Corneal and Epithelial Thickness Mapping: Comparison of Swept-Source- and Spectral-Domain-Optical Coherence Tomography

Objective. To compare the results and repeatability of the corneal thickness (CT) and epithelial thickness (ET) maps provided by Swept-Source-Optical Coherence Tomography with those of Spectral-Domain-OCT in normal eyes. Methods. 30 normal eyes of 30 patients were assessed by 3 trained operators wit...

Full description

Saved in:
Bibliographic Details
Main Authors: Cristina Georgeon, Ilanite Marciano, Roxane Cuyaubère, Otman Sandali, Nacim Bouheraoua, Vincent Borderie
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2021/3444083
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841524670030938112
author Cristina Georgeon
Ilanite Marciano
Roxane Cuyaubère
Otman Sandali
Nacim Bouheraoua
Vincent Borderie
author_facet Cristina Georgeon
Ilanite Marciano
Roxane Cuyaubère
Otman Sandali
Nacim Bouheraoua
Vincent Borderie
author_sort Cristina Georgeon
collection DOAJ
description Objective. To compare the results and repeatability of the corneal thickness (CT) and epithelial thickness (ET) maps provided by Swept-Source-Optical Coherence Tomography with those of Spectral-Domain-OCT in normal eyes. Methods. 30 normal eyes of 30 patients were assessed by 3 trained operators with SS-OCT and SD-OCT. Results. The central and minimum ET obtained with both devices were correlated: central ET, r = 0.86, p<0.05; minimum ET, r = 0.72, p<0.05. Compared with SD-OCT, SS-OCT tended to underestimate these figures by 1.4 and 1.9 μm on average. The central and minimum CT obtained with both devices were strongly correlated: central CT, r = 0.994, p<0.05; minimum CT, r = 0.995, p<0.05. SS-OCT tended to overestimate these figures by 11 and 14 μm on average. Repeatability was good for both devices with a mean coefficient of variation of measurements <6% for ET and <2% for CT. Interoperator variability (standard deviation and COV) was significantly higher for SS-OCT than for SD-OCT for all local epithelial thicknesses and significantly lower for the central CT and several local corneal thicknesses, whereas no significant differences between both technologies were found for the central and minimum ET and the minimum CT. Conclusion. SS-OCT and SD-OCT provide reproducible measurements of CT and ET in normal corneas with a strong correlation between both technologies. However, both technologies are not interchangeable when the main thickness parameters (i.e., central and minimum CT and minimum ET) are used for diagnosing early keratoconus or calculating the expected residual stromal bed thickness before corneal refractive surgery or anterior lamellar keratoplasty.
format Article
id doaj-art-e55f00d19e3c47cf9ac29671a74180bc
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-e55f00d19e3c47cf9ac29671a74180bc2025-02-03T05:47:40ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/34440833444083Corneal and Epithelial Thickness Mapping: Comparison of Swept-Source- and Spectral-Domain-Optical Coherence TomographyCristina Georgeon0Ilanite Marciano1Roxane Cuyaubère2Otman Sandali3Nacim Bouheraoua4Vincent Borderie5GRC 32,Transplantation et Thérapies Innovantes de La Cornée, Sorbonne Université, Centre Hospitalier National D’Ophtalmologie des Quinze-Vingts, Paris, FranceGRC 32,Transplantation et Thérapies Innovantes de La Cornée, Sorbonne Université, Centre Hospitalier National D’Ophtalmologie des Quinze-Vingts, Paris, FranceGRC 32,Transplantation et Thérapies Innovantes de La Cornée, Sorbonne Université, Centre Hospitalier National D’Ophtalmologie des Quinze-Vingts, Paris, FranceGRC 32,Transplantation et Thérapies Innovantes de La Cornée, Sorbonne Université, Centre Hospitalier National D’Ophtalmologie des Quinze-Vingts, Paris, FranceGRC 32,Transplantation et Thérapies Innovantes de La Cornée, Sorbonne Université, Centre Hospitalier National D’Ophtalmologie des Quinze-Vingts, Paris, FranceGRC 32,Transplantation et Thérapies Innovantes de La Cornée, Sorbonne Université, Centre Hospitalier National D’Ophtalmologie des Quinze-Vingts, Paris, FranceObjective. To compare the results and repeatability of the corneal thickness (CT) and epithelial thickness (ET) maps provided by Swept-Source-Optical Coherence Tomography with those of Spectral-Domain-OCT in normal eyes. Methods. 30 normal eyes of 30 patients were assessed by 3 trained operators with SS-OCT and SD-OCT. Results. The central and minimum ET obtained with both devices were correlated: central ET, r = 0.86, p<0.05; minimum ET, r = 0.72, p<0.05. Compared with SD-OCT, SS-OCT tended to underestimate these figures by 1.4 and 1.9 μm on average. The central and minimum CT obtained with both devices were strongly correlated: central CT, r = 0.994, p<0.05; minimum CT, r = 0.995, p<0.05. SS-OCT tended to overestimate these figures by 11 and 14 μm on average. Repeatability was good for both devices with a mean coefficient of variation of measurements <6% for ET and <2% for CT. Interoperator variability (standard deviation and COV) was significantly higher for SS-OCT than for SD-OCT for all local epithelial thicknesses and significantly lower for the central CT and several local corneal thicknesses, whereas no significant differences between both technologies were found for the central and minimum ET and the minimum CT. Conclusion. SS-OCT and SD-OCT provide reproducible measurements of CT and ET in normal corneas with a strong correlation between both technologies. However, both technologies are not interchangeable when the main thickness parameters (i.e., central and minimum CT and minimum ET) are used for diagnosing early keratoconus or calculating the expected residual stromal bed thickness before corneal refractive surgery or anterior lamellar keratoplasty.http://dx.doi.org/10.1155/2021/3444083
spellingShingle Cristina Georgeon
Ilanite Marciano
Roxane Cuyaubère
Otman Sandali
Nacim Bouheraoua
Vincent Borderie
Corneal and Epithelial Thickness Mapping: Comparison of Swept-Source- and Spectral-Domain-Optical Coherence Tomography
Journal of Ophthalmology
title Corneal and Epithelial Thickness Mapping: Comparison of Swept-Source- and Spectral-Domain-Optical Coherence Tomography
title_full Corneal and Epithelial Thickness Mapping: Comparison of Swept-Source- and Spectral-Domain-Optical Coherence Tomography
title_fullStr Corneal and Epithelial Thickness Mapping: Comparison of Swept-Source- and Spectral-Domain-Optical Coherence Tomography
title_full_unstemmed Corneal and Epithelial Thickness Mapping: Comparison of Swept-Source- and Spectral-Domain-Optical Coherence Tomography
title_short Corneal and Epithelial Thickness Mapping: Comparison of Swept-Source- and Spectral-Domain-Optical Coherence Tomography
title_sort corneal and epithelial thickness mapping comparison of swept source and spectral domain optical coherence tomography
url http://dx.doi.org/10.1155/2021/3444083
work_keys_str_mv AT cristinageorgeon cornealandepithelialthicknessmappingcomparisonofsweptsourceandspectraldomainopticalcoherencetomography
AT ilanitemarciano cornealandepithelialthicknessmappingcomparisonofsweptsourceandspectraldomainopticalcoherencetomography
AT roxanecuyaubere cornealandepithelialthicknessmappingcomparisonofsweptsourceandspectraldomainopticalcoherencetomography
AT otmansandali cornealandepithelialthicknessmappingcomparisonofsweptsourceandspectraldomainopticalcoherencetomography
AT nacimbouheraoua cornealandepithelialthicknessmappingcomparisonofsweptsourceandspectraldomainopticalcoherencetomography
AT vincentborderie cornealandepithelialthicknessmappingcomparisonofsweptsourceandspectraldomainopticalcoherencetomography