Digital system measurement of decentration of Worst-Fechner iris claw myopia intraocular lens.

BACKGROUND

Topography measures the centration in refractive and corneal refractive surgery, but until recently there was no effective method to measure decentration in intraocular lens (IOL) implantation.

PATIENTS AND METHODS

We measured the decentration of 22 phakic eyes, in 14 high myopic patients, based upon photographs of the anterior segment using a digital analysis system (IMAGEnet Topcon Corporation 1988, Tokyo, Japan). These eyes had undergone IOL implantation for the correction of myopia with Worst-Fechner iris claw lenses. Decentration was measured with respect to the centers of both the cornea and pupil.

RESULTS

Mean decentration of the IOL center from the cornea center was 0.51 +/- 0.25 mm (range, 0 to 0.8374 mm). When measured with respect to the center of the pupil, the average decentration was 0.47 +/- 0.29 mm (range, 0.182 to 0.9341 mm). A positive correlation between the decentration measurements of the two methods was found (p < .01 indicated statistical significance).

CONCLUSIONS

This digital imaging system (IMAGEnet) accurately measured decentration of IOLs in myopic eyes.