Assessment and Clinical Characteristics of Posterior Corneal Astigmatism
Yuanfeng Jiang, Luning Qin, Hong Zhang, Fang Tian
Tianjin Key Laboratory of Retinal Functions and Disease, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 300384, China
Abstract:Accurate assessment of corneal astigmatism has great clinical implications in procedures such as refractive and cataract surgery. The influence of posterior corneal astigmatism (PCA) on the overall corneal astigmatism assessment was underestimated due to the lack of theoretical understanding and the limitations of examination equipment. In recent years, various devices based on different principles have realized the direct or indirect collection of corneal posterior surface information. Their wide application in clinical and scienti?c research has made the distribution characteristics and rules of PCA gradually clear. This article reviews the assessment methods and clinical characteristics of PCA, aiming to improve the understanding of these factors and bring attention to them in clinical practice.
蒋元丰,秦鲁宁,张红,等. 角膜后表面散光的评估方法及临床特征的研究进展[J]. 中华眼视光学与视觉科学杂志, 2021, 23(11): 875-880.
Yuanfeng Jiang, Luning Qin, Hong Zhang, et al. Assessment and Clinical Characteristics of Posterior Corneal Astigmatism. Chinese Journal of Optometry Ophthalmology and Visual science, 2021, 23(11): 875-880. DOI: 10.3760/cma.j.cn115909-20200623-00268
Zheng T, Chen Z, Lu Y. Influence factors of estimation errorsfor total corneal astigmatism using keratometric astigmatism in patients before cataract surgery. J Cataract Refract Surg, 2016, 42(1): 84-94. DOI:
10
1016/j.jcrs.2015.07.037.
[2]
Liu YC, Wilkins M, Kim T, et al. Cataracts. Lancet, 2017, 390(10094): 600-612. DOI: 10.1016/S0140-6736(17)30544-5.
[3]
Yoon CH, Kim MK. Improving the toric intraocular lens calculation by considering posterior corneal astigmatism and surgically-induced corneal astigmatism. Korean J Ophthalmol, 2018, 32(4): 265-272. DOI: 10.3341/kjo.2017.0108.
[4]
Savini G, Naeser K. An analysis of the factors influencing the residual refractive astigmatism after cataract surgery with toric intraocular lenses. Invest Ophthalmol Vis Sci, 2015, 56(2): 827- 835. DOI: 10.1167/iovs.14-15903.
[5]
Lüdeke I, Gonnermann J, Jørgensen J, et al. Refractive outcomes of femtosecond laser-assisted secondary arcuate incisions in patients with residual refractive astigmatism after trifocal intraocular lens implantations. J Cataract Refract Surg, 2019, 45(1): 28-34. DOI: 10.1016/j.jcrs.2018.08.024.
[6]
Berdahl JP, Hardten DR, Kramer BA, et al. Effect of astigmatism on visual acuity after multifocal versus monofocal intraocular lens implantation. J Cataract Refract Surg, 2018, 44(10): 1192- 1197. DOI: 10.1016/j.jcrs.2018.06.048.
[7]
Rio-Cristobal A, Martin R. Corneal assessment technologies: current status. Surv Ophthalmol, 2014, 59(6): 599-614. DOI: 10.1016/j.survophthal.2014.05.001.
[8]
Fan R, Chan TC, Prakash G, et al. Applications of corneal topography and tomography: a review. Clin Exp Ophthalmol, 2018, 46(2): 133-146. DOI: 10.1111/ceo.13136.
Martin R. Cornea and anterior eye assessment with placidodisc keratoscopy, slit scanning evaluation topography and scheimpflug imaging tomography. Indian J Ophthalmol, 2018, 66(3): 360-366. DOI: 10.4103/ijo.IJO_850_17.
[11]
de Jong T, Sheehan MT, Koopmans SA, et al. Posterior corneal shape: Comparison of height data from 3 corneal topographers. J Cataract Refract Surg, 2017, 43(4): 518-524. DOI: 10.1016/ j.jcrs.2017.03.021.
[12]
Meyer JJ, Gokul A, Vellara HR, et al. Repeatability and agreement of Orbscan II, Pentacam HR, and Galilei tomography systems in corneas with keratoconus. Am J Ophthalmol, 2017, 175: 122-128. DOI: 10.1016/j.ajo.2016.12.003.
[13]
DREWS RC. Fundus photography by electronic flash. III. A new fundus-anterior segment camera. Am J Ophthalmol, 1957, 44(4 Pt 1): 522-525. DOI: 10.1016/0002-9394(57)90153-8.
[14]
D R E W S R C . D E P T H O F F I E L D I N S L I T L A M P PHOTOGRAPHY. AN OPTICAL SOLUTION USING THE SCHEIMPFLUG PRINCIPLE. Ophthalmologica, 1964, 148: 143-150. DOI: 10.1159/000304670.
[15]
Pan C, Tan W, Savini G, et al. A comparative study of total corneal power using a ray tracing method obtained from three different Scheimpflug camera devices. Am J Ophthalmol, 2020, 216: 90-98. DOI: 10.1016/j.ajo.2020.03.037.
[16]
Swartz T, Marten L, Wang M. Measuring the cornea: the latest developments in corneal topography. Curr Opin Ophthalmol, 2007, 18(4): 325-333. DOI: 10.1097/ICU.0b013e3281ca7121.
[17]
González-Pérez J, González-Méijome JM, Rodríguez Ares MT, et al. Central corneal thickness measured with three optical devices and ultrasound pachometry. Eye Contact Lens, 2011, 37(2): 66-70. DOI: 10.1097/ICL.0b013e31820c6ffc.
[18]
Atalay E, Tamçelik N, Bilgec MD. Quadrantwise comparison of lens-iris distance in patients with pseudoexfoliation syndrome and age-matched controls. J Glaucoma, 2016, 25(1): 95-100. DOI: 10.1097/IJG.0000000000000093.
[19]
Wang Q, Ding X, Savini G, et al. Anterior chamber depth measurements using Scheimpflug imaging and optical coherence tomography: repeatability, reproducibility, and agreement. J Cataract Refract Surg, 2015, 41(1): 178-185. DOI: 10.1016/ j.jcrs.2014.04.038.
[20]
Bao F, Savini G, Shu B, et al. Repeatability, reproducibility, and agreement of two Scheimpflug-placido anterior corneal analyzers for posterior corneal surface measurement. J Refract Surg, 2017, 33(8): 524-530. DOI: 10.3928/1081597X20170606-01.
[21]
Shetty R, Agrawal A, Deshmukh R, et al. Effect of post crosslinking haze on the repeatability of Scheimpflug-based and slit-scanning imaging devices. Indian J Ophthalmol, 2017, 65(4): 305-310. DOI: 10.4103/ijo.IJO_690_16.
[22]
Doors M, Berendschot TT, de Brabander J, et al. Value of optical coherence tomography for anterior segment surgery. J Cataract Refract Surg, 2010, 36(7): 1213-1229. DOI: 10.1016/ j.jcrs.2010.05.002.
[23]
Tsang SH, Sharma T. Optical coherence tomography. Adv Exp Med Biol, 2018, 1085: 11-13. DOI: 10.1007/978-3-319-95046- 4_3.
[24]
Martinez-Albert N, Esteve-Taboada JJ, Montes-Mico R. Repeatability of whole-cornea measurements using an anterior segment imaging device based on OCT and Placidodisk. Expert Rev Med Devices, 2017, 14(2): 169-175. DOI: 10.1080/17434440.2017.1281739.
[25]
Viswanathan D, Kumar NL, Males JJ, et al. Comparative analysis of corneal measurements obtained from a Scheimpflug camera and an integrated Placido-optical coherence tomography device in normal and keratoconic eyes. Acta Ophthalmol, 2015, 93(6): e488-e494. DOI: 10.1111/aos.12622.
[26]
Schröder S, Mäurer S, Eppig T, et al. Comparison of corneal tomography: repeatability, precision, misalignment, mean elevation, and mean pachymetry. Curr Eye Res, 2018, 43(6): 709-716. DOI: 10.1080/02713683.2018.1441873. [27] LaHood BR, Goggin M. Measurement of posterior corneal astigmatism by the IOLMaster 700. J Refract Surg, 2018, 34(5): 331-336. DOI: 10.3928/1081597X-20180214-02.
[28]
Koch DD, Ali SF, Weikert MP, et al. Contribution of posterior corneal astigmatism to total corneal astigmatism. J Cataract Refract Surg, 2012, 38(12): 2080-2087. DOI: 10.1016/ j.jcrs.2012.08.036.
Shao X, Zhou KJ, Pan AP, et al. Age-related changes in corneal astigmatism. J Refract Surg, 2017, 33(10): 696-703. DOI: 10.3928/1081597X-20170718-04.
[31]
Ho JD, Liou SW, Tsai RJ, et al. Effects of aging on anterior and posterior corneal astigmatism. Cornea, 2010, 29(6): 632-637. DOI: 10.1097/ICO.0b013e3181c2965f.
[32]
Gudmundsdottir E, Jonasson F, Jonsson V, et al. "With the rule" astigmatism is not the rule in the elderly. Reykjavik Eye Study: a population based study of refraction and visual acuity in citizens of Reykjavik 50 years and older. Iceland-Japan Co-Working Study Groups. Acta Ophthalmol Scand, 2000, 78(6): 642-646. DOI: 10.1034/j.1600-0420.2000.078006642.x.
[33]
Ferrer-Blasco T, González-Méijome JM, Montés-Micó R. Agerelated changes in the human visual system and prevalence of refractive conditions in patients attending an eye clinic. J Cataract Refract Surg, 2008, 34(3): 424-432. DOI: 10.1016/ j.jcrs.2007.10.032.
[34]
Feizi S, Naderan M, Ownagh V, et al. Distribution of the anterior, posterior, and total corneal astigmatism in healthy eyes. Int Ophthalmol, 2018, 38(2): 481-491. DOI: 10.1007/s10792- 017-0483-9.
[35]
Dubbelman M, Sicam VA, Van der Heijde GL. The shape of the anterior and posterior surface of the aging human cornea. Vision Res, 2006, 46(6-7): 993-1001. DOI: 10.1016/j.visres.2005. 09.021.
[36]
Ho JD, Tsai CY, Liou SW. Accuracy of corneal astigmatism estimation by neglecting the posterior corneal surface measurement. Am J Ophthalmol, 2009, 147(5): 788-795, 751. e1-2. DOI: 10.1016/j.ajo.2008.12.020.
[37]
Eom Y, Rhim JW, Kang SY, et al. Toric intraocular lens calculations using ratio of anterior to posterior corneal cylinder power. Am J Ophthalmol, 2015, 160(4): 717-724. DOI: 10.1016/ j.ajo.2015.07.011.
Tonn B, Klaproth OK, Kohnen T. Anterior surface-based keratometry compared with Scheimpflug tomography-based total corneal astigmatism. Invest Ophthalmol Vis Sci, 2014, 56(1): 291-298. DOI: 10.1167/iovs.14-15659.
[41]
Jiang Y, Tang Y, Jing Q, et al. Distribution of posterior corneal astigmatism and aberration before cataract surgery in Chinese patients. Eye (Lond), 2018, 32(12): 1831-1838. DOI: 10.1038/ s41433-018-0186-0.
[42]
Miyake T, Shimizu K, Kamiya K. Distribution of posterior corneal astigmatism according to axis orientation of anterior corneal astigmatism. PLoS One, 2015, 10(1): e0117194. DOI: 10.1371/journal.pone.0117194.
[43]
Ueno Y, Hiraoka T, Beheregaray S, et al. Age-related changes inanterior, posterior, and total corneal astigmatism. J Refract Surg, 2014, 30(3): 192-197. DOI: 10.3928/1081597X-20140218-01.
[44]
Savini G, Versaci F, Vestri G, et al. Influence of posterior corneal astigmatism on total corneal astigmatism in eyes with moderate to high astigmatism. J Cataract Refract Surg, 2014, 40(10): 1645-1653. DOI: 10.1016/j.jcrs.2014.01.046.
Fredriksson A, Behndig A. Measurement centration and zone diameter in anterior, posterior and total corneal astigmatismin keratoconus. Acta Ophthalmol, 2017, 95(8): 826-833. DOI: 10.1111/aos.13517.
[48]
Ueno Y, Hiraoka T, Miyazaki M, et al. Corneal thickness profile and posterior corneal astigmatism in normal corneas. Ophthalmology, 2015, 122(6): 1072-1078. DOI: 10.1016/ j.ophtha.2015.01.021.
[49]
Feizi S, Delfazayebaher S, Javadi MA. Agreement between internal astigmatism and posterior corneal astigmatism in pseudophakic eyes. J Refract Surg, 2018, 34(6): 379-386. DOI: 10.3928/1081597X-20180425-01.