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Clinical comparison of speculum’s influence on intraoperative aberrometry reading

Authors Lafetá Queiroz RF, Kniggendorf DV, de Medeiros AL, Hida WT, Nakano CT, Carricondo PC, Nosé W, Rolim AG, Motta AFP

Received 22 June 2018

Accepted for publication 4 February 2019

Published 7 June 2019 Volume 2019:13 Pages 953—958


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Rodrigo Franco Lafetá Queiroz,1,2 Danilo Varela Kniggendorf,1,2 André Lins de Medeiros,1,2 Wilson Takashi Hida,1–4 Celso Takashi Nakano,1,2 Pedro Carlos Carricondo,3 Walton Nosé,4 Andre Gustavo Rolim,1,2 Antonio Francisco Pimenta Motta1,2

1Hospital Oftalmológico de Brasília, Brasília, DF, Brazil; 2Centro de Estudos Oftalmológicos Renato Ambrósio, Brasília, DF, Brazil; 3Universidade de São Paulo, SP, Brazil; 4Universidade Federal de São Paulo, São Paulo, SP, Brazil

Purpose: The aim of this study was to evaluate the influence of four different types of speculums on aberrometry reading (OPD SCAN III [OPD]) and on intraoperative aberrometry reading (optiwave response analyzer, ORA).
Patients and methods: This prospective, controlled, comparative study of consecutive cases included the evaluation of five eyes of five patients with monofocal intraocular lens (IOL) implantation. Seventeen measures were performed on each patient: for each speculum, there were two measurements on the OPD and another two on ORA with four different types of blepharostats. A control measure was performed on the without blepharostat in the dominant eye of each patient, therefore totalizing 85 measurements. The measures with the blepharostats were as follows: without pressure (WF) or passive measure and after pressure (AF) or active measure to close the eye. The speculum used in all patients was as follows: open-edged wire (Barraquer); threaded with open blade (Lieberman), with 21 mm aperture; wired with solid blade (Barraquer); and threaded with solid blade (Lieberman) with 21 mm opening. An evaluation of the objective refractive data from the OPD and ORA and the corneal astigmatism from the OPD was performed.
Results: Spherical equivalent (SE) of the OPD with the use of blepharostat compared to the OPD without speculum presented only 37.5% of results without statistical significance. Regarding the SE of ORA with speculum usage, compared to the OPD without blepharostat, only 12.5% were not significant. Regarding the accuracy of the ORA refractive axis with the use of blepharostats, all results presented statistical significance.
Conclusion: Thus, in the present study, we reached the conclusion between the studied blepharostats that the most suitable for use in the aphakic and pseudophakic capture of the ORA is the open blade threaded blepharostat (Lieberman).

Keywords: cataract, surgery, astigmatism, corneal topography, cornea

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