Videokeratoscopic indices in relation to epidemiological exposure to keratoconus.
BACKGROUND
To establish the relationship between videokeratoscopic indices and the degree of epidemiological exposure to keratoconus in three groups of clinically normal subjects.


METHODS
Cross-sectional study in which 75 subjects lacking clinical signs of keratoconus were divided into three groups according to epidemiological exposure to the condition: 25 fellow eyes of subjects with clinical signs on the contralateral eye only (the "fellow eye" group), to be compared to 25 first-degree relatives of patients with keratoconus (the "relatives" group) and 25 controls without a family history of the disease (the "control" group). Qualitative patterns and quantitative parameters describing curvature (central curvature), irregularity (root mean square of the higher-order corneal wavefront aberration), and asymmetry (inferior-superior dioptric asymmetry, Zernike vertical coma) obtained from videokeratoscopy were used for comparison between groups.


RESULTS
Members of the fellow eye group featured a greater number of asymmetric curvature patterns and increased values in indices describing asymmetry and irregularity than subjects included in both control and relatives groups. Control and relatives groups were not significantly different. Despite significant differences in the distribution of values between the groups, no single index was able to effectively discriminate between groups using ROC curve analysis.


CONCLUSIONS
A prior threefold classification of clinically normal subjects according to epidemiological exposure to keratoconus was not sustained by significant differences in videokeratoscopic indices when comparing between groups.
Mato
Jose Luis
JL
E.U. Optica e Optometría. Campus Sur, Universidade de Santiago de Compostela, Santiago de Compostela, 15705 (A Coruña), Spain. jlmato@victormato.com
Lema
Isabel
I
Díez-Feijoo
Elío
E
D000293:Adolescent; D000328:Adult; D002648:Child; D019781:Corneal Topography / Q000379:methods / Q000592:standards*; D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D006801:Humans; D007640:Keratoconus / Q000145:classification / Q000453:epidemiology* / Q000473:pathology*; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000592:standards*; D008875:Middle Aged; D015995:Prevalence; D012372:ROC Curve; D015203:Reproducibility of Results; D055815:Young Adult