Emre Güler1, Ali Ender Kulak2, Yüksel Totan3, Armağan Yuvarlak4, İbrahim Feyzi Hepşen4. 1. Türkiye Hospital, Eye Clinic, İstanbul, Turkey. Electronic address: guleremre83@hotmail.com. 2. Boğazlıyan State Hospital, Eye Clinic, Yozgat, Turkey. 3. Turgut Özal University, Medical School, Department of Ophthalmology, Ankara, Turkey. 4. Gazi University, Medical School, Department of Ophthalmology, Ankara, Turkey.
Abstract
OBJECTIVE: To evaluate the repeatability and agreement of a new partial coherence interferometry optical biometer (AL-Scan, Nidek CO, Aichi, Japan) with optical low-coherence reflectometry device (Lenstar LS 900, Haag-Streit AG, Köniz, Switzerland). METHODS: Three consecutive measurements with the 2 devices were performed by the same examiner in 65 eyes of 65 patients with cataract. Patients were divided into 2 groups: axial length (AL) between 22 and 26mm (Group 1) and more than 26mm (Group 2). Comparisons were performed for AL, anterior chamber depth (ACD), keratometry (K, over 2.4mm diameter for AL-Scan and 2.3mm diameter for Lenstar) and corneal diameter (CD). Repeatability was analyzed using the intraclass correlation coefficient (ICC) and the agreement was by the Bland-Altman method. RESULTS: The repeatability of both devices was high for all biometry measurements (ICC over 0.970) in Group 1 and 2. The best repeatability was achieved for AL in each group. In both groups, the differences were statistically significant for all parameters (p<0.05) except for the measurement of AL and CCT (p>0.05). The Bland-Altman analysis showed good agreement between devices for all measurements in both groups. The closest agreement was for the AL measurements (ranged from -0.06 to 0.08mm in Group 1 and -0.05-0.07mm in Group 2). CONCLUSIONS: The new biometer provided excellent repeatability for all ocular biometry. In addition, there was good agreement between AL-Scan and Lenstar biometers for all parameters in cataractous patients with medium and long ALs.
RCT Entities:
OBJECTIVE: To evaluate the repeatability and agreement of a new partial coherence interferometry optical biometer (AL-Scan, Nidek CO, Aichi, Japan) with optical low-coherence reflectometry device (Lenstar LS 900, Haag-Streit AG, Köniz, Switzerland). METHODS: Three consecutive measurements with the 2 devices were performed by the same examiner in 65 eyes of 65 patients with cataract. Patients were divided into 2 groups: axial length (AL) between 22 and 26mm (Group 1) and more than 26mm (Group 2). Comparisons were performed for AL, anterior chamber depth (ACD), keratometry (K, over 2.4mm diameter for AL-Scan and 2.3mm diameter for Lenstar) and corneal diameter (CD). Repeatability was analyzed using the intraclass correlation coefficient (ICC) and the agreement was by the Bland-Altman method. RESULTS: The repeatability of both devices was high for all biometry measurements (ICC over 0.970) in Group 1 and 2. The best repeatability was achieved for AL in each group. In both groups, the differences were statistically significant for all parameters (p<0.05) except for the measurement of AL and CCT (p>0.05). The Bland-Altman analysis showed good agreement between devices for all measurements in both groups. The closest agreement was for the AL measurements (ranged from -0.06 to 0.08mm in Group 1 and -0.05-0.07mm in Group 2). CONCLUSIONS: The new biometer provided excellent repeatability for all ocular biometry. In addition, there was good agreement between AL-Scan and Lenstar biometers for all parameters in cataractouspatients with medium and long ALs.
Authors: Jan Willem Lodewijk Tideman; Jan Roelof Polling; Johannes R Vingerling; Vincent W V Jaddoe; Cathy Williams; Jeremy A Guggenheim; Caroline C W Klaver Journal: Acta Ophthalmol Date: 2017-12-19 Impact factor: 3.761