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Preoperative prediction of the optimal toric intraocular lens alignment meridian

Journal of Refractive Surgery Aug 16, 2018

Chamberlain PD, et al. - In this retrospective review, researchers investigated compared three keratometry devices (optical low-coherence reflectometer/autokeratometer (OLCR), a dual Scheimpflug/Placido analyzer, and a color light-emitting diode (LED) topographer) for predicting the ideal toric intraocular lens (IOL) alignment meridian. Participants were patients who had cataract phacoemulsification with toric IOL implantation from November 2014 to November 2016 at a single academic institution. Based on the findings, they concluded that, preoperative determination of the best alignment meridian for toric IOL placement can be possible by using any of the three devices as no significant difference was observed in the ability of each device to predict the ideal alignment meridian as determined by the Berdhal & Hardten Toric Results Analyzer (BHTRA). In every individual case, surgeons should use their best judgment in determining which device to use in preoperative planning.
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