Abstract
Abstract Purpose To evaluate the improvement of sensibility of the new IOL‐Master version 5.4.3 compared with the version 4.08. Methods 214 eyes of 115 patients were examined in a cataract preoperative evaluation making use of both IOL‐Master software versions 5.4.3 and 4.08. The type and severity of the lens opacification was assessed by slitlamp biomicroscopy. Results In 182 of the eyes examined both versions were capable to determine the AL; in 29 the version 4.01 could not determine AL whereas the version 5.4.3 was able to measure it; these cases showed posterior capsular cataract (16), dense nuclear cataract (11), posterior synechiae (1) and asteroid hyalosis (1). Finally, the AL of 3 eyes could not only be evaluated with none of the two softwares; these cases showed brunescent cataract (2) and moderate vitreous hemorrhage (1). Conclusion The 5.4.3 software version incorporated in the new IOL‐Master improves the sensibility from 85,04% to 98,59% when compared to the previous version 4.08 in the capability of measuring AL.
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