Determining postoperative anterior chamber depth.

Abstract:

PURPOSE:To compare measured and calculated postoperative anterior chamber depths (ACDs). SETTING:Department of Ophthalmology and Institute of Medical Physics, University of Vienna, Vienna, Austria, and Department of Ophthalmology, University of Mainz, Mainz, Germany. METHODS:The postoperative ACD was measured in 189 pseudophakic eyes using a laboratory prototype of partial coherence interferometry (PCI). In 6 intraocular lens (IOL) groups, the mean ACD was calculated by ray tracing based on the best-known A-constants of the SRK formulas. In addition, for each IOL type, each measured ACD was compared with a value calculated using the individual spherical equivalent of the postoperative refraction. RESULTS:The measured and the calculated ACD values were close and did not show systematic differences. The ACD values obtained in the study, however, differed significantly from the values published by the IOL manufacturers. A comparison of the PCI-assessed ACDs and the calculated values using the postoperative refraction showed more scattered results for the refraction-based data, which was probably the result of higher measurement errors with the autorefractometer than with PCI. CONCLUSIONS:High-precision interferometry measurements and ray-tracing calculations confirmed each other. The resulting mean ACD values should be used instead of the manufacturers' values. The refractive outcome of cataract surgery can be improved by combining preoperative high-precision PCI biometry and numerical ray tracing for IOL power calculations.

authors

Kriechbaum K,Findl O,Preussner PR,Köppl C,Wahl J,Drexler W

doi

10.1016/s0886-3350(03)00414-0

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

2122-6

issue

11

eissn

0886-3350

issn

1873-4502

pii

S0886335003004140

journal_volume

29

pub_type

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