Francisco Javier Povedano Montero

Biometry is a critical aspect of ophthalmology, since it facilitates the measurement of several ocular parameters and aids in the diagnosis of conditions like glaucoma. The advent of the IOLMaster in 1999 marked a pivotal moment in biometry by introducing non-contact and highly precise measurements that revolutionized the field. Low-coherence optical reflectometry devices such as Lenstar LS900 and Aladdin have further advanced biometry, due to the exceptional accuracy they offer. Axial length, a fundamental measurement in biometry, directly correlates with conditions like myopia and glaucoma. The accurate measurement of axial length is crucial for diagnosis and treatment planning. Biometry also guides intraocular lens power calculation during cataract surgery, relying on factors like axial length, anterior chamber depth, lens thickness, and effective lens position (ELP). Ensuring precision in these measurements is essential for optimal surgical outcomes. While several studies have explored biometric parameters, dynamic changes in crystalline lens thickness during rest or accommodation have received little attention. These changes may have a significant effect on the measurement of the anterior chamber length, and consequently impact the overall biometric assessment. This study delves into dynamic biometry, particularly in the context of age-related presbyopia, and aims to assess the feasibility of incorporating into the biometric process a specialized device capable of accurately considering crystalline lens changes during different states like rest and accommodation. This exploration seeks to enhance the understanding of ocular dynamics and contribute to improving the precision of diagnostic and surgical techniques. It underscores the importance of staying at the forefront of biometric research, especially in the context of emerging technologies and their potential to transform ophthalmology.