Comparison of biometry and intraocular lens power calculation performed by a new optical biometry device and a reference biometer.

J Cataract Refract Surg 2017 01;43(1):74-79

From the Cullen Eye Institute (B.V. Ventura, Wang, Koch, Weikert), Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA; Altino Ventura Foundation (B.V. Ventura, M.C. Ventura), HOPE Eye Hospital (B.V. Ventura, M.C. Ventura), Recife, and the Department of Ophthalmology (B.V. Ventura), Federal University of São Paulo, São Paulo, Brazil.

Purpose: To compare biometry measurements and intraocular lens (IOL) power calculations obtained by a new optical A-scan interferometer biometer (Galilei G6) (new biometer) and a partial coherence interferometer biometer (IOLMaster 500) (reference biometer).

Setting: Private practice, Recife, Brazil.

Design: Retrospective comparative study.

Methods: Cataract patients who had biometric measurements with the new biometer and the reference biometer were included in the study. Comparisons were performed for axial length (AL), keratometry (K), anterior chamber depth (ACD), and IOL power calculation to reach emmetropia with an Acrysof SN60WF IOL using the Haigis formula. The Pearson correlation coefficient and the 95% limits of agreement (LoA) were calculated. The paired Student t test and the Wilcoxon test were used to assess differences between devices.

Results: Eighty-eight eyes (88 patients) were studied. Both biometers provided statistically similar mean IOL power to reach emmetropia, AL, keratometry, and ACD measurements (P > .05). The differences in these variables did not vary as their mean values increased, and there was a strong positive correlation between the values obtained by both devices for each variable. The 95% LoA values for AL, mean keratometry, ACD, and IOL power were 0.27 mm, 1.08 diopters (D), 0.66 mm, and 1.56 D, respectively.

Conclusions: The 2 devices were comparable with regard to mean IOL power, mean AL, K, and ACD measurements. However, the wide range of differences between the devices suggests they should not be used interchangeably.

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Source
http://dx.doi.org/10.1016/j.jcrs.2016.11.033DOI Listing
January 2017
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