• Sadia Humayun, Aisha Fawad, Mazhar Ishaq, Quratulain Humayun, Sabahat Arzoo, and Syed Fawad Mashhadi.
• Department of Refractive Surgery, Armed Forces Institute of Ophthalmology AFIO, National University of Medical Sciences, Rawalpindi, Pakistan.
• J Coll Physicians Surg Pak. 2020 Sep 1; 30 (9): 951-955.

ObjectiveTo evaluate key corneal tomography parameters for screening mixed astigmatism and hyperopic males and females for refractive surgery and to compare the data to a previously studied myopic group in Pakistani population.Study DesignCross-sectional, observational study.Place And Duration Of StudyArmed Forces Institute of Ophthalmology AFIO, National University of Medical Sciences, Rawalpindi, Pakistan, from August 2013 to August 2018.MethodologyWaveLight Allegro Oculyzer II diagnostic device was used to examine eyes of 106 adult hyperopic patients in order to determine normal values of 20 parameters, which are considered most clinically applicable for refractive surgery screening. Kolmogorov-Smirnov test was used to evaluate normality of data. Results for outliers were displayed as 2.5%, 5%, 95% and 97.5% percentiles.ResultsTwo hundred and nine eyes were examined; 110 men and 99 women with overall mean age of 31+11.7 years. Normal mean anterior segment values included: flat simulated keratometry (K1) 42.1±1.84 diopters (D), steep K2 43.8 ± 1.93 D, K maximum 44.4 ± 1.93 D, K mean 42.9 ± 1.75 D, astigmatism -1.3 ± 1.75 D, pachymetry at thinnest point 546.9 ± 33.3 um, front elevation at thinnest point 5.2 ± 3.47 um, and at the back was 14.1 ± 6.60 um, Ambrosio relational thickness maximum 472.0 ± 88.73, progression index (PI) maximum 1.2 ± 0.18, and anterior chamber depth (ACD) 2.7 ± 0.35 mm.ConclusionHyperopic patients had greater front and back elevation and pachymetry but lesser keratometry, anterior chamber depth and chamber volume as compared to myopic patients in Pakistani population. Front and back elevation data in this hyperopic study population was slightly higher than previously published studies. Key Words: Refractive surgery, Corneal tomography, Screening, Hyperope.

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