Abstract

BackgroundThe purpose of this study is to compare the biometric parameters and intraocular lens (IOL) power calculation by a new swept-source optical coherence tomography (SS-OCT) biometer with those by a partial coherence interferometry (PCI) biometer.MethodsMedical records of 175 eyes from 175 patients were retrospectively reviewed. One of two monofocal IOLs (Tecnis ZCB00 or Acrysof SA60AT) were implanted in the eyes. Axial length (AL), mean keratometry (Km), J0, J45 and anterior chamber depth (ACD) were compared between PCI and SS-OCT biometers. The refractive mean error (ME) and refractive mean absolute error (MAE) were also compared. Examination failure rates were calculated in each device.ResultsOut of 175 eyes, 150 eyes were successfully examined by both devices. AL was measured slightly shorter when using SS-OCT than PCI biometer, while Km was measured higher (P < .0001, P = .03, respectively, paired t-test). J0, J45 and ACD were not significantly different between two devices. ME and MAE calculated using SRK-T, Hoffer Q, and Haigis formula were not significantly different except MAE calculated with Haigis formula for Tecnis ZCB00 IOLs (P = .03, paired t-test). The examination failure rates were 14.29 and 1.14% when using the PCI and SS-OCT biometers, respectively.ConclusionsAL and Km don’t seem to be comparable between two devices, while J0, J45, and ACD do. IOL power calculation using SRK-T and Hoffer Q was correlated between the devices. The penetration ability of a SS-OCT biometer is superior.

Highlights

  • The purpose of this study is to compare the biometric parameters and intraocular lens (IOL) power calculation by a new swept-source optical coherence tomography (SS-OCT) biometer with those by a partial coherence interferometry (PCI) biometer

  • A partial coherence interferometry (PCI)-based optical biometer is considered as gold standard for axial length (AL) measurement [3]

  • This study showed significant differences in AL and Km measurements between SS-OCT and PCI biometers

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Summary

Introduction

The purpose of this study is to compare the biometric parameters and intraocular lens (IOL) power calculation by a new swept-source optical coherence tomography (SS-OCT) biometer with those by a partial coherence interferometry (PCI) biometer. For an accurate intraocular lens (IOL) power calculation, accurate ocular biometry, use of an appropriate calculation formula, and careful optimization of the individual component parts should be considered. The most important factor is the accuracy of ocular biometric measurements [2]. A partial coherence interferometry (PCI)-based optical biometer is considered as gold standard for axial length (AL) measurement [3]. In a PCI biometer, optical length is measured from the anterior surface of the cornea to the retinal pigment epithelium with a 780 nm laser diode infrared light. In some cases such as subcapsular lens opacity, dense cataracts, and poor fixation, measuring AL is

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