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IOLMaster, Lenstar, Orbscan 및 수동 방법을 이용한 각막윤부직경 비교

Comparison of White-to-White Diameters Measured by IOLMaster, Lenstar, Orbscan, and a Manual Method

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Purpose: To compare and evaluate device efficacy using white-to-white (WTW) diameter measurements by IOLMaster<sup>&reg;, Lenstar<sup>&reg;, Orbscan II<sup>&reg;, and a manual method with anterior segment photographs in normal eyes. Methods: Three sets of WTW diameter measurements were obtained from 62 normal eyes of 31 patients, using the Orbscan II<sup>&reg;, Lenstar<sup>&reg;, IOLMaster<sup>&reg;, and a manual method with anterior segment photographs. Repeatability of each device was evaluated by coefficient of variation. ANOVA and Pearson&#39;s correlation were used to compare the differences among the devices. Bland Altman plot was performed to assess measurement agreement among the devices. Results: The mean WTW distance was 11.79 ± 0.46 mm with Orbscan II<sup>&reg;, 12.05 ± 0.38 mm with Lenstar<sup>&reg;, 12.15 ± 0.36 mm with IOLMaster<sup>&reg;, and 12.30 ± 0.40 mm with a manual method. There were significant differences in the results among the methods (ANOVA, p < 0.05). There were significant correlations between the devices except Orbscan II<sup>&reg; (Pearson&#39;s correlation, r > 0.8, p < 0.05). The coefficient of variation of Orbscan II<sup>&reg; was larger than those of Lenstar<sup>&reg; and IOLMaster<sup>&reg;. Conclusions: The WTW measurement using Orbscan II<sup>&reg; has low correlations with other devices and lower repeatability. Our findings suggest that partial coherence interferometry should be considered as a new standard.

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