Comparison of keratometric values and anterior segment parameters measured using Scheimpflug Sirius topography and Lenstar biometry

Abstract

Purpose: This study aimed to evaluate the consistency of preoperative keratometric values, anterior segment, and intraocular lens (IOL) power measurements in patients with cataract and no comorbidities using the Sirius topography device (CSO, Italy) and Lenstar LS 900 (Haag–Streit AG, Köeniz, Switzerland). Methods: The study involved patients with Grade 2 and 3 cataracts presented to and scheduled for surgery at the Ophthalmology Clinic of Dışkapı Yıldırım Beyazıt Education and Research Hospital, University of Health Sciences. Forty eyes with cataract from 40 patients were included in the study. All patients underwent preoperative assessment using a combined Scheimpflug–Placido disc-based tomography device (Sirius) and Lenstar before cataract surgery. Keratometric measurements, such as flat keratometry (K1), steep keratometry (K2), and maximum keratometry (Kmax), and anterior segment parameters, white-to-white (WTW) distance, IOL power, astigmatism (AST), anterior chamber depth (ACD), aqueous depth (AD), and central cornea thickness (CCT), were recorded. Results: There were significant differences between K1Lenstar and K1Sirius, K2Lenstar and K2Sirius, KmaxLenstar and KmaxSirius, WTWLenstar and WTWSirius, and IOL powerLenstar vs. IOL powerSirius. However, there were insignificant differences between ASTLenstar and ASTSirius, ACDLenstar vs. ACDSirius, ADLenstar and ADSirius, and CCTLenstar and CCTSirius variables. Furthermore, comparison of Sirius and Lenstar in terms of IOL power showed that Lenstar significantly underestimated IOL values compared with those of Sirius. Conclusion: Significant differences were observed between Lenstar and Sirius in terms of keratometric values, WTW distance, and IOL power. IOL power measurements were more accurate using the Sirius topography device.