title: Corneal deformation measurement using Scheimpflug noncontact tonometry.
abstract: OBJECTIVE
  To determine the intraexaminer repeatability and intersession reproducibility of corneal deformation measurement using Scheimpflug noncontact tonometry (Corvis ST) on normal subjects.
  
  
  METHODS
  Thirty-seven adults aged 20 to 48 years were invited to have their corneal deformation and curvature measurements taken using Corvis ST and Pentacam, respectively. Three consecutive measurements were taken for each instrument between 9:00 and 11:00 AM for intraexaminer repeatability analysis. Participants returned between 3:00 and 5:00 PM the same day for intersession reproducibility analysis.
  
  
  RESULTS
  The most repeatable corneal parameter measured by Corvis ST was central corneal thickness ([CCT] ICC, 0.96; precision, 10.85 μm; repeatability, 15.34 μm; CV, 1.01%), followed by deformation amplitude ([DA] ICC, 0.80; precision, 0.08 mm; repeatability, 0.13 mm; CV, 4.33%), first applanation time ([1st A-time] ICC, 0.77; precision, 0.22 milliseconds; repeatability, 0.31 milliseconds; CV, 1.42), and intraocular pressure ([IOP] ICC, 0.75; precision, 1.39 mm Hg; repeatability, 1.97 mm Hg; CV, 4.98). Other parameters showed poor repeatability. The DA and 1st A-time showed good intersession reproducibility. The 95% limits of agreement were +0.13 to -0.13 mm for DA and +0.27 to -0.33 milliseconds for 1st A-time. The DA was negatively correlated with central corneal thickness (r = -0.53, p < 0.001) but not with corneal curvatures (flattest curvature, r = 0.13, p = 0.46; steepest curvature, r = 0.05, p = 0.75).
  
  
  CONCLUSIONS
  Corneal deformation parameters DA and 1st A-time were repeatable and reproducible. A thinner cornea was associated with a higher corneal deformation. Measurement of DA serves as an indicator of corneal biomechanical properties.
authors.affiliation: School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong. shanica927@gmail.com
authors.forename: Ying
authors.initials: Y
authors.lastname: Hon
authors.forename: Andrew K C
authors.initials: AK
authors.lastname: Lam
mesh_terms: D000328:Adult; D003315:Cornea / Q000033:anatomy & histology*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D014065:Tonometry, Ocular / Q000379:methods*; D055815:Young Adult