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. 2020 Jul 16;35(1):173–187. doi: 10.1038/s41433-020-1039-1

Table 1a.

Individual topographic indices in keratoconus.

Individual indices Description Probable keratoconus Clinical keratoconus
Central keratometry (K central) Average corneal power for ring diameters of 2, 3, and 4 mm 47.2–48.7 >48.7 [18]
Inferior–superior value (I–S) Power difference between 5 points of the superior and inferior hemisphere at 3 mm from the corneal apex with spatial intervals of 30°. A positive value indicates a higher inferior curvature and a negative value indicates a higher superior curvature 1.4–1.8 >1.8 [19]
Skew of steepest radial axis (SRAX) Angle between superior semi-meridian and inferior semi-meridians, determined by averaging powers of rings from 5 to 16 mm >21° [20]
Apex curvature (AK) Instantaneous curvature in the corneal apex 48–50 D >50 D [20]
Asphericity coefficient (Q) Index describing corneal curvature change from central region to the peripheral region. A normal cornea has a average Q value of −0.2 ± 0.12 (77) and represents that the cornea is more curved in the center. The value depends on the diameter of the study, which is usually set at 4–5 mm

1. −0.84 for anterior surface and −1.10 for the posterior surface at 8 mm [14]

2. −0.65 to −1.18 for the anterior surface and −1.17 to −0.6 for the posterior surface [15]

Corneal irregularity measurement (CIM) Degree of corneal surface irregularity by quantifying standard deviation between corneal surface and best-fit reference 0.69–1 μm 1.10–5.00 μm [21]
Calossi–Foggi Apex curvature gradient (ACG) Average difference per length unit of the corneal power relative to the apical power 1.5–2.0 D >2.0 D [21]
Calossi–Foggi Top–Bottom Index Vertical asymmetric index indicating difference in average power between superior and inferior area. A positive value indicates an inferior area that is more curved 1.5–2.0 D >2.0 D [21]