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Intraoperative Optical Coherence Tomography Vault Measurement in Posterior Chamber Phakic Intraocular Lens Implantation.

PURPOSE: To describe the use of intraoperative optical coherence tomography (OCT) vault measurement in 5 cases of posterior chamber phakic intraocular lens (IOL) implantation.

METHODS: This case series included 5 eyes in 3 consecutive patients undergoing phakic IOL implantation. RTVue OCT (Optovue, Inc., Fremont, CA) was used to obtain intraoperative vault measurements after pupil constriction. Visante OCT (Carl Zeiss Meditec, Jena, Germany) was used to obtain postoperative vault measurements.

RESULTS: Intraoperative vault measurements ranged from 228 to 1,060 µm. There were no postoperative complications. Postoperative OCT vault measurements ranged from 230 to 670 µm.

CONCLUSIONS: Intraoperative OCT can be a useful tool in phakic IOL implantation to provide real-time intraoperative vault measurements. This may help to confirm appropriate phakic IOL sizing and guide decision-making at the time of surgery. [J Refract Surg. 2017;33(4):274-277.].

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