Optical Biometry in Cataract Surgery

Author(s):  
O. Findl ◽  
W. Drexler ◽  
R. Menapace ◽  
B. Kiss ◽  
C.K. Hitzenberger ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yibing Zhang ◽  
Tingyang Li ◽  
Aparna Reddy ◽  
Nambi Nallasamy

Abstract Objectives To evaluate gender differences in optical biometry measurements and lens power calculations. Methods Eight thousand four hundred thirty-one eyes of five thousand five hundred nineteen patients who underwent cataract surgery at University of Michigan’s Kellogg Eye Center were included in this retrospective study. Data including age, gender, optical biometry, postoperative refraction, implanted intraocular lens (IOL) power, and IOL formula refraction predictions were gathered and/or calculated utilizing the Sight Outcomes Research Collaborative (SOURCE) database and analyzed. Results There was a statistical difference between every optical biometry measure between genders. Despite lens constant optimization, mean signed prediction errors (SPEs) of modern IOL formulas differed significantly between genders, with predictions skewed more hyperopic for males and myopic for females for all 5 of the modern IOL formulas tested. Optimization of lens constants by gender significantly decreased prediction error for 2 of the 5 modern IOL formulas tested. Conclusions Gender was found to be an independent predictor of refraction prediction error for all 5 formulas studied. Optimization of lens constants by gender can decrease refraction prediction error for certain modern IOL formulas.


2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Masashi Sakamoto ◽  
Izumi Yoshida ◽  
Takahiro Sodeno ◽  
Asao Sakai ◽  
Hidetaka Masahara ◽  
...  

Introduction. The aim of this study was to investigate the postoperative prediction error measured by optical biometry and acoustic biometry in eyes after phacovitrectomy for rhegmatogenous retinal detachment (RRD) with no macular involvement. Methods. Forty-nine eyes of 49 patients (32 male, 17 female; mean age 62.6 ± 7.5 years) with RRD without macular involvement who underwent phacovitrectomy (RRD group) and 49 eyes of 33 patients (21 male, 12 female; mean age 74.1 ± 7.1 years) without macular disease who underwent cataract surgery (control group) were included in this retrospective comparative study. The difference between the preoperative predictive value and the postoperative refractive value was measured both by optical and acoustic biometry and compared in each group. Results. The postoperative refractive error calculated by acoustic biometry was −0.81 ± 0.75D and that calculated by optic biometry was −0.44 ± 0.77D in the RRD group. The postoperative refractive error calculated by acoustic biometry was −0.21 ± 0.64D and that calculated by optic biometry was 0.27 ± 0.71D in the control group. Significant myopic shifts were observed in the RRD group using both acoustic biometry and optic biometry but not in the control group. Conclusion. Phacovitrectomy for RRD with no macular involvement resulted in a significant myopic shift when compared with cataract surgery alone in patients without macular disease when calculated by both acoustic biometry and optic biometry.


2019 ◽  
Vol 11 (1) ◽  
pp. 59-64
Author(s):  
Harun Ur Rashid ◽  
AQM Omar Sharif ◽  
Zinat Rehana Shipu ◽  
Debashish Ghosh ◽  
Sofia Akhter ◽  
...  

Background: Precise biometry is one of the major key factors for obtaining desired refractive outcome after cataract surgery. Visual outcome strongly depends on accuracy of ocular parameters especially axial length (AL) and anterior chamber depth (ACD). It is very important to evaluate different biometry methods to have accurate measurements for IOL power calculation. Objective: The aim of the study is to compare and analyze the difference between the measurement of axial length (AL) and anterior chamber depth (ACD) using ultrasound applanation, immersion and optical biometry. Methodology: A prospective study conducted on 168 patients enrolled for cataract surgery from January 2018 to December 2018 in Dhaka Eye Care Hospital, Dhaka. 280 eyes have been tested by a single observer. Axial length (AL) and anterior chamber depth (ACD) was measured consecutively by optical, applanation and immersion biometry. The results have been statistically evaluated to establish efficacy and correlation among the three methods of biometry. Results: Statistical analysis showed the mean of axial length (AL) obtained from optical biometry is 23.36 ± 1.99 mm, which is 0.10mm (p=0.00) less by applanation biometry and 0.04 mm (p=0.00) less by immersion biometry. For anterior chamber depth (ACD), the mean value from optical biometry is 3.13 ± 0.47mm. This value is highest in compare to both applanation (0.002 mm less with p = 0.824) and immersion (0.04 mm less with p = 0.00) biometry. Further analysis reveals strong correlation of optical biometry with applanation biometry (r = 0.994 for AL and 0.945 for ACD) and immersion biometry (r = 0.995 for AL and 0.947 for ACD). Conclusion: The study reveals that among optical, applanation and immersion method the optical biometry method appeared to be the most precise way of measuring axial length (AL) and anterior chamber depth (ACD) of eye. The study also shows an excellent agreement and strong positive correlation of optical biometry with applanation and immersion biometry. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 59-64


2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Muneer Quraishy ◽  
Mehvish Hussain ◽  
Muhammad Akram

Purpose: To assess the refractive outcome of optical biometry (Nidek AL-scan) after elective phacoemulsification in a study of 30 eyes. Study Design:  Descriptive case series. Place and Duration of Study:  Elective cataract surgeries done at a private clinic from July 2015 to June 2016 were selected and their records were analyzed. Material Methods:  The measurements of IOL calculation was done using optical biometry with partial coherence interferometry (Nidek AL-scan) that provides information about axial length, central keratometry, white to white diameter and anterior chamber anatomical depth. SRK-T formula was used to calculate IOL power. All patients underwent a complete ophthalmological examination. Phacoemulsification with clear corneal incision of 2.75 mm was done and IOL was implanted in the bag (Alcon Acrysof SN60WF IOL and MA60AC IOL). Post-operative refraction was taken with autorefractor (Huvitz HRK-7000) after 4 weeks and it was compared with pre-operative objective refraction. Comparison of K readings taken by AL-scan and autorefractor were done. Results:  We studied 30 eyes of 23 patients who underwent elective cataract surgery with foldable IOL. Post-operative spherical equivalent was plano in 53% of cases with mean of -0.05 after 4 weeks postoperatively. The mean keratometric power using autorefractor was 44.4 D while with AL-scan it was 44.7 D. There were no intraoperative complications or postoperative subjective complaints (such as halo or glare) in our patients. Conclusion:  Intraocular lens power calculations done by optical biometry are easy to use, reliable and result in excellent refractive outcomes.  Ultrasound biometry may still be required in case of mature and dense posterior subcapsular cataract.


2021 ◽  
Author(s):  
Yibing Zhang ◽  
Tingyang Li ◽  
Aparna Reddy ◽  
Nambi Nallasamy

Abstract Objectives: To evaluate gender differences in optical biometry measurements and lens power calculations. Methods: 8431 eyes of 5519 patients who underwent cataract surgery at University of Michigan’s Kellogg Eye Center were included in this retrospective study. Data including age, gender, optical biometry, postoperative refraction, implanted intraocular lens (IOL) power, and IOL formula refraction predictions were gathered and/or calculated utilizing the Sight Outcomes Research Collaborative (SOURCE) database and analyzed.Results: There was a statistical difference between every optical biometry measure between genders. Despite lens constant optimization, mean signed prediction errors (SPEs) of modern IOL formulas differed significantly between genders, with predictions skewed more hyperopic for males and myopic for females for all 5 of the modern IOL formulas tested. Optimization of lens constants by gender significantly decreased prediction error for 2 of the 5 modern IOL formulas tested.Conclusions: Gender was found to be an independent predictor of refraction prediction error for all 5 formulas studied. Optimization of lens constants by gender can decrease refraction prediction error for certain modern IOL formulas.


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