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KMID : 0360220150560071059
Journal of the Korean Ophthalmological Society
2015 Volume.56 No. 7 p.1059 ~ p.1064
Comparison of the Postoperative Refractive Errors Measured by Ultrasound and Partial Coherence Interferometers after Phacovitrectomy
Park Ju-Hong

Jeong Seong-Yong
Kim Myung-mi
Chang Woo-Hyok
Abstract
Purpose: To compare the accuracy of refractive outcome measured by Ultrascan (Alcon, Fort Worth, TX, USA) and partial coherence interferometers after phacovitrectomy.

Methods: We performed a retrospective study in 74 eyes of 74 patients who underwent phacovitrectomy. SRK-T formula was used to predict intraocular lens (IOL) power. The difference between the predicted and postoperative refractive outcomes for the 2 methodologies (Ultrascan and IOL Master [Zeiss, Carl Zeiss, Jena, Germany]) were compared. The predicted refractive outcome was defined as the estimated refractive error when the selected IOL was inserted.

Results: The axial length measured using IOL Master was statistically longer than when measured using Ultrascan (23.85 ¡¾ 0.15 mm, 23.56 ¡¾ 0.15 mm, p < 0.001). Based on keratometry, statistically significant difference between the 2 groups was not observed. The postoperative refractive error was more accurate when using the IOL Master than Ultrascan (0.08 ¡¾ 0.74, 0.47 ¡¾ 0.69, p < 0.001). However, in cases of vitreous hemorrhage, the postoperative refractive error was 0.42 ¡¾ 0.49 with the IOL Master and 0.07 ¡¾ 0.54 with the Ultrascan.

Conclusions: Generally, IOL Master is a more accurate method for calculating the IOL power prior to phacovitrectomy. However, in cases of vitreous hemorrhage, Ultrascan appears superior to IOL Master when calculating the IOL power.
KEYWORD
IOL Master, Phacovitrecotmy, Refractive error, Ultrasound
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