Related Experiment Video
Updated: May 29, 2026
Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
Published on: September 16, 2025
Repeatability and reproducibility of biometry and keratometry measurements using a noncontact optical low-coherence
H John Shammas1, Kenneth J Hoffer
1Department of Ophthalmology, The Keck School of Medicine, University of Southern California, Los Angeles, California, USA. jshammas@shammaseye.com
Purpose:
To evaluate the repeatability, reproducibility, or both of the biometry and keratometry measurements obtained by a new optical low-coherence reflectometer and keratometer (Lenstar LS 900, version 1.10; Haag-Streit).
Design:
Prospective, comparative, observational study.
Setting:
Private practice, Lynwood, California, and Santa Monica, California.
Study Population:
The measurements of the second eye to be operated on of 37 patients between October 2010 and January 2011 were analyzed.
Observation Procedure:
The axial length, central corneal thickness, aqueous depth, anterior chamber depth, crystalline lens thickness, white-to-white corneal diameter, as well as the keratometric readings at the flattest meridian, the steepest meridian, the average K, the amount of astigmatism, and the minus astigmatic cylinder axis were measured before surgery on the patient's first eye and were repeated 1 month later before the second eye surgery. main outcome measures: The repeatability and reproducibility of the biometry and keratometry measurements.
Results:
Intrasession repeatability and intersession reproducibility were excellent with a very low coefficient of variation and high interclass correlation coefficients for all measured parameters. Bland-Altman plots show good correlation for axial length measurements (95% limits of agreement ranging from -0.056 to +0.04 mm), anterior chamber depth (-0.22 to +0.18 mm), crystalline lens thickness (-0.21 to +0.27 mm), corneal diameter (-0.28 to +0.24 mm), average keratometric readings (-0.56 to +0.47 diopters), and amount of astigmatism (-0.58 to +0.40 diopters).
Conclusions:
The precision of the measurements obtained by the new optical reflectometer and keratometer is extremely high.
