Comparison of Swept-Source Optical Coherence Tomography and Dual Scheimpflug Placido Analyzer in Healthy Eyes, Suspected Keratoconus, and Diagnosed Keratoconus Cases - Scorecard - MDSpire

Comparison of Swept-Source Optical Coherence Tomography and Dual Scheimpflug Placido Analyzer in Healthy Eyes, Suspected Keratoconus, and Diagnosed Keratoconus Cases

  • By

  • Mohd-Asyraaf Abdul-Kadir

  • Muhammad Adri Mohamed Shafit

  • Adzura Salam

  • Khairidzan Mohd Kamal

  • March 28, 2026

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Clinical Scorecard: Comparison of Swept-Source Optical Coherence Tomography and Dual Scheimpflug Placido Analyzer in Healthy Eyes, Suspected Keratoconus, and Diagnosed Keratoconus Cases

At a Glance

CategoryDetail
ConditionKeratoconus (KC)
Key MechanismsProgressive thinning and bulging of the cornea, leading to visual impairment.
Target PopulationAdults aged 18 to 40 years, including healthy individuals and those with suspected or diagnosed KC.
Care SettingClinical and diagnostic examinations at eye specialist clinics.

Key Highlights

  • Early detection of KC is crucial to prevent postoperative ectasia and vision loss.
  • Corneal tomography is superior for diagnosing KC by evaluating both anterior and posterior corneal surfaces.
  • The ANTERION device shows good repeatability and accuracy in measuring keratometry and pachymetry.
  • GALILEI system provides robust assessments of corneal topography and is effective for cataract surgery planning.
  • No single metric can definitively distinguish KC from normal corneal data.

Guideline-Based Recommendations

Diagnosis

  • Utilize corneal topography and tomography for early detection of KC.
  • Assess slit-lamp findings and topography for diagnosing KC.

Management

  • Consider corneal cross-linking for patients with early KC to halt progression.

Monitoring & Follow-up

  • Regular follow-up with corneal imaging to track disease progression.

Risks

  • Postoperative ectasia if KC is undiagnosed prior to refractive surgery.

Patient & Prescribing Data

Adults aged 18 to 40 years with healthy eyes, suspected KC, or diagnosed KC.

Early intervention can improve outcomes and reduce the need for corneal transplantation.

Clinical Best Practices

  • Implement advanced diagnostic algorithms for corneal assessment.
  • Use ANTERION and GALILEI devices for comprehensive evaluation of corneal parameters.

Related Resources & Content

Original Source(s)

Comparison of Swept-Source Optical Coherence Tomography and Dual Scheimpflug Placido Analyzer in Healthy Eyes, Suspected Keratoconus, and Diagnosed Keratoconus Cases

  • by Mohd-Asyraaf Abdul-Kadir, Muhammad Adri Mohamed Shafit, Adzura Salam, Khairidzan Mohd Kamal

  • March 28, 2026

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