Comparing methods to estimate the human lens power

Rozema, Jos J. , Atchison, David A. , & Tassignon, Marie¬José (2011) Comparing methods to estimate the human lens power. Investigative Ophthalmology & Visual Science, 52(11), pp. 7937-7942.

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Purpose: To compare accuracies of different methods for calculating human lens power when lens thickness is not available.

Methods: Lens power was calculated by four methods. Three methods were used with previously published biometry and refraction data of 184 emmetropic and myopic eyes of 184 subjects (age range [18, 63] years, spherical equivalent range [–12.38, +0.75] D). These three methods consist of the Bennett method, which uses lens thickness, our modification of the Stenström method and the Bennett¬Rabbetts method, both of which do not require knowledge of lens thickness. These methods include c constants, which represent distances from lens surfaces to principal planes. Lens powers calculated with these methods were compared with those calculated using phakometry data available for a subgroup of 66 emmetropic eyes (66 subjects).

Results: Lens powers obtained from the Bennett method corresponded well with those obtained by phakometry for emmetropic eyes, although individual differences up to 3.5D occurred. Lens powers obtained from the modified¬Stenström and Bennett¬Rabbetts methods deviated significantly from those obtained with either the Bennett method or phakometry. Customizing the c constants improved this agreement, but applying these constants to the entire group gave mean lens power differences of 0.71 ± 0.56D compared with the Bennett method. By further optimizing the c constants, the agreement with the Bennett method was within ± 1D for 95% of the eyes.

Conclusion: With appropriate constants, the modified¬Stenström and Bennett¬Rabbetts methods provide a good approximation of the Bennett lens power in emmetropic and myopic eyes.

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ID Code: 49223
Item Type: Journal Article
Refereed: Yes
Keywords: Lens power, phakometry , lens thickness
DOI: 10.1167/iovs.11-7899
ISSN: 0146-0404
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Optometry & Vision Science
Deposited On: 22 Mar 2012 04:24
Last Modified: 08 Apr 2012 14:10

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