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Does the Posterior Corneal Elevation Provide the First Indication of Keratoconus? K.C. Baker, Y.-L.Chen, L.Shi, J.W. L. Lewis, L.Kugler, M.Wang.  Wang Vision Institute, Nashville, TN; Center for Laser Applications, University of Tennessee Space Institute, Tullahoma, TN; Department of Ophthalmology, University of Tennessee, Memphis, TN   Program # 4963 Poster # D759
Purpose : ,[object Object],Subject Makeup ,[object Object],[object Object],[object Object],[object Object]
Methods : ,[object Object],[object Object],[object Object],[object Object],[object Object]
Results : 5mm High-Order RMSE  FFKC (mild KC) Moderate  KC Advanced  KC Astigmatic ,[object Object],[object Object],[object Object]
Results : 5mm ROC Curves ,[object Object],[object Object]
FFKC (mild KC) Moderate  KC Advanced  KC Astigmatic Results : 6mm High-Order RMSE  ,[object Object],[object Object]
Results : 6mm ROC Curves ,[object Object],[object Object]
FFKC (mild KC) Moderate  KC Advanced  KC Astigmatic Results : 7mm High-Order RMSE  ,[object Object],[object Object]
Results : 7mm ROC Curves ,[object Object],[object Object]
Results : FFKC and KC Classification KC sensitivity at 100% specificity KC area under ROC curve FFKC sensitivity at 100% specificity FFKC area under ROC curve Anterior 5mm 70% 0.92 38% 0.67 Posterior 5mm 90% 0.99 38% 0.66 Difference 5mm 100% 1.00 38% 0.68 Anterior 6mm 80% 0.94 38% 0.69 Posterior 6mm 90% 0.98 38% 0.68 Difference 6mm 90% 0.97 38% 0.64 Anterior 7mm 80% 0.93 38% 0.75 Posterior 7mm 80% 0.97 63% 0.84 Difference 7mm 90% 0.95 63% 0.81
Conclusions : ,[object Object],[object Object],[object Object]

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Arvo 2010 Final

  • 1. Does the Posterior Corneal Elevation Provide the First Indication of Keratoconus? K.C. Baker, Y.-L.Chen, L.Shi, J.W. L. Lewis, L.Kugler, M.Wang. Wang Vision Institute, Nashville, TN; Center for Laser Applications, University of Tennessee Space Institute, Tullahoma, TN; Department of Ophthalmology, University of Tennessee, Memphis, TN Program # 4963 Poster # D759
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. Results : FFKC and KC Classification KC sensitivity at 100% specificity KC area under ROC curve FFKC sensitivity at 100% specificity FFKC area under ROC curve Anterior 5mm 70% 0.92 38% 0.67 Posterior 5mm 90% 0.99 38% 0.66 Difference 5mm 100% 1.00 38% 0.68 Anterior 6mm 80% 0.94 38% 0.69 Posterior 6mm 90% 0.98 38% 0.68 Difference 6mm 90% 0.97 38% 0.64 Anterior 7mm 80% 0.93 38% 0.75 Posterior 7mm 80% 0.97 63% 0.84 Difference 7mm 90% 0.95 63% 0.81
  • 11.

Notas do Editor

  1. These view graphs were to presented to ARVO 2010 meeting by WVI CLA, UTSI, If you find any mistakes in the slides, please inform me. Kevin Baker, Email: dr.kevin.charles.baker@gmail.com, Phone: (office) 610-217-9141
  2. We included Pentacam data of 18 KC and 22 astigmatic eyes in this study. Within the KC eyes, 8 are mild with manifest best corrected visual acuity (BCVA) of 20/25 or better. The FFKC diagnosis relied on the other eye's condition from the same subject, other KC indications, and family history. The remaining KC eyes are comprised of 5 moderate with a BCVA of 20/30-20/40, and 5 that are worse than 20/40. The 22 astigmatic eyes all had a BCVA of 20/25 or better. The posterior and anterior elevation maps are decomposed into Zernike polynomials to obtain the root mean squared error (RMSE) above the 2 nd order that represents high-order complex patterns. The difference between the 2 RMSE values is used as a third indicator. The extreme RMSE values of the astigmatic eyes are used as the screening criteria (i.e. 100% specificity).
  3. We included Pentacam data of 18 KC and 22 astigmatic eyes in this study. Within the KC eyes, 8 are mild with manifest best corrected visual acuity (BCVA) of 20/25 or better. The FFKC diagnosis relied on the other eye's condition from the same subject, other KC indications, and family history. The remaining KC eyes are comprised of 5 moderate with a BCVA of 20/30-20/40, and 5 that are worse than 20/40. The 22 astigmatic eyes all had a BCVA of 20/25 or better. The posterior and anterior elevation maps are decomposed into Zernike polynomials to obtain the root mean squared error (RMSE) above the 2 nd order that represents high-order complex patterns. The difference between the 2 RMSE values is used as a third indicator. The extreme RMSE values of the astigmatic eyes are used as the screening criteria (i.e. 100% specificity).
  4. AUC is equal to the probability that a classifier will rank a randomly chosen positive instance higher than a randomly chosen negative one
  5. 1. The posterior cornea surface alone provides more significant indication of keratoconus than the anterior surface. 2. Analysis with a larger cornea area improves detection sensitivity. 3. Either anterior or posterior cornea irregularity is a sufficient indicator of early KC, but sometimes additional information is required to clinically diagnose FFKC.