[Comparison between optical and acoustical biometry].
BACKGROUND
Our current standard biometric measurement was compared to IOL-Master measurement.


METHODS
One hundred sixty-two consecutive cataractous eyes were examined using the IOL-Master as well as the acoustic biometry combined with the Javal-Keratometer. In all eyes, the intraocular lens power to be implanted was chosen by means of the SRK/T formula, based on the measurements conducted with our standard method. The postoperative refraction achieved, obtained at least 6 weeks after surgery from the treating ophthalmologists, was communicated to us. The results were compared and analysed statistically.


RESULTS
Comparison of the eye lengths, as well as of the keratometric measurements showed good correlation between the measurements obtained by both methods, the acoustic biometry yielding significantly (p < 0.001) shorter axial-lengths than the IOL-Master (r = 0.985) and the Javal yielding significantly (p < 0.001) higher mean corneal refraction power than the IOL-Master. The accuracy of the refraction obtained postoperatively compared to the preoperative aim was better with our standard method compared to the IOL-Master.


CONCLUSIONS
The presumed systemic differences in measurement results could be verified. The IOL-Master currently has two advantages: it provides a substantial gain in time and the measurements can be delegated. Analysis of the subgroups showed that the "A" constant should be adapted with the IOL-Master to improve predictability of the postoperative refraction.
Gantenbein
C P A
CP
Département d'Ophtalmologie, Hôpitaux Universitaires de la Sarre, Kirrbergstrasse 1, 66421 Hambourg/Saar, Allemagne. aucgan@med.rz.unii-sb.de
Ruprecht
K W
KW
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001699:Biometry / Q000379:methods; D002386:Cataract / Q000473:pathology*; D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D006801:Humans; D007368:Interferometry / Q000379:methods; D008027:Light; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013016:Sound