Comparing Two Keratometer Device Keratometry after Photorefractive Keratectomy

Document Type : Original Article (s)

Authors

1 Professor, Department of Ophthalmology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of Ophthalmology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Student of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

4 Assistant Professor of Ophthalmology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: One of the reasons that the power of intraocular lens (IOL) after Photorefractive keratectomy (PRK) report lower than the actual amount is an error of measurement of refractive power of cornea by corneal topography system and keratometers. There are Different devices with different accuracy for postoperative keratometry. It is necessary to use a more accuare device. This study aimed to compare IoL-Master keratometer with Zhaval keratometer.Methods: This clinical trial was a prospective study on patients referred for PRK. 35 patients aged 20 to 30, were randomly chosen. Keratometery was done by Zhaval (China GM300) and the IOL Master system. Three months after PRK another keratometry was done for all of the patients with both devices by an 5 minutes interval. The differences between postoperative clinical history method with IOL Master Keratometry and Zhaval keratometry was calculated. SPSS version 16 was used for data analysis and paired t-test and student t-test were performed.Finding: 70 eyes of 35 patients included 10 males and 25 females were studied. The mean age of patients was 23.45 ± 1.55 years. The difference between postoperative keratometry using IOL Master with keratometry from CHM compared with the difference between Zhaval keratometer from CHM was statistically significant.There was a Significant direct relationship between IOL master keratometry and CHM method (0.86 but Zhaval keratometry had not a significant correlaton with CHM.Conclusion: The result of this study showed that the method obtained by IOL Master are much closer to the CHM, therfor is recommended that for postoperative PRK keratometry IOL Master device should be used.

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