title: Comparative evaluation of refractive surgery candidates with Placido topography, Orbscan II, Pentacam, and wavefront analysis.
abstract: OBJECTIVE
  To study the role of the Pentacam (Oculus), Orbscan II (Bausch & Lomb), and WaveScan (Visx) in evaluating topographic features identified as risk factors for ectasia after laser in situ keratomileusis to identify parameters that may be important in interpreting elevation topography and wavefront data when screening refractive surgery candidates.
  
  
  METHODS
  Private practice, New York, New York, USA.
  
  
  METHODS
  One hundred forty-five eyes of 75 consecutive patients were evaluated for refractive surgery by ultrasound pachymetry (Humphrey Atlas), videokeratography, WaveScan, Orbscan II, and Pentacam. Eyes were classified as normal or suspect based on the Rabinowitz criteria for keratoconus suspect on Placido disk-based videokeratography. Forty-six parameters were evaluated in a comparison of topographically normal eyes and eyes that met the criteria for keratoconus suspect.
  
  
  RESULTS
  The suspect group had thinner pachymetry, multiple distinguishing characteristics on the anterior and posterior corneal surfaces by elevation topography, and larger amounts of coma by wavefront analysis. Multivariable regression analysis identified the following as the strongest predictors of a suspect Placido topography: Pentacam, thinner pachymetry and larger differences between the highest and lowest points on the posterior elevation; Orbscan II, higher anterior maximum elevation, horizontal location of the thinnest point on the pachymetry map, and larger differences between the highest and lowest points on the posterior elevation.
  
  
  CONCLUSIONS
  Several parameters provided by the Pentacam, Orbscan II, WaveScan, and pachymetry were statistically correlated with keratoconus suspect, defined by higher asymmetry and steeper curvature on Placido topography.
authors: New York Eye and Ear Infirmary, New York, NY, USA. mreza04@yahoo.com
authors: Mohammad-Reza
authors: MR
authors: Nilforoushan
authors: Mark
authors: M
authors: Speaker
authors: Michael
authors: M
authors: Marmor
authors: Jodi
authors: J
authors: Abramson
authors: William
authors: W
authors: Tullo
authors: Dana
authors: D
authors: Morschauser
authors: Robert
authors: R
authors: Latkany
mesh_terms: D000328:Adult; D003315:Cornea / Q000000981:diagnostic imaging / Q000473:pathology*; D019781:Corneal Topography / Q000379:methods*; D004108:Dilatation, Pathologic / Q000175:diagnosis; D005260:Female; D006801:Humans; D007640:Keratoconus / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D010781:Photography; D012030:Refractive Errors / Q000175:diagnosis*; D054140:Refractive Surgical Procedures; D012307:Risk Factors