Assessment of Corneal Keratometric and Astigmatism Measurements Using Verion System and Other Instruments in Cataract Patient

Purpose: To compare keratometry and corneal astigmatism measurements obtained by the Verion Image Guided System to those obtained by automated keratometry (IOLMaster), manual keratometry (YZ38, Suzhou 66 visual Polytron Technologies Inc., China), and Scheimpflug imaging (Pentacam HR) in eyes with cataract.Methods: A total of 149 cataractous eyes of 149 patients were examined and categorized as low astigmatism (<1.0D, N=50), moderate astigmatism (1.0-2.0D, N=49), and high astigmatism (>2.0D, N=50). The flattest and the steepest keratometric values (Kf and Ks), the magnitude of astigmatism (Ast), the orientation of the steepest meridian (Axis), and power vectors J(0) and J(45) were compared.Results: Keratometry readings (Kf, Ks, and Km) obtained by the Verion system showed statistically significant differences as compared to the other three devices. The magnitude of astigmatism (Ast) measured by the Verion (1.500.85D) was similar to that measured by the YZ38 (1.45 +/- 0.82D, P=0.110) and slightly lower than that by the IOLMaster (1.56 +/- 0.87D, P=0.014), but much higher than that by the Pentacam (1.36 +/- 0.81D, P=0.000) significantly. However, no statistically significant differences were observed in the J(0) and J(45) vectors in the whole sample, besides moderate and high astigmatism subgroups. A difference in astigmatism magnitude of 0.50D or more was detected between the Verion system and other three devices most commonly in moderate astigmatism eyes (16.3-24.5%). The difference in the location of the steep meridian was greater than 10degrees most frequently in the low astigmatism eyes (26.0-52.0%).Conclusions: Keratometric and astigmatic results obtained with Verion were not completely interchangeable with those obtained with IOLMaster, manual keratometry, and Pentacam. The individual differences in power and orientation of the corneal cylinder should be considered while selecting the appropriate toric intraocular lens.