Intraobserver and interobserver repeatability of ocular components measurement in cataract eyes using a new optical low coherence reflectometer.
BACKGROUND
The purpose of the study was to assess intraobserver and interobserver repeatability of eight ocular components measurement in cataract eyes using the optical low-coherence reflectometer Lenstar LS 900®.


METHODS
Five consecutive measurements of ocular components were taken by two examiners using the Lenstar. Components analyzed were: central corneal thickness, lens thickness, anterior chamber depth, axial length, retinal thickness, keratometry, white-to-white distance, and pupillometry. Within-subject standard deviation and the coefficient of variation were calculated for evaluation of intraobserver repeatability. Bland-Altman analysis was used for assessment of interobserver repeatability.


RESULTS
Thirty-two eyes of 22 patients were included. For both observers, the smallest intraobserver coefficient of variation was obtained for axial length, while the largest was found for corneal steepest meridian position. Interobserver repeatability demonstrated less repeatable results for white-to-white distance and corneal steepest meridian position. Considering axial length and anterior chamber depth values, predicted refractive error was 0 ± 0.05 D and 0.02 ± 0.19 D respectively in 95% of observations.


CONCLUSIONS
The Lenstar LS 900® evidenced excellent repeatability and observers´ independent results of all components analyzed except white-to-white distance and corneal steepest meridian position measurements. To the best of our knowledge, this is the first study on interobserver repeatability of optical low-coherence reflectometry in cataract eyes.
Bjeloš Rončević
Mirjana
M
University Eye Clinic, University Hospital Sveti Duh, Sveti Duh 64, 10000, Zagreb, Croatia. mbjelos@mef.hr
Bušić
Mladen
M
Cima
Ivan
I
Kuzmanović Elabjer
Biljana
B
Bosnar
Damir
D
Miletić
Daliborka
D
D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000473:pathology; D058452:Axial Length, Eye / Q000473:pathology; D001699:Biometry / Q000295:instrumentation; D001837:Body Weights and Measures; D002386:Cataract / Q000473:pathology*; D003315:Cornea / Q000473:pathology; D003941:Diagnostic Techniques, Ophthalmological / Q000295:instrumentation*; D005123:Eye / Q000473:pathology*; D006801:Humans; D007368:Interferometry; D007908:Lens, Crystalline / Q000473:pathology; D008027:Light; D008875:Middle Aged; D015588:Observer Variation; D011446:Prospective Studies; D015203:Reproducibility of Results; D012160:Retina / Q000473:pathology