Biometry and intraocular lens power calculation.

PURPOSE OF REVIEW: Heightened patient expectations for precise postoperative refractive results have spurred the continued improvements in biometry and intraocular lens calculations. In order to meet these expectations, attention to proper patient selection, accurate keratometry and biometry, and ap...

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Publicado en:Current Opinion in Ophthalmology Vol. 19; no. 1; pp. 13 - 18
Autores principales: Lee AC, Qazi MA, Pepose JS
Formato: Journal Article
Publicado: Lippincott Williams & Wilkins 2008 Jan
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2008 Jan
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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          Lee AC
          Qazi MA
          Pepose JS
        affil: Pepose Vision Institute, Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St Louis, Missouri 63017, USA.
      sug:
        subj:
          Biometrics Methods
          Cataract Complications
          Lenses, Intraocular Equipment and Supplies
          Lenses, Intraocular
          Optometry Methods
          Refractive Errors Rehabilitation
          Symptoms Complications
          Prosthesis Design
          Refraction, Ocular
          Refractive Errors Complications
          Refractive Errors Physiopathology
          Symptoms Physiopathology
      ab: PURPOSE OF REVIEW: Heightened patient expectations for precise postoperative refractive results have spurred the continued improvements in biometry and intraocular lens calculations. In order to meet these expectations, attention to proper patient selection, accurate keratometry and biometry, and appropriate intraocular lens power formula selection with optimized lens constants are required. The article reviews recent studies and advances in the field of biometry and intraocular lens power calculations. RECENT FINDINGS: Several noncontact optical-based devices compare favorably, if not superiorly, to older ultrasonic biometric and keratometric techniques. With additional improvements in the internal acquisition algorithm, the new IOL Master software version 5 upgrade should lessen operator variability and further enhance signal acquisition. The modern Haigis-L and Holladay 2 formulas more accurately determine the position and the shape of the intraocular lens power prediction curve. SUMMARY: Postoperative refractive results depend on the precision of multiple factors and measurements. The element with the highest variability and inaccuracy is, ultimately, going to determine the outcome. By understanding the advantages and limitations of the current technology, it is possible to consistently achieve highly accurate results.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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