Journal List > J Korean Ophthalmol Soc > v.50(5) > 1008541

Park, Kim, and Jung: Comparison of Corneal Thickness and Anterior Chamber Depth Measured With Orbscan, Pentacam, and Ultrasound Pachymetry

Abstract

Purpose

We compared the measurements of corneal thickness and anterior chamber depth (ACD) using three different methods Orbscan, Pentacam and ultrasound pachymetry.

Methods

In healthy volunteers, central corneal thickness was measured with Orbscan, Pentacam and ultrasound pachymetry. Estimation of peripheral corneal thickness and ACD were done by Orbscan and Pentacam. All results were compared statistically.

Results

The mean central corneal thickness of 64 eyes measured by Orbscan, Pentacam and ultrasound pachymetry were 509.1±61.0 μ m, 539.2±51.7 μ m and 527.4±48.3 μ m, respectively. There were statistically significant differences in the results among the three methods (repeated-measures analysis of variance (ANOVA), p<0.05). There were significant correlations between the ultrasonic pachymetry, the Orbscan and the Pentacam (Pearson correlation, r >0.90, p<0.05). The temporal and nasal peripheral corneal thicknesses were thinner in the Pentacam than in the Orbscan (paired t-test, p<0.05). The superior and inferior corneal thickness and ACD were not significantly different.

Conclusions

The results of the three instruments have significant correlations with each other, so all methods are clinically useful.

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Figure 1.
The correlation plot of the central corneal thickness (CCT) measured by Ultrasound pachymetry (US), Orbscan (ORB) and Pentacam (in μm). (A) US CCT and ORB CCT (r=0.968, p=0.000), (B) US CCT and Pentacam CCT (r=0.927, p=0.000), (C) Pentacam CCT and ORB CCT (r=0.965, p=0.000).
jkos-50-664f1.tif
Figure 2.
The correlation plot of the anterior chamber depth (ACD, in mm) measured by Orbscan (Orb) and Pentacam (r=0.67, p<0.05)
jkos-50-664f2.tif
Table 1.
The central corneal thickness (m) measured by Ultrasound pachymetry (Ultrasound), Orbscan and Pentacam (Mean± standard deviation)
Ultrasound Orbscan Pentacam p value*
CCT (m) 527.4±48.3 509.1±61.0 539.4±51.7 0.000

* repeated-measures ANOVA, p<0.05: statistically significant p-value

CCT=central corneal thickness.

Table 2.
The comparison of corneal thickness (means± standard deviation) between Orbscan and Pentacam
Corneal thickness
Orbscan (μm) Pentacam (μm) p value*
Center 515.94±56.75 544.51±47.89 0.00
Thinnest 510.16±58.07 540.69±49.54 0.00
Temporal 582.21±35.90 573.14±35.90 0.01
Nasal 613.43±43.46 593.90±49.75 0.00
Superior 613.67±40.84 586.96±41.24 0.93
Inferior 586.96±41.24 580.49±42.56 0.05

* paired t-test, p<0.05: statistically significant p-value.

Table 3.
The comparison of anterior chamber depth (means± standard deviation) between Orbscan and Pentacam
Anterior chamber depth
Orbscan (mm) Pentacam (mm) p value*
Center 3.15±0.40 3.24±0.51 0.09
Deepest 3.25±0.40 3.34±0.55 0.13
Temporal 2.93±0.32 2.90±0.33 0.30
Nasal 2.58±0.41 2.59±0.41 0.88
Superior 2.74±0.37 2.69±0.47 0.30
Inferior 2.93±0.39 3.02±0.33 0.13

* paired t-test, p<0.05: statistically significant p-value.

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