Predictive accuracy of partial coherence interferometry and swept-source optical coherence tomography for intraocular lens power calculation

Abstract

The purpose of this study is to compare the predictive accuracy of intraocular lens (IOL) calculations made with partial coherence interferometry (PCI, IOLMaster, version 5) and swept-source optical coherence tomography (SS-OCT, Argos). Axial length (AL), mean keratometry value (K), and anterior chamber depth (ACD) were obtained using PCI and SS-OCT optical biometers. Intraocular lens (IOL) power calculations were made using the Barret-Universal II, Haigis, Hoffer Q, SRK/T, and T2 formulas and compared the predictive accuracy between biometers. In 153 eyes (153 patients), axial length measurements made with PCI (24.65 ± 2.35 mm) and SS-OCT (24.62 ± 2.29 mm) were significantly different (P < 0.001). Corneal power (P = 0.97) and anterior chamber depth (P = 0.51) were not significantly different between biometer. The mean absolute error was not significantly different between the five IOL power calculation formulas for either PCI or SS-OCT measurements. When AL was 24.5–26.0 mm, mean absolute error derived from SS-OCT was smaller than mean absolute error derived from PCI for all five IOL power calculation formulas (all P < 0.05). In conclusion, predictive accuracy of PCI and SS-OCT were nearly the same. However, in medium-long eyes, the predictive accuracy of SS-OCT for IOL calculations was higher.