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  • Features of «Verion» keratometric system in comparison with traditional keratometers in patients after radial keratotomy

    Редактор | 2018, Practical medicine part 16 №04 (18) Contremporary issues of ophthalmology | 20 сентября, 2018

    I.V. KUZNETSOV1, N.V. PASIKOVA1, V.I. KUZNETSOVA2

    1Orenburg branch of S. Fyodorov Eye Microsurgery Federal State Institution, 17 Salmyshskaya Str., Orenburg, Russian Federation, 460047

    2Orenburg State Medical University, 6 Sovetskaya Str., Orenburg, Russian Federation, 460000

      Kuznetsov I.V. ― ophthalmologist, e-mail: shtirlic-ku@mail.ru

    Pasikova N.V. ― ophthalmologist, e-mail: natiracool@mail.ru

    Kuznetsova V.I. ― 6th year student, e-mail: viktoshka-08@mail.ru

     Objective ― to compare the features of keratometric system Verion, autorefractometer «Tomey 5000», optical biometer «IOL-Master» with keratometry function, keratotopograph «Tomey TMS-4» for the estimation of focusing power of the cornea when calculating intraocular lens for eyes after keratotomy.

    Material and methods. 21 patients (42 eyes) after radial keratotomy underwent keratometry; keratometric indices were compared taking into consideration 2 main meridians.

    Results. The maximum keratometry values were obtained using «Tomey 5000», the minimal ones ― using «Tomey TMS-4». «IOL-Master» and «Verion» showed intermediate results with a slight excess when using «IOL-Master». The obtained differences are statistically significant: p<0.05. Conclusion. Calculation of the optical power of the IOL in the eyes after radial keratotomy is effectually performed according to the formula of the 4th generation Holladay II «Verion» system using the keratometric parameters of the keratotopograph «Tomey TMS-4».

    Key words: radial keratotomy, keratometry, intraocular lens.

    (For citation: Kuznetsov I.V., Pasikova N.V., Kuznetsova V.I. Features of «Verion» keratometric system in comparison with traditional keratometers in patients after radial keratotomy. Practical Medicine. 2018)

    REFERENCES

    1. Potvin R., Hill W. New algorithm for post-radial keratotomy intraocular lens power calculations based on rotating Scheimpflug camera data. J. Cataract. Refract. Surg, 2013, vol. 39, pp. 358-365.
    2. Stakheev A.A., Balashevich L.I. A new method for calculating the strength of intraocular lenses for patients with cataract who had previously suffered radial keratotomy. Oftal’mokhirurgiya, 2008, no. 2, pp. 26-33 (in Russ.).
    3. Titarenko E.M., Shilovskikh O.V., Ul’yanov A.N., Kremeshkov M.V. Features of examination and calculation of the IOL in the eyes after a previous radial keratotomy. Sovremennye tekhnologii v oftal’mologii, 2015, no. 4, pp. 104-106 (in Russ.).
    4. Koch D.D., Liu J.F., Hyde L.L. et al. Refractive complications of cataract surgery after radial keratotomy. Am. J. Ophthalmol, 1989, vol. 15, pp. 676-682.
    5. Yusef Yu.N., Kas’yanov A.A., Ivanov M.N. Calculation of the optical strength of intraocular lenses in non-standard clinical situations. Vestn. oftal’mol, 2013, no. 5, pp. 62-66 (in Russ.).
    6. Zhezheleva L.V., Gusev Yu.A. Influence of keratometry parameters on the accuracy of calculating the optical strength of IOL in patients after radial keratotomy. Kataraktal’naya i refraktsionnaya khirurgiya, 2016, no. 1, pp. 25-30 (in Russ.).
    7. Hoffer K.J. Intraocular lens power calculation for eyes after refractive keratotomy. J. Refract. Surg, 1995, vol. 11, pp. 490-493.
    8. Holladay J.T. Cataract surgery in patients with previous keratorefractive surgery (RK, PRK, and LASIK). Ophthalmic Pract, 1997, vol. 15, pp. 238-244.

    Метки: 2018, I.V. KUZNETSOV, intraocular lens, keratometry, N.V. PASIKOVA, Practical medicine part 16 №04 (18) Contremporary issues of ophthalmology, radial keratotomy, V.I. KUZNETSOVA

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