Background: The availability of premium intraocular lenses (IOL), including toric, multifocal, and EDOF, has become very sophisticated and now demands accurate biometric measurement accuracy. The Pentacam AXL and IOL ...Background: The availability of premium intraocular lenses (IOL), including toric, multifocal, and EDOF, has become very sophisticated and now demands accurate biometric measurement accuracy. The Pentacam AXL and IOL Master 700 are often used for optical biometry and they are available in the market today. They can also be used to measure the parameters needed in the IOL calculation using the latest generation formulas, such as the Barett Universal II. Therefore, this study aims to compare the accuracy of refraction results between Pentacam AXL compared to IOL Master 700 after cataract surgery with the Barett Universal-II formula. Method: A total of 64 eyes from 64 patients who had a preoperative examination with IOL Master 700 and Pentacam AXL were included in this study. Parameters such as K, ACD, LT, WTW, and AL were then compared between the two tools. Prediction error values were also calculated and compared based on the difference between the Spherical equivalent (SE) of subjective refraction results after 4 weeks of surgery with their refractive prediction targets. Results: There was no statistically significant difference in the parameters measured from the two tools except ACD and WTW. Furthermore, LT was difficult to obtain on the Pentacam AXL due to penetration problems, as well as in patients with significant lens opacities. The percentage of error prediction values that reach ± 0.50 D on Pentacam AXL and IOL Master 700 was 70.3% and 73.5%, respectively. However, the average prediction error that was close to emmetropia with IOL Master 700 was greater compared to the other tool. Conclusion: Pentacam AXL has a fairly good accuracy for refraction prediction compared to IOL Master 700. However, it is still necessary to optimize its constants to obtain optimal results.展开更多
AIM:To determine the agreement of ocular biometric indices including axial length,keratometric readings,anterior chamber depth,and horizontal corneal diameter between the Pentacam AXL and IOL Master 500.METHODS:The st...AIM:To determine the agreement of ocular biometric indices including axial length,keratometric readings,anterior chamber depth,and horizontal corneal diameter between the Pentacam AXL and IOL Master 500.METHODS:The study was a large cross-sectional population-based study(Tehran Geriatric Eye Study)conducted from Jan 2019 to Jan 2020.A total of 160 clusters were randomly selected proportional to size(each cluster contained 20 individuals)from 22 strata of Tehran city.All people aged 60y and above were invited to participate in the study.For all participants,preliminary ocular examinations were performed including the measurement of uncorrected and best-corrected visual acuity,objective and subjective refraction,anterior and posterior segment examinations.All participants underwent an ocular biometry using the Pentacam AXL and IOL Master 500.RESULTS:The 95%limits of agreement(LoA)between the two devices were-0.13 to 0.19,-0.15 to 0.17,and-0.13 to 0.19 in normal,pseudophakic,and cataractous eyes,respectively.With increasing the axial length,the difference between the two devices significantly increased in all three groups of normal,pseudophakic,and cataractous eyes(P<0.001).The 95% LoAs between the two devices regarding the mean keratometry shows that the best LoAs were seen in cataractous(-0.33 to 0.81)and followed by normal eyes(-0.36 to 0.86)and the pseudophakic eyes(-0.48 to 0.90)had the widest LoA.The 95% LoAs for horizontal corneal diameter measurements were-0.08 to 0.86,-0.03 to 0.83,and-0.07 to 0.87 in normal,pseudophakic,and cataractous eyes,respectively.The 95% LoAs of anterior chamber depth measurements between the two devices was-0.39 to 0.19 and-0.37 to 0.13 in normal eyes and cataractous,respectively.CONCLUSION:The Pentacam AXL has excellent agreement with the gold standard,IOL Master 500 in measuring axial length.In eyes with cataracts,the difference between the two devices is more scattered.With the increasing of axial length,the difference between the two devices increased,which should be considered when using Pentacam AXL.展开更多
Background:To compare the measurements obtained from the Orbscan II,IOLMaster 700,Pentacam AXL,and Castroviejo caliper and their effects on calculating the recommended implantable collamer lens(ICL)size and postoperat...Background:To compare the measurements obtained from the Orbscan II,IOLMaster 700,Pentacam AXL,and Castroviejo caliper and their effects on calculating the recommended implantable collamer lens(ICL)size and postoperative vault measurements.Methods:This is a retrospective cross-sectional study of patients who underwent ICL surgery by a single surgeon from March 1,2018 to July 31,2021.Records were reviewed for the anterior chamber depth(ACD)and white-to-white(WTW)measurements obtained from the Orbscan II,IOLMaster 700,Pentacam AXL,and Castroviejo caliper(WTW only).These were used to calculate the recommended ICL size.The actual ICL size implanted,and vault measurements obtained one month postoperatively were also collected.Results:One hundred seven eyes with a mean age of 27.9±7.7 years were included in the study.Mean WTW measurements were significantly different between devices(P<0.0001),with the IOLMaster 700 having the highest value(12.14±0.04 mm)and the caliper having the lowest value(11.45±0.04 mm).Mean ACD measurements were the lowest in Orbscan II(3.12±0.25 mm)and the highest in Pentacam AXL(3.16±0.24 mm).The Pentacam AXL produced an ICL size similar to the Orbscan in 69.2%of eyes.The IOLMaster yielded an ICL measurement one size larger than Orbscan-based calculations in 64.5%of eyes.Using the Orbscan WTW and ACD,the desired vault of 0.25 to 0.75 mm and 0.25 to 1.00 mm was achieved in 70%and 91%of eyes,respectively.Substituting caliper WTW to IOLMaster 700 or Pentacam AXL WTW increases the percentage of achieving the desired vault to 80%,similar to the Orbscan.Conclusions:The Orbscan II,IOLMaster 700,and Pentacam AXL cannot be used interchangeably for calculating ICL sizing.Combining the WTW from caliper measurement with the ACD of the IOLMaster 700 or Pentacam AXL could improve ICL sizing and achieve a higher percentage of eyes with the desired vault.展开更多
文摘Background: The availability of premium intraocular lenses (IOL), including toric, multifocal, and EDOF, has become very sophisticated and now demands accurate biometric measurement accuracy. The Pentacam AXL and IOL Master 700 are often used for optical biometry and they are available in the market today. They can also be used to measure the parameters needed in the IOL calculation using the latest generation formulas, such as the Barett Universal II. Therefore, this study aims to compare the accuracy of refraction results between Pentacam AXL compared to IOL Master 700 after cataract surgery with the Barett Universal-II formula. Method: A total of 64 eyes from 64 patients who had a preoperative examination with IOL Master 700 and Pentacam AXL were included in this study. Parameters such as K, ACD, LT, WTW, and AL were then compared between the two tools. Prediction error values were also calculated and compared based on the difference between the Spherical equivalent (SE) of subjective refraction results after 4 weeks of surgery with their refractive prediction targets. Results: There was no statistically significant difference in the parameters measured from the two tools except ACD and WTW. Furthermore, LT was difficult to obtain on the Pentacam AXL due to penetration problems, as well as in patients with significant lens opacities. The percentage of error prediction values that reach ± 0.50 D on Pentacam AXL and IOL Master 700 was 70.3% and 73.5%, respectively. However, the average prediction error that was close to emmetropia with IOL Master 700 was greater compared to the other tool. Conclusion: Pentacam AXL has a fairly good accuracy for refraction prediction compared to IOL Master 700. However, it is still necessary to optimize its constants to obtain optimal results.
基金Supported by the Deputy of Research and Technology of Tehran University of Medical Sciences as a PhD Thesis.
文摘AIM:To determine the agreement of ocular biometric indices including axial length,keratometric readings,anterior chamber depth,and horizontal corneal diameter between the Pentacam AXL and IOL Master 500.METHODS:The study was a large cross-sectional population-based study(Tehran Geriatric Eye Study)conducted from Jan 2019 to Jan 2020.A total of 160 clusters were randomly selected proportional to size(each cluster contained 20 individuals)from 22 strata of Tehran city.All people aged 60y and above were invited to participate in the study.For all participants,preliminary ocular examinations were performed including the measurement of uncorrected and best-corrected visual acuity,objective and subjective refraction,anterior and posterior segment examinations.All participants underwent an ocular biometry using the Pentacam AXL and IOL Master 500.RESULTS:The 95%limits of agreement(LoA)between the two devices were-0.13 to 0.19,-0.15 to 0.17,and-0.13 to 0.19 in normal,pseudophakic,and cataractous eyes,respectively.With increasing the axial length,the difference between the two devices significantly increased in all three groups of normal,pseudophakic,and cataractous eyes(P<0.001).The 95% LoAs between the two devices regarding the mean keratometry shows that the best LoAs were seen in cataractous(-0.33 to 0.81)and followed by normal eyes(-0.36 to 0.86)and the pseudophakic eyes(-0.48 to 0.90)had the widest LoA.The 95% LoAs for horizontal corneal diameter measurements were-0.08 to 0.86,-0.03 to 0.83,and-0.07 to 0.87 in normal,pseudophakic,and cataractous eyes,respectively.The 95% LoAs of anterior chamber depth measurements between the two devices was-0.39 to 0.19 and-0.37 to 0.13 in normal eyes and cataractous,respectively.CONCLUSION:The Pentacam AXL has excellent agreement with the gold standard,IOL Master 500 in measuring axial length.In eyes with cataracts,the difference between the two devices is more scattered.With the increasing of axial length,the difference between the two devices increased,which should be considered when using Pentacam AXL.
文摘Background:To compare the measurements obtained from the Orbscan II,IOLMaster 700,Pentacam AXL,and Castroviejo caliper and their effects on calculating the recommended implantable collamer lens(ICL)size and postoperative vault measurements.Methods:This is a retrospective cross-sectional study of patients who underwent ICL surgery by a single surgeon from March 1,2018 to July 31,2021.Records were reviewed for the anterior chamber depth(ACD)and white-to-white(WTW)measurements obtained from the Orbscan II,IOLMaster 700,Pentacam AXL,and Castroviejo caliper(WTW only).These were used to calculate the recommended ICL size.The actual ICL size implanted,and vault measurements obtained one month postoperatively were also collected.Results:One hundred seven eyes with a mean age of 27.9±7.7 years were included in the study.Mean WTW measurements were significantly different between devices(P<0.0001),with the IOLMaster 700 having the highest value(12.14±0.04 mm)and the caliper having the lowest value(11.45±0.04 mm).Mean ACD measurements were the lowest in Orbscan II(3.12±0.25 mm)and the highest in Pentacam AXL(3.16±0.24 mm).The Pentacam AXL produced an ICL size similar to the Orbscan in 69.2%of eyes.The IOLMaster yielded an ICL measurement one size larger than Orbscan-based calculations in 64.5%of eyes.Using the Orbscan WTW and ACD,the desired vault of 0.25 to 0.75 mm and 0.25 to 1.00 mm was achieved in 70%and 91%of eyes,respectively.Substituting caliper WTW to IOLMaster 700 or Pentacam AXL WTW increases the percentage of achieving the desired vault to 80%,similar to the Orbscan.Conclusions:The Orbscan II,IOLMaster 700,and Pentacam AXL cannot be used interchangeably for calculating ICL sizing.Combining the WTW from caliper measurement with the ACD of the IOLMaster 700 or Pentacam AXL could improve ICL sizing and achieve a higher percentage of eyes with the desired vault.
