Axial Length Measurement: PalmScan Versus IOLMaster

To compare axial length measurements taken on the handheld Micro Medical Devices (MMD) PalmScan with those taken with the Carl Zeiss Meditec IOLMaster.

Sixty subjects had IOLMaster performed by a single operator to measure axial length in both eyes. Subjects then had axial length measurements taken by a different single operator with the MMD device. Each operator was masked to the other's results. Independent statistical analysis was performed to compare results.

Sixty subjects had both eyes measured with each device for a total of 120 eyes. Subjects were categorized into 1 of 3 groups with 20 subjects each, 40 eyes in each group. Subjects in group A were wearers of overnight corneal reshaping, group B were soft lens wearers, and group C were noncontact lens wearers. Overall, the measures of axial length from IOLMaster and MMD were highly correlated (correlation = 0.93, P < 0.001, n = 120). Similarly, measures within each group between the 2 methods were highly correlated: group A (correlation = 0.94, P < 0.0001, n = 40), group B (correlation = 0.90, P < 0.0001, n = 40), and group C (correlation = 0.98, P < 0.001, n = 40). Results were highly correlated between the two devices. Data scatter plots and Bland-Altman plots were generated, showing that although there was good agreement between the methods, the MMD almost always measured the axial length smaller than the IOLMaster (median difference = 0.21 mm, mean difference ± SD = 0.26 ± 0.42 mm).

The MMD is a convenient, reliable, and portable device to measure axial length. It can be used to monitor axial length in patients over time.