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Complementary Keratoconus Indices Based on Topographical Interpretation of Biomechanical Waveform Parameters: A Supplement to Established Keratoconus Indices

Goebels, Susanne; Eppig, Timo; Wagenpfeil, Stefan; Cayless, Alan; Seitz, Berthold and Langenbucher, Achim (2017). Complementary Keratoconus Indices Based on Topographical Interpretation of Biomechanical Waveform Parameters: A Supplement to Established Keratoconus Indices. Computational and Mathematical Methods in Medicine, 2017, article no. 5293573.

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DOI (Digital Object Identifier) Link: https://doi.org/10.1155/2017/5293573
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Abstract

Purpose:
To build new models with the Ocular Response Analyzer (ORA) waveform parameters to create new indices analogous to established topographic keratoconus indices.

Method:
Biomechanical, tomographic, and topographic measurements of 505 eyes from the Homburger Keratoconus Centre were included. Thirty seven waveform parameters (WF) were derived from the biomechanical measurement with the ORA. Area under curve (ROC, receiver operating characteristic) was used to quantify the screening performance. A logistic regression analysis was used to create two new keratoconus prediction models based on these waveform parameters to resample the clinically established keratoconus indices from Pentacam and TMS-5.

Results:
ROC curves show the best results for the waveform parameters P1area, P2area, h1, h2, dive1, mslew1, aspect1, aplhf, dslope1. The new keratoconus prediction model to resample the Pentacam topographic keratoconus index (TKC) was: WFTKC = –4.068 + 0.002×P2area – 0.005×dive1 – 0.01×h1 – 2.501×aplhf, which achieves a sensitivity of 90.3% and specificity of 89.4%; to resample the TMS-5 keratoconus classification index (KCI) it was: WFKCI = –3.606 + 0.002×P2area which achieves a sensitivity of 75.4% and a specificity of 81.8%.

Conclusion:
Additional to the biomechanically provided Keratoconus Index two new indices which were based on the topographic gold standards (either Pentacam or TMS-5) were created. Of course, these do not replace the original topographic measurement.

Item Type: Journal Item
Copyright Holders: 2017 Susanne Goebels et al.
ISSN: 1748-6718
Extra Information: 7 pp.
Keywords: keratoconus; topography; tomography; Ocular Response Analyser; corneal biomechanics
Academic Unit/School: Faculty of Science, Technology, Engineering and Mathematics (STEM) > Physical Sciences
Faculty of Science, Technology, Engineering and Mathematics (STEM)
Item ID: 48815
Depositing User: Alan Cayless
Date Deposited: 01 Mar 2017 15:20
Last Modified: 15 Sep 2018 19:02
URI: http://oro.open.ac.uk/id/eprint/48815
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