Comparison of Anterior Segment Measurements Obtained by Three Different Devices in Healthy Eyes

Purpose. To assess the normal values and the repeatability of the Galilei Dual Scheimpflug Analyzer (GDSA), the biometer IOL Master, and the autokerato/refractometer WAM 5500 in anterior segment examinations. Methods. Eighty-eight eyes from 88 healthy volunteers were prospectively and consecutively recruited. The repeatability was assessed, calculating the intraclass correlation coefficient (ICC). Results. The correlations among the repeated measurements showed nearly perfect reliability (ICC > 0.81) for all of the parameters, except corneal astigmatism Galilei (0.79) and WAM (0.68). There were statistically significant differences (P < 0.001) between the values of the flat simulated keratometry (SimK) and the steep SimK measured by GDSA and the other methods; however, there were no statistically significant differences for the values obtained with the IOL Master and WAM 5500 (P = 0.302 and P = 0.172, resp.) or between the values of the ACD (P < 0.001) and WTW (P = 0.007) measured by the IOL Master and GDSA. Conclusions. The anterior segment measurements from the IOL Master and WAM 5500 were highly repeatable, comparable, and well correlated. In healthy young persons, the evaluated parameters had very good repeatability, although significant differences were found between the GDSA and IOL Master and between the GDSA and WAM 5500.