Korean J Ophthalmol > Volume 36(4); 2022 > Article
Korean Journal of Ophthalmology 2022;36(4):338-349.
DOI: https://doi.org/10.3341/kjo.2022.0025    Published online June 15, 2022.
Comparison of Anterior Segment Measurements with a New Multifunctional Unit and Five Other Devices
Bo Yi Kim, Ikhyun Jun
Department of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Corneal Dystrophy Research Institute, Yonsei University College of Medicine, Seoul, Korea
Correspondence:  Ikhyun Jun, Tel: 82-2-2228-3570, Fax: 82-2-312-0541, 
Email: HADESDUAL@yuhs.ac
Received: 4 March 2022   • Revised: 14 April 2022   • Accepted: 6 May 2022
Abstract
Purpose
To evaluate the clinical availability of a multifunctional ocular biometric unit, MR-6000, for simultaneous keratometry, tonometry, topography, and pachymetry evaluation, and compare anterior segment measurements with five other devices: autokeratometer (KR-1), Scheimpflug camera (Pentacam HR), swept-source optical coherence tomography (IOLMaster 700), Placido disk scanning-slit topography (Orbscan II), and noncontact tonometry (FT-1000).
Methods
Thirty eyes from thirty patients who visited Severance Hospital for cataract surgery were examined using MR6000 and the other devices. The mean keratometry, central corneal thickness (CCT), white-to-white (WTW) distance, and intraocular pressure (IOP) values were compared. Repeated measures analysis of variance, Wilcoxon signed-rank test, intraclass correlation coefficient (ICC), and Bland-Altman plot were used to assess the correlation and agreement between devices.
Results
Thirty eyes of thirty patients were evaluated. Statistically significant differences in mean keratometry between MR6000, KR-1, Pentacam HR, and IOLMaster 700 were not observed (p > 0.05). All five devices, including Orbscan II, had almost perfect agreement in measuring keratometry (ICC > 0.80, p < 0.05). CCT measured by MR-6000 was significantly different from that of Pentacam HR and Orbscan II measurements (p < 0.05) but correlated with that of Pentacam HR and Orbscan II measurements (ICC > 0.60, p < 0.05). The WTW distance measured by MR-6000 was not significantly different from that measured by IOLMaster 700 but was different from that measured by Orbscan II. IOP measured by MR-6000 was not correlated with FT-1000.
Conclusions
Keratometric values obtained through MR-6000 can be used interchangeably with other devices based on good correlation and agreement. However, the CCT, WTW, and IOP values were not interchangeable with a single multifunctional unit for cataract surgery preoperative examination.
Key Words: Cataract extraction, Corneal topography, Intraocular lens implantation, Tonometry
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