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Table 5 Published literature on WTW corneal diameter of healthy eyes comparing different devices

From: Comparison of white-to-white measurements using four devices and their determination of ICL sizing

Author

Year

Devices/study group

Subjects

Results

Baumeister et al. [18]

2004

Holladay-Godwin gauge, Zeiss IOLMaster, Orbscan

100 eyes (61 subjects)

The coefficient of inter-rater repeatability (COR) and LOA was 1.30 and − 0.82 to 1.77 mm for the caliper, 0.92 and − 0.82 to 1.01 mm for the Holliday Godwin gauge, 0.76 and − 0.75 to 0.79 mm for the Orbscan II and 0.50 and − 0.48 to 0.50 mm for the IOLMaster

Martin et al. [20]

2013

Group 1 comprised eyes with low myopia (< 6.00 D)

Group 2 comprised moderately myopic eyes (6.00 to 12.00 D)

Group 3 comprised extremely myopic eyes (> 12.00 D)

328 eyes (64 subjects)

Eyes with moderate (LOA − 1.04 to 0.02 mm; r = 0.69) and high myopia (LOA − 0.85 to − 0.19 mm; r = 0.94) had lower WTW diameters than eyes with low myopia (LOA − 1.02 to 0.05 mm; r = 0.76) measured with Orbscan and IOLMaster

Orbscan topography provided less WTW distance than IOLMaster in myopic eyes, and thus the devices are not clinically interchangeable

Salouti et al. [24]

2009

Galilei, EyeSys, Orbscan II

74 eyes (37 subjects)

The best 95% LOA between devices were for the Galilei and the Orbscan II (− 0.72, 1.48; r = 0.40)

The best 95% LOA between two eyes for each device were found with the Orbscan II (− 0.15, 0.17; r = 0.99)

Results suggest that measurements made with the Orbscan II are smaller than those obtained with the EyeSys Corneal Analysis system and the Galilei

Salouti et al. [19]

2013

Pentacam HR, Orbscan II

101 eyes (101 subjects)

The mean difference between the Pentacam HR versus Orbscan IIz measurements was 0.10 ± 0.12 mm (95% confidence interval, 0.07–0.12, P < 0.001)

The measurements were highly correlated (r = 0.948, P < 0.001) and the 95% LOAs for the Pentacam HR versus the Orbscan II were − 0.14 to 0.33 mm

The observed differences in WTW distance readings between the Pentacam HR and the Orbscan IIz are clinically irrelevant, and the two devices can be used interchangeably in clinical practice

Guber et al. [25]

2015

Pentacam, Biograph Devices, HiScan Device

107 eyes (56 subjects)

The Allegro BioGraph measures of WTW were wider than those taken with the Pentacam (bias = 0.26 mm, P < 0.01)

The repeatability STS measured with the HiScan was 0.39 mm, which was significantly reduced (0.15 mm) when the average of two measures was used

Agreement between the horizontal WTW measures and horizontal STS estimates when bias was accounted for was r = 0.54 with the Pentacam and r = 0.64 with the BioGraph

Large inter device bias was observed for WTW and STS measures

Fernández et al. [26]

2019

Orbscan and Keratograph

192 eyes of 192 subjects

Manual keratograph overestimated the WTW versus manual Orbscan in 0.13 ± 0.18 mm (P < 0.001) but not in the automated method comparison, 0.01 ± 0.19 mm (P = 0.58)

Inter-examiner reproducibility was higher with manual Orbscan than with manual keratograph, and the intra-examiner R decreased with the average of two measures in both cases

Probability of confounding sizing was higher with the increase of mean differences, the LOAs, and R

WTW from 11.1 to 11.2 mm, 11.6 to 11.7 mm, and 12.3 to 12.4 mm resulted in higher PCS

  1. WTW = white-to-white; LOA = limits of agreement; STS = sulcus to sulcus; PCS = probability of confusing sizing