Agreement between the Swept-Source Optical Coherence Tomography and the Image-Guided System for Biometry Assessment in Cataract Surgery

Semin Ophthalmol. 2022 Apr 3;37(3):324-329. doi: 10.1080/08820538.2021.1965172. Epub 2021 Aug 17.

Abstract

Purpose: To assess the agreement on biometric data obtained using the Verion image-guided surgery system and the swept-source-OCT biometer IOL Master 700.

Materials and methods: All patients underwent biometry using the SS-OCT and the Image-Guide System. The comparison between instruments was assessed using the Intraclass correlation coefficient (ICC). Level of Agreement (LoA) employing the Bland-Altman analysis.

Results: The image-based system produced significantly higher keratometry values, evidencing a low LoA between the SS-OCT and the image-based system, ranging from -1.30 D to 0.65 D (1.95 D), -1.04 D to 0.72 D (1.76 D), and -1.31 D to 0.65 D (1.96 D), respectively. The LoA for the Cylinder ranged from -0.46 D to 0.74 D (1.2 D) and from 0.82 to 0.94 mm for WTW.

Conclusions: In our study, the SS-OCT biometer and the Image-based System evidenced statistically significant differences in measuring the main biometric parameters except for the WTW.

Keywords: Cataract surgery; IOL power calculation; Image-guided system; Phacoemulsification; Swept-Source OCT.

MeSH terms

  • Axial Length, Eye / anatomy & histology
  • Biometry / methods
  • Cataract*
  • Humans
  • Interferometry / methods
  • Reproducibility of Results
  • Tomography, Optical Coherence* / methods