Reliability of the IOLMaster in measuring corneal power changes after photorefractive keratectomy Purpose: To test the accuracy of the IOLMaster_ (Carl Zeiss) in detecting corneal power changes after photorefractive keratectomy (PRK). Setting: Department of Ophthalmology, 2nd University of Naples, Naples, Italy. Methods: Two hundred twenty-five consecutive eyes that had PRK (mean _5.13 diopters [D] _ 2.98 [SD] [range _0.25 to _16.25 D]) were analyzed. The data included preoperative and postoperative (1, 3, and 6 months) subjective refraction and computerized keratometry. Statistical analysis was performed to determine the correlation between the changes in the subjective refraction at the corneal plane and the changes in keratometry. Results: The mean difference between the changes in refraction and the measured corneal changes was 0.75 _ 1.13 D (range -3.84 to +7.68 D) at 1 month, 0.92 _ 1.10 D (range -0.87 to+7.93 D) at 3 months, and 0.75 _ 0.98 D (range -1.70 to +3.85 D) at 6 months. The difference was significant (P<.001). Conclusion: Automated keratometry provided by the IOLMaster did not accurately reflect the effective refractive changes after PRK, particularly in eyes that had a high dioptric treatment.

Reliability of the IOL Master in measuring corneal power changes after PRK.

ROSA, Nicola;
2004

Abstract

Reliability of the IOLMaster in measuring corneal power changes after photorefractive keratectomy Purpose: To test the accuracy of the IOLMaster_ (Carl Zeiss) in detecting corneal power changes after photorefractive keratectomy (PRK). Setting: Department of Ophthalmology, 2nd University of Naples, Naples, Italy. Methods: Two hundred twenty-five consecutive eyes that had PRK (mean _5.13 diopters [D] _ 2.98 [SD] [range _0.25 to _16.25 D]) were analyzed. The data included preoperative and postoperative (1, 3, and 6 months) subjective refraction and computerized keratometry. Statistical analysis was performed to determine the correlation between the changes in the subjective refraction at the corneal plane and the changes in keratometry. Results: The mean difference between the changes in refraction and the measured corneal changes was 0.75 _ 1.13 D (range -3.84 to +7.68 D) at 1 month, 0.92 _ 1.10 D (range -0.87 to+7.93 D) at 3 months, and 0.75 _ 0.98 D (range -1.70 to +3.85 D) at 6 months. The difference was significant (P<.001). Conclusion: Automated keratometry provided by the IOLMaster did not accurately reflect the effective refractive changes after PRK, particularly in eyes that had a high dioptric treatment.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11386/3115438
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