Which Keratometer is Most Reliable for Correcting Astigmatism with Toric Intraocular Lenses?.
- Author:
Minwook CHANG
1
;
Su Yeon KANG
;
Hyo Myung KIM
Author Information
- Publication Type:Original Article
- Keywords: Astigmatism; Cataract; Keratometer; Keratometric error; Toric intraocular lenses
- MeSH: Analysis of Variance; Astigmatism/complications/*surgery; *Cataract Extraction; Female; Humans; Lens Implantation, Intraocular/*methods; *Lenses, Intraocular; Magnetic Resonance Imaging; Male; Prospective Studies; Refraction, Ocular; Reproducibility of Results; Treatment Outcome; Visual Acuity
- From:Korean Journal of Ophthalmology 2012;26(1):10-14
- CountryRepublic of Korea
- Language:English
- Abstract: 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. Differences between the true residual astigmatism and the anticipated residual astigmatism (keratometric error) were compared at one and three months after surgery by using a separate vector analysis to identify the keratometric method that provided the highest accuracy for astigmatism control. RESULTS: The mean keratomeric error was 0.52 diopters (0.17-1.17) for the manual keratometer, 0.62 (0-1.31) for the IOL master, 0.69 (0.08-1.92) for the Pentacam, and 0.59 (0.08-0.94) for the auto keratometer. The manual keratometer was the most accurate, although there was no significant difference between the keratometers (p > 0.05). All of the keratometers achieved an average keratometric error of less than one diopter. CONCLUSIONS: Manual keratometry was the most accurate of the four methods evaluated, although the other techniques were equally satisfactory in determining corneal astigmatism.
