Ophthalmology · Ophthalmic Imaging and Investigations (OCT, FFA, B-scan, Perimetry, Biometry, Topography)

In A-scan biometry for intraocular lens power calculation, the immersion technique is preferred over the applanation technique because it:

  • A Requires topical anesthesia
  • B Uses a higher frequency ultrasound probe
  • C Is faster and easier to perform
  • D Prevents corneal compression and falsely short axial length readings
Correct answer: D. Prevents corneal compression and falsely short axial length readings

Explanation

Applanation A-scan can compress the cornea, artificially shortening the axial length and leading to hyperopic surprises postoperatively. Immersion A-scan avoids direct corneal contact, preventing compression and providing more accurate axial length measurements. Both methods require anesthesia, and speed is not the primary clinical advantage.

Reference: AAO BCSC Section 11: Lens and Cataract, 2022-2023 ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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