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Comparison of biometric measurements obtained by the Verion Image-Guided System versus the auto-refracto-keratometer

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Abstract

Purpose

To compare the biometric measurements obtained from the Verion Image-Guided System to those obtained by auto-refracto-keratometer in normal eyes.

Methods

This is a prospective, observational, comparative study conducted at the Asociación para Evitar la Ceguera en México I.A.P., Mexico. Three sets of keratometry measurements were obtained using the image-guided system to assess the coefficient of variation, the within-subject standard deviation and intraclass correlation coefficient (ICC). A paired Student t test was used to assess statistical significance between the Verion and the auto-refracto-keratometer. A Pearson’s correlation coefficient (r) was obtained for all measurements, and the level of agreement was verified using Bland–Altman plots.

Results

The right eyes of 73 patients were evaluated by each platform. The Verion coefficient of variation was 0.3% for the flat and steep keratometry, with the ICC being greater than 0.9 for all parameters measured. Paired t test showed statistically significant differences between groups (P = 0.0001). A good correlation was evidenced for keratometry values between platforms (r = 0.903, P = 0.0001 for K1, and r = 0.890, P = 0.0001). Bland–Altman plots showed a wide data spread for all variables.

Conclusion

The image-guided system provided highly repeatable corneal power and keratometry measurements. However, significant differences were evidenced between the two platforms, and although values were highly correlated, they showed a wide data spread for all analysed variables; therefore, their interchangeable use for biometry assessment is not advisable.

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Acknowledgement

The Asociación Para Evitar la Ceguera en México I.A.P. provided financial support in the form of biometry assessment grant for enrolled subjects (Grant Number SA-16-00). The sponsor had no role in the design or conduct of this research.

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Correspondence to Roberto Gonzalez-Salinas.

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All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study

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Velasco-Barona, C., Cervantes-Coste, G., Mendoza-Schuster, E. et al. Comparison of biometric measurements obtained by the Verion Image-Guided System versus the auto-refracto-keratometer. Int Ophthalmol 38, 951–957 (2018). https://doi.org/10.1007/s10792-017-0541-3

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  • DOI: https://doi.org/10.1007/s10792-017-0541-3

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