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Refractive outcomes comparison between the Lenstar LS 900® optical biometry and immersion A-scan ultrasound

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Abstract

To determine the accuracy of intraocular lens (IOL) calculations in eyes undergoing phacoemulsification cataract surgery with IOL implantation using immersion A-scan ultrasound (US) and Lenstar LS 900® biometry. In this prospective study, 200 eyes of 200 patients were randomized to undergo either Lenstar LS 900® or immersion A-scan US biometry to determine the IOL dioptric power prior to phacoemulsification cataract surgery. Post-operative refractive outcomes of these two groups of patients were compared. The result showed no significant difference between the target spherical equivalent (SE) and the post-operative SE value by the Lenstar LS 900® (p value = 0.632) or immersion A-scan US biometry (p value = 0.438) devices. The magnitude of difference between the two biometric devices were not significantly different (p value = 0.868). There was no significant difference in the predicted post-operative refractive outcome between immersion A-scan US biometry and Lenstar LS 900®. Based on the results, the immersion A-scan US technique is as accurate as Lenstar LS 900® in the hands of an experienced operator.

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Neither author has financial or propriety interest in any of the material or methods mentioned.

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Correspondence to Visvaraja Subrayan.

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Naicker, P., Sundralingam, S., Peyman, M. et al. Refractive outcomes comparison between the Lenstar LS 900® optical biometry and immersion A-scan ultrasound. Int Ophthalmol 35, 459–466 (2015). https://doi.org/10.1007/s10792-014-9970-4

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  • DOI: https://doi.org/10.1007/s10792-014-9970-4

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