Intraocular lens power calculation: clinical comparison of 2 optical biometry devices. 2010

Tanja M Rabsilber, and Charlotte Jepsen, and Gerd U Auffarth, and Mike P Holzer
International Vision Correction Research Centre, Department of Ophthalmology, University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany. tanja.rabsilber@med.uni-heidelberg.de

OBJECTIVE To evaluate intraocular lens (IOL) power calculation using a new optical low-coherence reflectometry (OLCR) biometer and compare the results with those obtained with a partial coherence interferometry (PCI) optical biometer. METHODS International Vision Correction Research Centre, Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany. METHODS Biometry measurements in eyes of cataract patients were performed by the same examiner with an OLCR biometer (Lenstar LS 900/Allegro Biograph) and a PCI optical biometer (IOLMaster). After determination of axial length (AL), corneal radii values by keratometry (R1 and R2), and anterior chamber depth (ACD), power calculation for an AcrySof MA60AC IOL was compared between the 2 devices using 4 formulas and the corresponding IOL constants. The target was emmetropia. RESULTS One hundred eyes of 100 cataract patients (mean age 70.0 years +/- 10.6 [SD]) were measured. Of the biometry parameters, the only statistically significant differences between the 2 devices were in R2 (mean difference 0.02 +/- 0.05 mm), (R1 + R2)/2 (mean difference 0.01 +/- 0.04 mm), and ACD (mean difference 0.05 +/- 0.11 mm) (P<.01, Wilcoxon test). The mean differences in IOL power calculations using the 4 formulas were not statistically significant between the 2 devices (P>.01, Wilcoxon test). CONCLUSIONS The OLCR biometry device provided precise and valid measurements and thus can be used for the preoperative examination of cataract patients.

UI MeSH Term Description Entries
D007368 Interferometry Measurement of distances or movements by means of the phenomena caused by the interference of two rays of light (optical interferometry) or of sound (acoustic interferometry). Interferometries
D007910 Lenses, Intraocular Artificial implanted lenses. Implantable Contact Lens,Lens, Intraocular,Contact Lens, Implantable,Intraocular Lens,Intraocular Lenses,Lens, Implantable Contact
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001699 Biometry The use of statistical and mathematical methods to analyze biological observations and phenomena. Biometric Analysis,Biometrics,Analyses, Biometric,Analysis, Biometric,Biometric Analyses
D055095 Optics and Photonics A specialized field of physics and engineering involved in studying the behavior and properties of light and the technology of analyzing, generating, transmitting, and manipulating ELECTROMAGNETIC RADIATION in the visible, infrared, and ultraviolet range. Photonics,Photonics and Optics

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