Optical and ultrasound measurement of axial length and anterior chamber depth for intraocular lens power calculation

To evaluate the precision, reproducibility, and applicability of an optical method based on partial coherence interferometry for intraocular lens (IOL) power calculation. Ultrasound laboratory of a university eye hospital. A prospective comparison of measurements made by the IOLMaster optical instru...

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Veröffentlicht in:Journal of cataract and refractive surgery 2003, Vol.29 (1), p.85-88
Hauptverfasser: Németh, János, Fekete, Orsolya, Pesztenlehrer, Norbert
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container_title Journal of cataract and refractive surgery
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creator Németh, János
Fekete, Orsolya
Pesztenlehrer, Norbert
description To evaluate the precision, reproducibility, and applicability of an optical method based on partial coherence interferometry for intraocular lens (IOL) power calculation. Ultrasound laboratory of a university eye hospital. A prospective comparison of measurements made by the IOLMaster optical instrument (Carl Zeiss) and Ultrascan Digital 2000 contact ultrasound A-scan (Alcon) for IOL calculations was performed. Examined were 255 eyes of 134 persons (204 phakic, 47 pseudophakic, and 4 aphakic). The mean age of the patients was 67.9 years (range 7 to 94 years). The IOLMaster measurements were successful in more than 80% of cases: in 82%, 99%, and 99% for axial length (AL), anterior chamber depth (ACD), and keratometry measurements, respectively. The reproducibility of the AL and ACD measurements was very high (coefficient of variation 0.13% and 2.20%, respectively). The AL and ACD values were significantly larger with the IOLMaster ( P < .001) than with the Ultrascan Digital 2000. The correlation between ultrasound and optical AL measurements was high ( r = 0.985; P < .001); however, there was no correlation between ACD measurements ( r = 0.079; P = .397). The corneal refractive power measurements of a Javal-type keratometer and the IOLMaster were highly correlated ( r = 0.955; P < .001), with a mean difference of 0.2 diopter. The results show that measurements for IOL calculation are easy and precise with the optical method. It is a noncontact method, so no anesthesia is needed and there is no risk of infection.
doi_str_mv 10.1016/S0886-3350(02)01500-6
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The correlation between ultrasound and optical AL measurements was high ( r = 0.985; P &lt; .001); however, there was no correlation between ACD measurements ( r = 0.079; P = .397). The corneal refractive power measurements of a Javal-type keratometer and the IOLMaster were highly correlated ( r = 0.955; P &lt; .001), with a mean difference of 0.2 diopter. The results show that measurements for IOL calculation are easy and precise with the optical method. 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Ultrasound laboratory of a university eye hospital. A prospective comparison of measurements made by the IOLMaster optical instrument (Carl Zeiss) and Ultrascan Digital 2000 contact ultrasound A-scan (Alcon) for IOL calculations was performed. Examined were 255 eyes of 134 persons (204 phakic, 47 pseudophakic, and 4 aphakic). The mean age of the patients was 67.9 years (range 7 to 94 years). The IOLMaster measurements were successful in more than 80% of cases: in 82%, 99%, and 99% for axial length (AL), anterior chamber depth (ACD), and keratometry measurements, respectively. The reproducibility of the AL and ACD measurements was very high (coefficient of variation 0.13% and 2.20%, respectively). The AL and ACD values were significantly larger with the IOLMaster ( P &lt; .001) than with the Ultrascan Digital 2000. The correlation between ultrasound and optical AL measurements was high ( r = 0.985; P &lt; .001); however, there was no correlation between ACD measurements ( r = 0.079; P = .397). The corneal refractive power measurements of a Javal-type keratometer and the IOLMaster were highly correlated ( r = 0.955; P &lt; .001), with a mean difference of 0.2 diopter. The results show that measurements for IOL calculation are easy and precise with the optical method. 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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adolescent
Adult
Aged
Aged, 80 and over
Anterior Chamber - diagnostic imaging
Anterior Chamber - pathology
Aphakia - diagnostic imaging
Aphakia - pathology
Aphakia - physiopathology
Child
Cornea - physiopathology
Female
Humans
Interferometry
Lenses, Intraocular
Male
Middle Aged
Optics and Photonics
Prospective Studies
Pseudophakia - diagnostic imaging
Pseudophakia - pathology
Pseudophakia - physiopathology
Refraction, Ocular
Reproducibility of Results
Ultrasonography
title Optical and ultrasound measurement of axial length and anterior chamber depth for intraocular lens power calculation
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