PMID- 38085173 OWN - NLM STAT- MEDLINE DCOM- 20240424 LR - 20240428 IS - 1873-4502 (Electronic) IS - 0886-3350 (Print) IS - 0886-3350 (Linking) VI - 50 IP - 5 DP - 2024 May 1 TI - Precision of a new SS-OCT biometer to measure anterior segment parameters and agreement with 3 instruments with different measurement principles. PG - 486-491 LID - 10.1097/j.jcrs.0000000000001380 [doi] AB - PURPOSE: To evaluate the repeatability of a new swept source optical coherence tomography (SS-OCT)-based biometer to measure anterior segment parameters and to assess the agreement with 3 other imaging devices based on different measurement principles. SETTING: Unit of Eye and Vision, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden. DESIGN: Prospective, comparative case series. METHODS: 3 consecutive measurements were obtained in unoperated eyes with the Eyestar900 (SS-OCT), Lenstar 900, MS-39, and Sirius. The following anterior segment parameters were evaluated: central corneal thickness (CCT), corneal diameter (CD), aqueous depth (AQD), and corneal power metrics. The repeatability limit (Rlim), coefficient of variation (CoV), and a repeated measures Bland-Altman analysis were performed. RESULTS: 74 eyes of 74 participants were measured. The Rlims for CCT, CD, and AQD were lower than 10 mum, 0.3 mm, and 0.10 mm for all devices, respectively. The corresponding CoVs for these parameters never exceeded 1.2%. The Rlim for the corneal power metrics never exceeded 0.60 diopter (D) for any of the instruments. Lenstar showed the best agreement with the MS-39 to measure CCT, CD, and AQD (limit of agreement interval, LoA: 15.54 mum, 0.55 mm, and 0.16 mm, respectively). The mean difference for keratometry parameters was lower than 0.3 D for all device comparisons, and the LoA interval ranged between 0.52 D and 1.21 D. CONCLUSIONS: The repeatability for measuring anterior segment parameters was good, and the agreement among all the instruments was good for CD and AQD measurements. However, for CCT and keratometer parameters, the instruments cannot be used interchangeably due to large LoA interval. CI - Copyright (c) 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of ASCRS and ESCRS. FAU - Venkataraman, Abinaya Priya AU - Venkataraman AP AUID- ORCID: 0000-0002-2155-7030 AD - From the Division of Eye and Vision, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden (Venkataraman, Dominguez-Vicent, Selin, Brautaset); Optics and Optometry and Vision Sciences Department, University of Valencia, Valencia, Spain (Montes-Mico). FAU - Dominguez-Vicent, Alberto AU - Dominguez-Vicent A FAU - Selin, Paulina AU - Selin P AUID- ORCID: 0009-0009-7546-5578 FAU - Brautaset, Rune AU - Brautaset R AUID- ORCID: 0000-0003-4372-6787 FAU - Montes-Mico, Robert AU - Montes-Mico R LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Cataract Refract Surg JT - Journal of cataract and refractive surgery JID - 8604171 SB - IM MH - Humans MH - *Tomography, Optical Coherence/instrumentation/methods MH - Prospective Studies MH - Reproducibility of Results MH - *Anterior Eye Segment/diagnostic imaging MH - Male MH - Female MH - Middle Aged MH - *Cornea/diagnostic imaging/anatomy & histology MH - *Biometry/instrumentation/methods MH - Adult MH - Aged MH - Corneal Pachymetry/instrumentation MH - Young Adult PMC - PMC11045405 EDAT- 2023/12/12 12:42 MHDA- 2024/04/25 00:54 PMCR- 2024/04/26 CRDT- 2023/12/12 10:23 PHST- 2023/08/23 00:00 [received] PHST- 2023/12/05 00:00 [accepted] PHST- 2024/04/25 00:54 [medline] PHST- 2023/12/12 12:42 [pubmed] PHST- 2023/12/12 10:23 [entrez] PHST- 2024/04/26 00:00 [pmc-release] AID - 02158034-990000000-00336 [pii] AID - JCRS-23-600 [pii] AID - 10.1097/j.jcrs.0000000000001380 [doi] PST - ppublish SO - J Cataract Refract Surg. 2024 May 1;50(5):486-491. doi: 10.1097/j.jcrs.0000000000001380.