Abstract 99. Jahrestagung der DOG, 29. 9. - 2. 10. 01 im ICC, Berlin

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Preoperative Biometry of the Cataractous Eye Using Partial Coherence Laser Interferometry

Häsemeyer S., Hugger P., Jonas J. B.

Department of Ophthalmology and Eye Hospital, Faculty of Clinical Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany Corresponding author: Dr. Stefan Häsemeyer, Universitäts-Augenklinik, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany; Phone: **49-621- 383-2652; Fax: **49-621-383-3803; e-mail: Stefan.Haesemeyer@augen.ma.uni-heidelberg.de

Purpose: To evaluate the predictability of partial coherence laser interferometry for preoperative biometry of the cataractous eye.
Methods: The case series study included 105 patients consecutively undergoing routine phacoemulsification with implantation of a posterior chamber lens. For all patients, partial coherence laser interferometry biometry was performed for preoperative axial length measurement.
Results: Mean difference in refractive error between preoperatively predicted postoperative values and postoperative values measured after surgery was 0.57 ± 0.54 diopters. Postoperative refractive error was predicted within +/- 1 diopter in 91 (91/105=81.9%) patients, and within +/- 2 diopters in 104 (104/105 =99%) patients. The difference was significantly (P=0.02) associated with axial length. It was statistically independent of the preoperative refractive error (P=0.68), preoperative keratometric readings (P=0.30), preoperative keratometric corneal astigmatism (P=0.57), and type of cataract (P=0.66).
Conclusions: Partial coherence interferometry is a non-contact, user- and patient-friendly technique for ocular axial length determination with an accuracy which is comparable to that of high-precision immersion ultrasound.




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