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Top of pageSubjects and methodsIn this prospective randomised clinical trial, 100 patients undergoing phacoemulsification cataract surgery were randomised to undergo biometry with either Ascan ultrasound or partial pliage longchamp coherence laser interferometry (optical biometry). Fifty eyes of 50 patients underwent biometry with ultrasonography and the other 50 patients underwent partial coherence laser interferometry. Complicated cataracts related to chronic uveitis, trauma, or silicone oil were not included in the trial. The applanation Ascan, Nidek Echoscan2000 was used for ultrasound biometry and the IOL Master (Zeiss Humphrey Systems) was used for partial coherence laser interferometry. Javal Schiotz keratometer was used for corneal curvature measurements for patients in the ultrasound group. The patients consented and the preoperative biometry was performed by an experienced biometrist on all the patients. The reliability of intraocular distance measurements was checked based on the sound to noise ratio ( in partial coherence laser interferometry and the retinal spikes in ultrasonography. The SRKT formula was used to calculate the IOL power in all the patients. The Aconstant was kept constant for all the eyes in this study. The desired postoperative refraction, based on the preexisting refractive error was decided prior to surgery. The patients underwent phacoemulsification procedure through a 4.1 mm superior corneal tunnel and a folding IOL (Acrysof MA60BM, Alcon Lab, Dallas, TX, USA) was implanted by the same surgeon (JB). The patients were followed up on the first postoperative day, 1 week later and at 2 months by experienced observers (MR amd IK). The postoperative refraction was carried out at 2 http://www.wordworthweb.com/RayBan.html months with an autorefractor and confirmed by subjective refraction.
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