nach oben

International Ophthalmology

Erschienen in:

01.12.2024 | Original Paper

Association of refractive outcome with postoperative anterior chamber depth measured with 3 optical biometers

verfasst von: Yan Mao, Jianbing Li, Yingyan Qin, Yanxin Xu, Liangping Liu, Huanhuan Cheng, Mingxing Wu

Erschienen in: International Ophthalmology | Ausgabe 1/2024

Einloggen, um Zugang zu erhalten

Abstract

Purpose

This study evaluated the relationship between refractive outcomes and postoperative anterior chamber depth (ACD, measured from corneal epithelium to lens) measured by swept-source optical coherence tomography (SS-OCT), optical low-coherence reflectometry (OLCR), and Scheimpflug devices under the undilated pupil.

Methods

Patients undergoing cataract phacoemulsification with intraocular lens (IOL) implantation in a hospital setting were enrolled. Postoperative ACD (postACD) was performed with an SS-OCT device, an OLCR device, and a Scheimpflug device at least 1 month after cataract surgery. After adjusting the mean predicted error to 0, differences in refractive outcomes were calculated with the Olsen formula using actual postACD measured from 3 devices and predicted value.

Results

Overall, this comparative case study included 69 eyes of 69 patients, and postACD measurements were successfully taken using all 3 devices. The postACD measured with the SS-OCT, OLCR, and Scheimpflug devices was 4.59 ± 0.30, 4.50 ± 0.30, and 4.54 ± 0.32 mm, respectively. Statistically significant differences in postACD were found among 3 devices (P < 0.001), with intraclass correlation coefficients (ICCs) and Bland-Altman showing good agreement. No significant difference in median absolute error was found with the Olsen formula using actual postACD obtained with 3 devices. Percentage prediction errors were within ± 0.50 D in 65% (OLCR), 70% (Scheimpflug), and 67% (SS-OCT) calculated by actual postACD versus 64% by predicted value.

Conclusion

Substantial agreement was found in postACD measurements obtained from the SS-OCT, OLCR, and Scheimpflug devices, with a trend toward comparable refractive outcomes in the Olsen formula. Meanwhile, postACD measurements may be potentially superior for the additional enhancement of refractive outcomes.

Olsen T (1992) Sources of error in intraocular lens power calculation. J Cataract Refract Surg 18:125–129. https://doi.org/10.1016/s0886-3350(13)80917-0CrossRefPubMed

Norrby S (2008) Sources of error in intraocular lens power calculation. J Cataract Refract Surg 34:368–376. https://doi.org/10.1016/j.jcrs.2007.10.031CrossRefPubMed

Savini G, Hoffer KJ, Carbonelli M (2013) Anterior chamber and aqueous depth measurement in pseudophakic eyes: agreement between ultrasound biometry and scheimpflug imaging. J Refract Surg 29:121–125. https://doi.org/10.3928/1081597X-20130117-07CrossRefPubMed

Olsen T (2007) Calculation of intraocular lens power: a review. Acta Ophthalmol Scand 85:472–485. https://doi.org/10.1111/j.1600-0420.2007.00879.xCrossRefPubMed

Olsen T (2006) Prediction of the effective postoperative (intraocular lens) anterior chamber depth. J Cataract Refract Surg 32:419–424. https://doi.org/10.1016/j.jcrs.2005.12.139CrossRefPubMed

Shajari M, Cremonese C, Petermann K et al (2017) Comparison of axial length, corneal curvature, and anterior chamber depth measurements of 2 recently introduced devices to a known biometer. Am J Ophthalmol 178:58–64. https://doi.org/10.1016/j.ajo.2017.02.027CrossRefPubMed

Cheng H, Li J, Cheng B, Wu M (2020) Refractive predictability using two optical biometers and refraction types for intraocular lens power calculation in cataract surgery. Int Ophthalmol 40:1849–1856. https://doi.org/10.1007/s10792-020-01355-yCrossRefPubMed

Hoffer KJ, Savini G (2015) Anterior chamber depth studies. J Cataract Refract Surg 41:1898–1904. https://doi.org/10.1016/j.jcrs.2015.10.010CrossRefPubMed

Nemeth G, Vajas A, Kolozsvari B et al (2006) Anterior chamber depth measurements in phakic and pseudophakic eyes: pentacam versus ultrasound device. J Cataract Refract Surg 32:1331–1335. https://doi.org/10.1016/j.jcrs.2006.02.057CrossRefPubMed

10.

Hamoudi H, Correll Christensen U, La Cour M (2018) Agreement of phakic and pseudophakic anterior chamber depth measurements in IOLMaster and Pentacam. Acta Ophthalmol 96:e403. https://doi.org/10.1111/aos.13599CrossRefPubMed

11.

Kane JX, Chang DF (2021) Intraocular lens power formulas, biometry, and intraoperative aberrometry. Ophthalmol 128:e94–e114. https://doi.org/10.1016/j.ophtha.2020.08.010CrossRef

12.

Takabatake R, Takahashi M (2021) Preoperative factors affecting visual acuity following the implantation of diffractive multifocal intraocular lenses. J Refract Surg 37:674–679. https://doi.org/10.3928/1081597X-20210712-01CrossRefPubMed

13.

Bu Q, Hu D, Zhu H et al (2023) Swept-source optical coherence tomography and ultrasound biomicroscopy study of anterior segment parameters in primary angle-closure glaucoma. Graefes Arch Clin Exp Ophthalmol 261:1651–1658. https://doi.org/10.1007/s00417-022-05970-6CrossRefPubMed

14.

Olsen T, Hoffmann P (2014) C constant: new concept for ray tracing–assisted intraocular lens power calculation. J Cataract Refract Surg 40:764–773. https://doi.org/10.1016/j.jcrs.2013.10.037CrossRefPubMed

15.

Hoffer KJ, Savini G (2021) Update on intraocular lens power calculation study protocols. Ophthalmol 128:e115–e120. https://doi.org/10.1016/j.ophtha.2020.07.005CrossRef

16.

Qin Y, Liu L, Mao Y et al (2023) Accuracy of intraocular lens power calculation based on total Keratometry in patients with flat and steep corneas. Am J Ophthalmol 247:103–110. https://doi.org/10.1016/j.ajo.2022.11.011CrossRefPubMed

17.

Luft N, Hirnschall N, Farrokhi S, Findl O (2015) Comparability of anterior chamber depth measurements with partial coherence interferometry and optical low-coherence reflectometry in pseudophakic eyes. J Cataract Refract Surg 41:1678–1684. https://doi.org/10.1016/j.jcrs.2015.08.013CrossRefPubMed

18.

Norrby S (2004) Using the lens haptic plane concept and thick-lens ray tracing to calculate intraocular lens power. J Cataract Refract Surg 30:1000–1005. https://doi.org/10.1016/j.jcrs.2003.09.055CrossRefPubMed

19.

Jin H, Rabsilber T, Ehmer A et al (2009) Comparison of ray-tracing method and thin-lens formula in intraocular lens power calculations. J Cataract Refract Surg 35:650–662. https://doi.org/10.1016/j.jcrs.2008.12.015CrossRefPubMed

20.

Olsen T (2011) Use of fellow eye data in the calculation of intraocular lens power for the second eye. Ophthalmol 118:1710–1715. https://doi.org/10.1016/j.ophthaCrossRef

21.

Findl O, Drexler W, Menapace R et al (1998) High precision biometry of pseudophakic eyes using partial coherence interferometry. J Cataract Refract Surg 24:1087–1093. https://doi.org/10.1016/s0886-3350(98)80102-8CrossRefPubMed

22.

Kriechbaum K, Findl O, Kiss B et al (2003) Comparison of anterior chamber depth measurement methods in phakic and pseudophakic eyes. J Cataract Refract Surg 29:89–94. https://doi.org/10.1016/s0886-3350(02)01822-9CrossRefPubMed

23.

Kriechbaum K, Leydolt C, Findl O et al (2006) Comparison of partial coherence interferometers: acmaster versus laboratory prototype. J Refract Surg 22:811–816. https://doi.org/10.3928/1081-597X-20061001-12CrossRefPubMed

24.

Su P-F, Lo AY, Hu C-Y, Chang S-W (2008) Anterior chamber depth measurement in phakic and pseudophakic eyes. Optom Vis Sci 85:1193–1200. https://doi.org/10.1097/OPX.0b013e31818e8cebCrossRefPubMed

25.

Zhang Q, Jin W, Wang Q (2010) Repeatability, reproducibility, and agreement of central anterior chamber depth measurements in pseudophakic and phakic eyes: optical coherence tomography versus ultrasound biomicroscopy. J Cataract Refract Surg 36:941–946. https://doi.org/10.1016/j.jcrs.2009.12.038CrossRefPubMed

26.

Savini G, Olsen T, Carbonara C et al (2010) Anterior chamber depth measurement in pseudophakic eyes: a comparison of pentacam and ultrasound. J Refract Surg 26:341–347. https://doi.org/10.3928/1081597X-20090617-02CrossRefPubMed

27.

Rodriguez-Raton A, Jimenez-Alvarez M, Arteche-Limousin L et al (2015) Effect of pupil dilation on biometry measurements with partial coherence interferometry and its effect on IOL power formula calculation. Eur J Ophthalmol 25:309–314. https://doi.org/10.5301/ejo.5000568CrossRefPubMed

28.

Hildebrandt AL, Auffarth GU, Holzer MP (2011) Precision of a new device for biometric measurements in pseudophakic eyes. Ophthalmologe 108:739–744. https://doi.org/10.1007/s00347-011-2373-2CrossRefPubMed

29.

Xu Y, Liu L, Li J et al (2021) Refractive outcomes and anterior chamber depth after cataract surgery in eyes with and without previous pars plana vitrectomy. Curr Eye Res 46:1333–1340. https://doi.org/10.1080/02713683.2021.1887271CrossRefPubMed

Titel: Association of refractive outcome with postoperative anterior chamber depth measured with 3 optical biometers
verfasst von: Yan Mao
Jianbing Li
Yingyan Qin
Yanxin Xu
Liangping Liu
Huanhuan Cheng
Mingxing Wu
Publikationsdatum: 01.12.2024
Verlag: Springer Netherlands
Erschienen in: International Ophthalmology / Ausgabe 1/2024
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-024-02995-0

Neu im Fachgebiet Augenheilkunde

Metastase in der periokulären Region

Metastasen Leitthema

Orbitale und periokuläre metastatische Tumoren galten früher als sehr selten. Aber mit der ständigen Aktualisierung von Medikamenten und Nachweismethoden für die Krebsbehandlung werden neue Chemotherapien und Strahlenbehandlungen eingesetzt. Die …

Staging und Systemtherapie bei okulären und periokulären Metastasen

Metastasen Leitthema

Metastasen bösartiger Erkrankungen sind die häufigsten Tumoren, die im Auge diagnostiziert werden. Sie treten bei ungefähr 5–10 % der Patienten mit soliden Tumoren im Verlauf der Erkrankung auf. Besonders häufig sind diese beim Mammakarzinom und …

Wundheilung nach Trabekulektomie

Trabekulektomie CME-Artikel

Die überschießende Wundheilung in der filtrierenden Glaukomchirurgie ist ein zentraler Faktor für ein operatives Versagen. Nach der Einführung der Trabekulektomie in den 1960er-Jahren wurden viele Faktoren erkannt, die mit einer vermehrten …

„standard operating procedures“ (SOP) – Vorschlag zum therapeutischen Management bei periokulären sowie intraokulären Metastasen

Metastasen Leitthema

Peri- sowie intraokuläre Metastasen sind insgesamt gesehen selten und meist Zeichen einer fortgeschrittenen primären Tumorerkrankung. Die Therapie ist daher zumeist palliativ und selten kurativ. Zudem ist die Therapiefindung sehr individuell. Die …

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Association of refractive outcome with postoperative anterior chamber depth measured with 3 optical biometers

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet Augenheilkunde

Metastase in der periokulären Region

Staging und Systemtherapie bei okulären und periokulären Metastasen

Wundheilung nach Trabekulektomie

„standard operating procedures“ (SOP) – Vorschlag zum therapeutischen Management bei periokulären sowie intraokulären Metastasen

Update Augenheilkunde

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2024

Resilient back-propagation machine learning-based classification on fundus images for retinal microaneurysm detection

Predicting myopic changes in children wearing glasses using the Plusoptix photoscreener

Correlation between gout and dry eye disease

Orbital septum attachment site on the levator aponeurosis sling for mild congenital blepharoptosis

Exploration of AI-powered DenseNet121 for effective diabetic retinopathy detection

The evaluation of retrobulbar fat tissue in Graves’ orbitopathy with shear-wave ultrasound elastography

Neu im Fachgebiet Augenheilkunde

Metastase in der periokulären Region

Staging und Systemtherapie bei okulären und periokulären Metastasen

Wundheilung nach Trabekulektomie

„standard operating procedures“ (SOP) – Vorschlag zum therapeutischen Management bei periokulären sowie intraokulären Metastasen

Update Augenheilkunde