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Intraoperative Aberrometry for IOL Selection

  • Cataract (CE Starr and A Brissette, Section Editors)
  • Published:
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Purpose of Review

To review the clinical use, advantages, and potential limitations of intraoperative aberrometry (IA) and its application in cataract surgery in the normal, astigmatic, and atypical eye.

Recent Findings

The use of IA is similar to traditional preoperative biometry methods for intraocular lens (IOL) determination in short and normal eyes. The use of IA resulted in equivalent outcomes to modern formulas with optimized axial lengths in long eyes and exceeded traditional formulas. Improved outcomes compared to traditional methods were noted with the use of IA when used for both astigmatism correction and IOL determination in patients with a history of corneal refractive surgery.


The greatest value in using IA is with atypical eyes. There is a surgeon learning curve with this technology to allow for optimal, consistent, and reproducible results. Despite the increasing popularity of IA, the number of published studies on this technology is limited.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Correspondence to Kathryn M. Hatch.

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Yong, J.J., Hatch, K.M. Intraoperative Aberrometry for IOL Selection. Curr Ophthalmol Rep 7, 213–218 (2019).

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