J Korean Ophthalmol Soc.  2023 Dec;64(12):1158-1167. 10.3341/jkos.2023.64.12.1158.

Comparison of Anterior Segment Measurements Between Swept-source Optical Coherence Tomography and Schiempflug Coherence Interferometer

• Song J
• Na KS

• KMID: 2549021
• DOI: http://doi.org/10.3341/jkos.2023.64.12.1158

Abstract

Purpose
To assess the agreement between anterior segment measurements obtained using swept-source optical coherence tomography (Anterion^®, Heidelberg Engineering Inc., Heidelberg, Germany) and Scheimpflug partial coherence interferometry (Pentacam HR^®, OCULUS, Wetzlar, Germany).
Methods
We analyzed the anterior and posterior corneal keratometry, Cartesian astigmatism (J0), oblique astigmatism (J45), anterior chamber depth (ACD), and central corneal thickness (CCT) measurements obtained using the two devices in 65 eyes of 43 subjects.
Results
The mean differences between the anterior flat K, anterior steep K, anterior mean K, anterior J0, anterior J45, posterior flat K, posterior steep K, posterior mean K, posterior J0, posterior J45, ACD, and CCT measurements were -0.13 ± 0.34, -0.02 ± 0.33, -0.05 ± 0.31, -0.03 ± 0.39, -0.06 ± 0.35, 0.12 ± 0.09, 0.07 ± 0.08, 0.10 ± 0.06, -0.02 ± 0.14, 0.01 ± 0.16, 0.04 ± 0.06, and -3.51 ± 7.42, respectively. All measurements except posterior J0 and J45 had interclass correlation coefficients greater than 0.75.
Conclusions
The mean differences and 95% limits of agreement in this study are consistent with previously reported values. There was a high level of agreement between Anterion^® and Pentacam HR^®. However, considering the statistically significant differences and limits of agreement for certain measurements, caution should be exercised when assuming interchangeability between these devices.

Keyword

Astigmatism, Biometry, Keratometry, Schiempflug partial coherence interferometer, Swept-source optical coherence tomography