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KMID : 0360220230640040287
Journal of the Korean Ophthalmological Society
2023 Volume.64 No. 4 p.287 ~ p.295
Comparison of Ocular Biometric Measurements Using New Swept-source Optical-coherence Tomography, Low-coherence Reflectometry, A-Scan Biometry, and Autokeratometry
Cho Jae-Jin

Bae Gi-Hyun
Abstract
Purpose: We compared optical biometric measurements made using new swept-source optical-coherence tomography, low-coherence reflectometry, autokeratometry, and A-scan biometry.

Methods: In total, 86 eyes of 47 patients were included. Axial length, lens thickness, central corneal thickness, anterior chamber depth, and corneal curvature were measured using the Anterion¢ç (Heidelberg Engineering, inc., Heidelberg, Germany) and Lenstar LS 900¢ç (Haag-Streit AG, Koeniz, Switzerland) platforms. Corneal curvature and axial length were measured using the Essilor AKR 750¢ç (Essilor instruments, France, Charenton-le-Pont) and PacScan 300A¢ç (Sonomed Inc., Chicago, IL, USA) platforms, respectively. The evaluated biometric parameters were compared and verified; intraclass correlation coefficients and Bland-Altman plots were used to analyze statistical agreement.

Results: The differences between the Anterion¢ç and Lenstar LS 900¢ç platforms in terms of axial length, lens thickness, central corneal thickness, anterior chamber depth, and white-to-white diameter were -0.02 ¡¾ 0.08, 0.08 ¡¾ 0.13, -2.66 ¡¾ 11.12, 0.05 ¡¾ 0.12, and 0.08 ¡¾ 0.26, respectively. All values were statistically significant. The mean corneal curvature between Anterion¢ç and Lenstar LS 900¢ç had a statistically significant difference of -0.08 ¡¾ 0.47, while the difference between the Anterion¢ç and AKR 750¢ç platforms was not significant. Biometric parameters measured using an Anterion¢ç and other devices showed a strong positive correlation when assessed using Pearson¡¯s correlation analysis; there was good agreement between the results when analyzed using intraclass correlation coefficients and Bland-Altman plots.

Conclusions: Optical biometric measurements made using the Anterion¢ç platform were not significantly different from those obtained using other devices, but there were significant differences compared to the Lenstar LS 900¢ç platform. Since these significant differences could influence decision making during intraocular lens selection for cataract surgery, the values are clinically useful for reference.
KEYWORD
Anterion, Biometry, Cataract, Swept-source optical coherence tomography devices
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