J Korean Ophthalmol Soc > Volume 60(7); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(7):635-642.
DOI: https://doi.org/10.3341/jkos.2019.60.7.635    Published online July 15, 2019.
Comparison of Central Corneal Thickness Measurements between Noncontact Specular Microscopy and Ultrasound Pachymetry.
Kyoung Ohn, Mee Yon Lee, Young Chun Lee, Hye Young Shin
Department of Ophthalmology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. Antares78@empas.com
비접촉경면현미경과 초음파 각막두께측정계를 이용해 측정한 중심각막두께의 비교
온 경⋅이미연⋅이영춘⋅신혜영
가톨릭대학교 의과대학 의정부성모병원 안과학교실
Correspondence:  Hye Young Shin,
Email: Antares78@empas.com
Received: 14 February 2019   • Revised: 23 March 2019   • Accepted: 25 June 2019
Abstract
PURPOSE
We compared and analyzed central corneal thickness (CCT) measurements according to the corneal thickness obtained with noncontact specular microscopy (NCSM) and ultrasound pachymetry (USP). METHODS: CCT was measured in the order of NCSM and USP by a single optometrist in 120 eyes of 120 healthy subjects. The measurements were compared between the devices and the measurement agreements and correlations between the devices were analyzed. To determine if the measurements differed depending on the thickness of the cornea, the patients were divided into three tertile groups from the thinnest patient by CCT measurement using USP, and then the differences in CCT measured by the two devices were analyzed. RESULTS: The CCT measurements using NCSM and USP were 548.25 ± 4.64 µm and 533.09 ± 35.96 µm, respectively. NCSM measurements were found to be thicker, showing statistically significant differences between the measurements (p < 0.001). The two examinations showed a high degree of correlation (r = 0.878; p < 0.01). In the three groups, the differences in CCT measurements between NCSM and USP were 12.93 ± 21.88 µm, 16.85 ± 15.89 µm, and 15.70 ± 20.46 µm, respectively, but the differences between the three groups were not statistically significant (p = 0.655). CONCLUSIONS: Our results show that although the differences in CCT measurements using NCSM and USP were consistent regardless of the corneal thickness, the CCT measurements by NCSM and USP were highly correlated.
Key Words: Central corneal thickness;Endothelial cell density;Noncontact specular microscopy;Ultrasound pachymetry


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