Corneal Fourier and Belin–Ambrósio Enhanced Ectasia Analysis in Healthy 4-Year-Old White Children

Author:

Bajtl Dunja1,Bjeloš Mirjana234,Bušić Mladen234,Ćurić Ana34,Biuk Dubravka12,Barać Josip12

Affiliation:

1. University Eye Department, University Hospital Centre Osijek ;

2. Faculty of Medicine, Josip Juraj Strossmayer University of Osijek ;

3. University Eye Department, Reference Centre of the Ministry of Health of the Republic of Croatia for Paediatric Ophthalmology and Strabismus, Reference Centre of the Ministry of Health of the Republic of Croatia for Inherited Retinal Dystrophies University Hospital “Sveti Duh”, Zagreb ; and

4. Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Croatia.

Abstract

Purpose: The aim of this study was to provide normative databases of Fourier analysis (FA) and Belin–Ambrósio enhanced ectasia display (BAD) in healthy White 4-year-old emmetropic children. Methods: FA parameters analyzed were spherical component (SRmin), spherical eccentricity (SEcc), maximal decentration (MD), regular astigmatism at the center (Astigm. C) and periphery (Astigm. P), and irregularity (I). The parameters obtained by BAD included summary indicator BAD D, anterior corneal curvature (K1 and K2, D), maximal keratometry (Kmax, D), maximal Ambrósio relational thinnest (ART max), and pachymetric and BAD indices. Results: Eighty-nine eyes of eighty-nine 4-year-old children were included. The mean values of FA parameters were the following: SRmin 7.77, SEcc 0.600, MD 0.160, Astigm. C 0.070, Astigm. P 0.050, and I 0.019. The mean K1 and K2 in our study group were 42.92 ± 1.29 D and 43.75 ± 1.41 D, with the mean BAD D value 0.42 ± 0.67. The mean PPI min 0.629 ± 0.117, PPI max 1.059 ± 0.155, PPI avg 0.847 ± 0.103, Kmax 44.10 ± 1.39, and median of ART max 515.0 were recorded. No statistically significant differences between male and female sex in any of FA or BAD parameters were found. Conclusions: This is the first study providing large normative data on FA and BAD in 4-year-old White emmetropic children. We proposed a cutoff D value for early ectasia and clinical keratoconus in 4-year-old children.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Ophthalmology

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