Errors Associated with IOLMaster Biometry as a Function of Internal Ocular Dimensions

Purpose: To evaluate the error in the estimation of axial length (AL) with the IOLMaster partial coherence interferometry (PCI) biometer and obtain a correction factor that varies as a function of AL and crystalline lens thickness (LT). Methods: Optical simulations were produced for theoretical eyes...

Full description

Bibliographic Details
Main Authors: Miguel Faria-Ribeiro, Daniela Lopes-Ferreira, Norberto López-Gil, Jorge Jorge, José Manuel González-Méijome
Format: Article
Language:English
Published: Elsevier 2014-04-01
Series:Journal of Optometry
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1888429613000861
_version_ 1818502482034163712
author Miguel Faria-Ribeiro
Daniela Lopes-Ferreira
Norberto López-Gil
Jorge Jorge
José Manuel González-Méijome
author_facet Miguel Faria-Ribeiro
Daniela Lopes-Ferreira
Norberto López-Gil
Jorge Jorge
José Manuel González-Méijome
author_sort Miguel Faria-Ribeiro
collection DOAJ
description Purpose: To evaluate the error in the estimation of axial length (AL) with the IOLMaster partial coherence interferometry (PCI) biometer and obtain a correction factor that varies as a function of AL and crystalline lens thickness (LT). Methods: Optical simulations were produced for theoretical eyes using Zemax-EE software. Thirty-three combinations including eleven different AL (from 20 mm to 30 mm in 1 mm steps) and three different LT (3.6 mm, 4.2 mm and 4.8 mm) were used. Errors were obtained comparing the AL measured for a constant equivalent refractive index of 1.3549 and for the actual combinations of indices and intra-ocular dimensions of LT and AL in each model eye. Results: In the range from 20 mm to 30 mm AL and 3.6–4.8 mm LT, the instrument measurements yielded an error between −0.043 mm and +0.089 mm. Regression analyses for the three LT condition were combined in order to derive a correction factor as a function of the instrument measured AL for each combination of AL and LT in the theoretical eye. Conclusions: The assumption of a single “average” refractive index in the estimation of AL by the IOLMaster PCI biometer only induces very small errors in a wide range of combinations of ocular dimensions. Even so, the accurate estimation of those errors may help to improve accuracy of intra-ocular lens calculations through exact ray tracing, particularly in longer eyes and eyes with thicker or thinner crystalline lenses.
first_indexed 2024-12-10T21:10:52Z
format Article
id doaj.art-4f55df2990e049e0a1ef28e715e1360f
institution Directory Open Access Journal
issn 1888-4296
language English
last_indexed 2024-12-10T21:10:52Z
publishDate 2014-04-01
publisher Elsevier
record_format Article
series Journal of Optometry
spelling doaj.art-4f55df2990e049e0a1ef28e715e1360f2022-12-22T01:33:29ZengElsevierJournal of Optometry1888-42962014-04-0172757810.1016/j.optom.2013.12.005Errors Associated with IOLMaster Biometry as a Function of Internal Ocular DimensionsMiguel Faria-Ribeiro0Daniela Lopes-Ferreira1Norberto López-Gil2Jorge Jorge3José Manuel González-Méijome4Clinical & Experimental Optometry Research Lab, School of Sciences (Optometry), University of Minho, Braga, PortugalClinical & Experimental Optometry Research Lab, School of Sciences (Optometry), University of Minho, Braga, PortugalCiencias de la Visión, Facultad de Óptica y Optometría, Universidad de Murcia, Murcia, SpainClinical & Experimental Optometry Research Lab, School of Sciences (Optometry), University of Minho, Braga, PortugalClinical & Experimental Optometry Research Lab, School of Sciences (Optometry), University of Minho, Braga, PortugalPurpose: To evaluate the error in the estimation of axial length (AL) with the IOLMaster partial coherence interferometry (PCI) biometer and obtain a correction factor that varies as a function of AL and crystalline lens thickness (LT). Methods: Optical simulations were produced for theoretical eyes using Zemax-EE software. Thirty-three combinations including eleven different AL (from 20 mm to 30 mm in 1 mm steps) and three different LT (3.6 mm, 4.2 mm and 4.8 mm) were used. Errors were obtained comparing the AL measured for a constant equivalent refractive index of 1.3549 and for the actual combinations of indices and intra-ocular dimensions of LT and AL in each model eye. Results: In the range from 20 mm to 30 mm AL and 3.6–4.8 mm LT, the instrument measurements yielded an error between −0.043 mm and +0.089 mm. Regression analyses for the three LT condition were combined in order to derive a correction factor as a function of the instrument measured AL for each combination of AL and LT in the theoretical eye. Conclusions: The assumption of a single “average” refractive index in the estimation of AL by the IOLMaster PCI biometer only induces very small errors in a wide range of combinations of ocular dimensions. Even so, the accurate estimation of those errors may help to improve accuracy of intra-ocular lens calculations through exact ray tracing, particularly in longer eyes and eyes with thicker or thinner crystalline lenses.http://www.sciencedirect.com/science/article/pii/S1888429613000861Intra-ocular lens calculationIOL calculationAxial length measurement
spellingShingle Miguel Faria-Ribeiro
Daniela Lopes-Ferreira
Norberto López-Gil
Jorge Jorge
José Manuel González-Méijome
Errors Associated with IOLMaster Biometry as a Function of Internal Ocular Dimensions
Journal of Optometry
Intra-ocular lens calculation
IOL calculation
Axial length measurement
title Errors Associated with IOLMaster Biometry as a Function of Internal Ocular Dimensions
title_full Errors Associated with IOLMaster Biometry as a Function of Internal Ocular Dimensions
title_fullStr Errors Associated with IOLMaster Biometry as a Function of Internal Ocular Dimensions
title_full_unstemmed Errors Associated with IOLMaster Biometry as a Function of Internal Ocular Dimensions
title_short Errors Associated with IOLMaster Biometry as a Function of Internal Ocular Dimensions
title_sort errors associated with iolmaster biometry as a function of internal ocular dimensions
topic Intra-ocular lens calculation
IOL calculation
Axial length measurement
url http://www.sciencedirect.com/science/article/pii/S1888429613000861
work_keys_str_mv AT miguelfariaribeiro errorsassociatedwithiolmasterbiometryasafunctionofinternaloculardimensions
AT danielalopesferreira errorsassociatedwithiolmasterbiometryasafunctionofinternaloculardimensions
AT norbertolopezgil errorsassociatedwithiolmasterbiometryasafunctionofinternaloculardimensions
AT jorgejorge errorsassociatedwithiolmasterbiometryasafunctionofinternaloculardimensions
AT josemanuelgonzalezmeijome errorsassociatedwithiolmasterbiometryasafunctionofinternaloculardimensions