Prospective study of toric IOL outcomes based on the Lenstar LS 900® dual zone automated keratometer
نویسندگان
چکیده
BACKGROUND To establish clinical expectations when using the Lenstar LS 900® dual-zone automated keratometer for surgery planning of toric intraocular lenses. METHODS Fifty eyes were measured with the Lenstar LS 900® dual-zone automated keratometer . Surgical planning was performed with the data from this device and the known surgically induced astigmatism of the surgeon. Post-operative refractions and visual acuity were measured at 1 month and 3 months. RESULTS Clinical outcomes from 43 uncomplicated surgeries showed an average post-operative refractive astigmatism of 0.44D ±0.25D. Over 70% of eyes had 0.50D or less of refractive astigmatism and no eye had more than 1.0D of refractive astigmatism. Uncorrected visual acuity was 20/32 or better in all eyes at 3 months, with 70% of eyes 20/20 or better. A significantly higher number of eyes had 0.75D or more of post-operative refractive astigmatism when the standard deviation of the pre-operative calculated corneal astigmatism angle, reported by the keratometer, was > 5 degrees. CONCLUSIONS In this single-site study investigating the use of the keratometry from the Lenstar LS 900® for toric IOL surgical planning, clinical outcomes appear equivalent to those reported in the literature for manual keratometry and somewhat better than has been reported for some previous automated instruments. A high standard deviation in the pre-operative calculated astigmatism angle, as reported by the keratometer, appears to increase the likelihood of higher post-operative refractive astigmatism.
منابع مشابه
Author's response to reviews Title: Prospective Study of Toric IOL Outcomes based on the Lenstar LS 900(R) Dual Zone Automated Keratometer Authors:
متن کامل
Factors Affecting the Accuracy of Intraocular Lens Power Calculation with Lenstar
This retrospective study was performed to compare refractive outcomes measured by conventional methods and by use of the Lenstar biometer and to investigate the factors affecting intraocular lens (IOL) power calculation with Lenstar with and without IOL-constant optimization. The study included 100 eyes of 86 patients who underwent cataract surgery. Corneal curvature was measured with a manual ...
متن کاملCorrecting astigmatism with toric intraocular lenses: effect of posterior corneal astigmatism.
PURPOSE To evaluate the impact of posterior corneal astigmatism on outcomes with toric intraocular lenses (IOLs). SETTING Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. DESIGN Case series. METHODS Corneal astigmatism was measured using 5 devices before and 3 weeks after cataract surgery. Toric IOL alignment was recorded at surgery and at the slitlamp 3 weeks postop...
متن کاملClinical outcomes with toric intraocular lenses planned using an optical low coherence reflectometry ocular biometer with a new toric calculator
PURPOSE To prospectively evaluate postoperative clinical outcomes with implantation of toric intraocular lenses (IOLs) using preoperative keratometry from an optical low coherence reflectometry (OLCR) ocular biometer (Lenstar® LS900) and the built-in Barrett toric calculator. PATIENTS AND METHODS A prospective observational study recruited one or both eyes of subjects who underwent uncomplica...
متن کاملWhich Keratometer is Most Reliable for Correcting Astigmatism with Toric Intraocular Lenses?
PURPOSE To evaluate the accuracy of preoperative keratometers used in cataract surgery with toric intraocular lens (IOL). METHODS Twenty-five eyes received an AcrySof toric IOL implantation. Four different keratometric methods, a manual keratometer, an IOL master, a Pentacam and an auto keratometer, were performed preoperatively in order to evaluate preexisting corneal astigmatism. Difference...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 12 شماره
صفحات -
تاریخ انتشار 2012