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Validity of automated refraction after segmented refractive multifocal intraocular lens implantation

查看全文 作  者:Cesar Albarran-[1,2]Diego;Gonzalo [1]Munoz;Stephanie [2]Rohrweck;Satiago Garcia-[2]Lazaro;Jose Ricardo [1]Albero 高影响力作者 机构地区:[1]Clinica Baviera Castellon, Castellon de la Plana 12001, Spain;[2]Optics, Optometry and Vision Sciences Department, University of Valencia, Burjassot 46100, Spain高影响力机构 出  处:《International Journal of Ophthalmology(English edition)》索引2017年第10卷第11期,共6页高影响力期刊 摘  要:AIM: To evaluate the clinical utility of automated refraction(AR) and keratometry(KR) compared with subjective or manifest refraction(MR) after cataract or refractive lens exchange surgery with implantation of Lentis Mplus X(Oculentis GmbH) refractive multifocal intraocular lens(IOL).METHODS: Eighty-six eyes implanted with the Lentis Mplus X multifocal IOL were included. MR was performed in all patients followed by three consecutive AR measurements using the Topcon KR-8000 autorefractor. Assessment of repeatability of consecutive AR before and after dilation with phenylephrine 10%, and comparison of the AR and KR with MR using vector analysis were performed at 3 mo follow-up.RESULTS: Analysis showed excellent repeatability of the AR measurements. Linear regression of AR versus MR showed good correlation for sphere and spherical equivalent, whereas the correlation for astigmatism was low. The mean difference AR-MR was-1.28±0.29 diopters(D) for sphere. Astigmatism showed better correlation between KR and MR. CONCLUSION: We suggest AR sphere plus 1.25 D and the KR cylinder as the starting point for MR in eyes with a Lentis Mplus X multifocal IOL. If AR measurements are equal to MR, decentration of the IOL should be suspected. 关 键 词:autorefraction 向量分析 同意 multifocal intraocular 透镜
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