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Comparison of corneal power obtained from VERION image-guided surgery system and four other devices

PURPOSE: To assess the corneal keratometric values obtained using the VERION image-guided surgery system and other devices. METHODS: This study evaluated the right eyes of 115 cataract patients before intraocular lens (IOL) implantation through consecutive tests using 5 devices: VERION Reference Uni...

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Detalles Bibliográficos
Autores principales: Lin, Hung-Yuan, Chen, Hsin-Yang, Fam, Han Bor, Chuang, Ya-Jung, Yeoh, Ronald, Lin, Pi-Jung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5513841/
https://www.ncbi.nlm.nih.gov/pubmed/28744097
http://dx.doi.org/10.2147/OPTH.S137878
Descripción
Sumario:PURPOSE: To assess the corneal keratometric values obtained using the VERION image-guided surgery system and other devices. METHODS: This study evaluated the right eyes of 115 cataract patients before intraocular lens (IOL) implantation through consecutive tests using 5 devices: VERION Reference Unit, Placido-based corneal topography (OPD-Scan III), monochromatic light-emitting diodes (LenStar LS900 and AL-Scan), and rotary prism technology (auto kerato-refractometer KR-8800). Analyzed parameters were corneal steep and flat keratometric values (Ks and Kf) and corneal astigmatism and axis. These parameters were evaluated using the one-sample two-tailed t-test and the 95% limits of agreement (95% LOAs) between the devices. RESULTS: The mean corneal cylinder value measurements were −0.97±0.63 D, −0.88±0.60 D, −0.90±0.69 D, −0.90±0.67 D, and −0.83±0.60 D with VERION, LenStar, AL-Scan (2.4 mm), OPD III, and KR-8800, respectively. Only KR-8800 showed a significant difference from VERION in the corneal cylinder value (P<0.05). The mean differences in the Kf and Ks of VERION compared to those of OPD III were 0.18±0.45 D and 0.17±0.38 D (P<0.05), respectively. The 95% LOAs of Bland–Altman analysis for the corneal astigmatism axis of the VERION with LenStar, AL-Scan (2.4 mm), OPD III, and KR-8800 were −26.25° to 58.71°, −20.61° to 47.44°, −25.03° to 58.98°, and −27.85° to 65.17°, respectively. CONCLUSION: None of the VERION parameters were significantly different from those of AL-Scan and LenStar. AL-Scan (2.4 mm zone) was especially similar to VERION. Wide LOAs are potential contributors to axis error in patients with toric IOL implants.