研究目的
To compare the reliability of and consistency between two ultrasonic pachymetry (USP) devices, Pachette 3 and Accupach VI, as well as automated and manual Fourier-domain optical coherence tomography (FD-OCT) methods for measuring corneal thickness in dogs with and without corneal disease.
研究成果
The study found that devices capable of measuring corneal thickness greater than 1000 μm are necessary for dogs with corneal disease, as thickness frequently exceeds the upper limits of some pachymetry devices. Manual FD-OCT and Pachette 3 pachymeters were most consistent and useful for measuring corneal thickness in dogs with endothelial disease. Corneal thickness increased linearly with age and weight, and varied by location and disease state.
研究不足
The study was retrospective, and the observer obtaining the measurements was not recorded, preventing assessment of intra-observer and inter-observer variability. Additionally, some pachymetry devices had upper measurement limits that were exceeded in diseased corneas, limiting their utility in such cases.
1:Experimental Design and Method Selection:
The study utilized a retrospective design, compiling data from 108 dogs with and without corneal disease. Mixed effects linear regression was used for analysis, with Bonferonni adjustments for post-hoc comparisons.
2:Sample Selection and Data Sources:
Data were compiled from six studies involving dogs of various breeds and health statuses, including normal dogs and those with corneal endothelial dystrophy (CED) or injury.
3:List of Experimental Equipment and Materials:
Ultrasonic pachymetry devices (Pachette 3 and Accupach VI) and Fourier-domain optical coherence tomography (FD-OCT; RTVue 100) were used for corneal thickness measurements.
4:Experimental Procedures and Operational Workflow:
Corneal thickness measurements were taken at various corneal locations using USP and FD-OCT. Sedation was used for FD-OCT imaging.
5:Data Analysis Methods:
Mixed effects linear regression was employed to analyze the effects of age, weight, and disease state on corneal thickness. Bland–Altman plots and concordance correlation coefficients (CCCs) were used to assess agreement between techniques.
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