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BioMed Research International
Volume 2014, Article ID 748671, 9 pages
http://dx.doi.org/10.1155/2014/748671
Clinical Study

Evaluation of Corneal Deformation Analyzed with Scheimpflug Based Device in Healthy Eyes and Diseased Ones

1Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Via De Crecchio 16, 80100 Napoli, Italy
2Centro Grandi Apparecchiature, Second University of Naples, Via De Crecchio 16, 80100 Napoli, Italy
3Santa Lucia Eye Clinic, Via Trieste 71, 00198 Cosenza, Italy

Received 23 April 2014; Revised 4 June 2014; Accepted 9 June 2014; Published 23 June 2014

Academic Editor: Ciro Costagliola

Copyright © 2014 Michele Lanza et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This study was designed to evaluate the correlation between corneal biomechanical and morphological data in healthy eyes, eyes that underwent myopic photorefractive keratectomy (PRK), keratoconus affected eyes, and keratoconus affected eyes that underwent corneal collagen crosslinking (CCC). Complete clinical eye examination of all eyes was followed by tomographic (Pentacam, Oculus, Wetzlar, Germany) and biomechanical (Corvis ST, Oculus, Wetzlar, Germany) evaluation. Differences among Corvis ST (CST) parameters in the different groups have been performed. Linear regression between central corneal thickness (CCT), intraocular pressure (IOP), and anterior corneal curvature measured with Sim’K (KM), versus corneal deformation parameters measured with Corvis ST in the different groups, has been run using SPSS software version 18.0. We evaluated 64 healthy eyes of 64 patients with a mean refractive error of  D (measured as spherical equivalent), 17 eyes of 17 patients that underwent myopic PRK for a mean refractive defect of  D (measured as spherical equivalent), 16 eyes of 16 patients affected by keratconus (stage 2-3 of Amsler Classification), and 13 eyes of 13 patients affected by keratoconus that underwent CCC. Our data suggest that corneal curvature would have a greater influence on corneal deformation than CCT; in fact KM values are more strongly associated with more CST parameters both about corneal change in shape and both about the corneal ability to come back at original shape.