudophakic eye, and to derive prediction models to map measured corneal astigmatism to recCP.<h4>Methods</h4>Retrospective single centre study of 509 eyes of 509 cataract patients with monofocal (MX60P) IOL. Corneal power measured with the IOLMaster 700 keratometry (IOLMK), and Galilei G4 keratometry (GK), total corneal power (TCP2), and Alpin's integrated front (CorT) and total corneal power (CorTTP). Feedforward shallow neural network (NET) and linear regression (REG) prediction models were derived to map the measured C0 and C45 power vector components to the respective recCP components.<h4>Results</h4>Both the NET and REG models showed superior performance compared to a constant model correcting the centroid error. The mean squared prediction errors for the NET/REG models were: 0.21/0.33 dpt for IOLMK, 0.23/0.36 dpt for GK, 0.24/0.35 for TCP2, 0.23/0.39 dpt for CorT and 0.22/0.36 dpt for CorTTP respectively (training data) and 0.27/0.37 dpt for IOLMK, 0.26/0.37 dpt for GK, 0.38/0.42 dpt for TCP2, 0.35/0.36 dpt for CorT, and 0.44/0.45 dpt for CorTTP respectively on the test data. Crossvalidation with model optimisation on the training (and validation) data and performance check on the test data showed a slight overfitting especially with the NET models.<h4>Conclusions</h4>Measurement modalities for corneal astigmatism do not yield consistent results. On training data the NET models performed systematically better, but on the test data REG showed similar performance to NET with the advantage of easier implementation.https://doi.org/10.1371/journal.pone.0313574
spellingShingle Achim Langenbucher
Nóra Szentmáry
Alan Cayless
Peter Hoffmann
Jascha Wendelstein
Seth Pantanelli
Evaluation of keratometric and total corneal astigmatism measurements from optical biometers and anterior segment tomographers and mapping to reconstructed corneal astigmatism vector components.
PLoS ONE
title Evaluation of keratometric and total corneal astigmatism measurements from optical biometers and anterior segment tomographers and mapping to reconstructed corneal astigmatism vector components.
title_full Evaluation of keratometric and total corneal astigmatism measurements from optical biometers and anterior segment tomographers and mapping to reconstructed corneal astigmatism vector components.
title_fullStr Evaluation of keratometric and total corneal astigmatism measurements from optical biometers and anterior segment tomographers and mapping to reconstructed corneal astigmatism vector components.
title_full_unstemmed Evaluation of keratometric and total corneal astigmatism measurements from optical biometers and anterior segment tomographers and mapping to reconstructed corneal astigmatism vector components.
title_short Evaluation of keratometric and total corneal astigmatism measurements from optical biometers and anterior segment tomographers and mapping to reconstructed corneal astigmatism vector components.
title_sort evaluation of keratometric and total corneal astigmatism measurements from optical biometers and anterior segment tomographers and mapping to reconstructed corneal astigmatism vector components
url https://doi.org/10.1371/journal.pone.0313574
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