Contact a-scan? That's sub-par standard of care.
Are you sure they don't do immersion a-scan? In the hands of a good biometrist, an immersion a-scan will be just as accurate, if not more so (i.e. for a dense PSC) than an IOL master. The university where I trained never had an IOL master. They used immersion a-scan and manual K's, plus orbscans for premium IOL patients, and their results were spot on.