Agreement between a Spectral‑Domain Ocular Coherence Tomography Biometer with a Swept‑Source Ocular Coherence Tomography Biometer and an Optical Low‑Coherence Reflectometry Biometer in Eyes with Cataract

To assess the agreement between biometric parameters measured by a spectral‑domain optical coherence tomography optical biometer device (Optopol Revo NX) with a validated swept‑source biometer (IOLMaster 700) and a validated optical low‑coherence reflectometry biometer (Lenstar LS 900), in cataract surgery candidates.

In this prospective comparative study, 100 patients (100 eyes) who were eligible for cataract surgery were involved. Bland–Altman plots were used to assess agreement between devices for biometric parameters including axial length (AL), anterior chamber depth (ACD), lens thickness (LT), and central corneal thickness (CCT).

AL measurements were successful in 82 eyes (82.0%) with Revo NX, in 91 eyes (91.0%) with Lenstar LS 900, and in 97 eyes (97.0%) with IOLMaster 700. When Revo NX was compared to IOL Master 700 and Lenstar LS 900, the mean differences were as follows: −0.02 ± 0.02 mm and −0.02 ± 0.03 mm (P = 0.313, P = 0.525) for AL, 0.01 ± 0.03 mm and 0.10 ± 0.03 mm (P = 0.691, P = 0.002) for ACD, −0.15 ± 0.03 mm and 0.001 ± 0.04 mm (P < 0.001, P = 0.95) for LT, and −2.29 ± 0.92 µm, and 0.73 ± 1.43 µm (P = 0.015, P = 0.612) for CCT. Three devices were highly correlated for AL, ACD, LT, and CCT (interclass correlation coefficient > 0.75). Bland–Altman plots showed a narrower 95% limit of agreement (−0.35 to 0.31) between Revo NX and IOLMaster 700 in measuring AL.

Despite the higher measurement failure rate in eyes with cataract, the Revo NX showed very good agreement with the IOLMaster 700 and Lenstar LS 900 optical biometers in measuring AL, ACD, LT, and CCT. However, ACD and LT measurements cannot be considered interchangeable between these devices.