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Niazi S, Dhubhghaill SN, Doroodgar F, Gatzioufas Z, Dehghan MH. Insight into small eyes: a practical description from phenotypes presentations to the management. Int J Ophthalmol 2024; 17:380-391. [PMID: 38371260 PMCID: PMC10827624 DOI: 10.18240/ijo.2024.02.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 11/29/2023] [Indexed: 02/20/2024] Open
Abstract
This narrative review aimed to have an algorithmic approach to microphthalmos by a systematic search. The definition can be related to a number of special phenotypes. In the more challenging cases of complex microphthalmos, relative anterior microphthalmos, and nanophthalmos, the surgeon can approach these cases more safely if they have a deep understanding of the anatomical variations and ideal formulae for intraocular lens computation and knows how to avoid intra- and post-operative complications. In this article, we review the criteria by which we recognize and describe pre-, intra-, and post-operative considerations, as well as discuss the ideal intraocular lenses for microphthalmos, given the intricate varieties of small eye phenotypes.
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Affiliation(s)
- Sana Niazi
- Translational Ophthalmology Research Center, Tehran University of Medical Sciences, Tehran 1416753955, Iran
| | - Sorcha Ní Dhubhghaill
- Antwerp University Hospital, Edegem 2650, Belgium
- Faculty of Health Sciences, Antwerp University, Antwerpen 2000, Edegem, Belgium
| | - Farideh Doroodgar
- Translational Ophthalmology Research Center, Tehran University of Medical Sciences, Tehran 1416753955, Iran
- Negah Aref Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran 16666, Iran
| | | | - Mohammad Hossein Dehghan
- Negah Aref Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran 16666, Iran
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Stopyra W. Analysis of accuracy of twelve intraocular lens power calculation formulas for eyes with axial hyperopia. Saudi J Ophthalmol 2023; 37:125-130. [PMID: 37492218 PMCID: PMC10365256 DOI: 10.4103/sjopt.sjopt_64_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 10/28/2022] [Accepted: 11/16/2022] [Indexed: 07/27/2023] Open
Abstract
PURPOSE The purpose was to compare twelve intraocular lens power calculation formulas for eyes smaller than 22.0 mm in terms of absolute error (AE), the percentage of postoperative emmetropia, and agreement interval in Bland-Altman analysis. METHODS The data of hyperopic patients who underwent uneventful phacoemulsification between January 2016 and July 2021 were reviewed. Intraocular lens power was calculated using Holladay 1, SRK/T, Hoffer Q, Holladay 2, Haigis, Barrett Universal II, Hill-RBF, Ladas, Kane, Emmetropia Verifying Optical (EVO), Pearl-DGS, and K6 formulas. Three months after phacoemulsification, refraction was measured, and the mean AE was calculated. The percentage of patients with full visual acuity (VA) without any correction, with ± 0.25D, ±0.5D, ±0.75D, and limits of agreement for each formula was established. RESULTS Seventy-two patients, whose ocular axial length (AL) ranged between 20.02 mm and 21.98 mm, were included. The Kane formula achieved the lowest mean AE of 0.09 ± 0.09 just before EVO (0.12 ± 0.09), Hill-RBF (0.17 ± 0.12), and Hoffer Q formulas (0.19 ± 0.16). In addition, with the Kane formula, the percentage of patients with full VA without any correction (80.6%) was the highest ahead of EVO and Hoffer Q formulas (51.5% and 50.0%, respectively). Finally, Kane, EVO, and Hill-RBF obtained the lowest agreement interval (0.4923, 0.5815, and 0.7740, respectively). CONCLUSION The Kane formula is recommended for intraocular lens power calculation for eyeballs with the AL smaller than 22.0 mm. The EVO formula gives very promising results in regarding the accuracy of intraocular lens power for hyperopic eyes.
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Rastogi A, Jaisingh K, Suresh P, Anand K, Baindur S, Gaonker T. Comparative Evaluation of Intraocular Lens Power Calculation Formulas in Children. Cureus 2022; 14:e24991. [PMID: 35719800 PMCID: PMC9190442 DOI: 10.7759/cureus.24991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2022] [Indexed: 11/05/2022] Open
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Chu YC, Huang TL, Chang PY, Ho WT, Hsu YR, Chang SW, Wang JK. Predictability of 6 Intraocular Lens Power Calculation Formulas in People With Very High Myopia. Front Med (Lausanne) 2022; 9:762761. [PMID: 35462991 PMCID: PMC9024044 DOI: 10.3389/fmed.2022.762761] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Accepted: 03/08/2022] [Indexed: 12/05/2022] Open
Abstract
Purpose To investigate the accuracy of 6 intraocular lens (IOL) power calculation formulas in predicting refractive outcomes in extremely long eyes. Setting Department of Ophthalmology, Far Eastern Memorial Hospital, Taiwan. Design Retrospective comparative study. Methods In this retrospective single-center study, we reviewed 70 eyes of 70 patients with axial length (AL) ≥ 28 mm who had received an uneventful 2.2 mm corneal wound phacoemulsification and in-the-bag IOL placement. The actual postoperative refractive results were compared to the predicted refraction calculated with 6 formulas (Haigis, Hoffer Q, Holladay 1, SRK/T, T2, Barrett Universal II formulas) using IOLMaster 500 as optical biometry in the User Group for Laser Interference Biometry (ULIB) constants. Results Overall, the Haigis and Barrett formulas achieved the lowest level of mean prediction error (PE) and median absolute error (MedAE). Hoffer Q, Holladay 1, SRK/T, and T2 had hyperopic prediction errors (p < 0.05). The Hoffer Q and Holladay 1 had significantly more MedAE between the 6 formulas. After the mean PE was zeroed out, the MedAE had no significant difference between each group. The absolute error tends to be larger in patients with longer AL. The absolute errors were 30.0–37.1% and 60.0–64.3% within 1.0 D of all patients compared to predicted refraction calculated using various formulas. Conclusion The Haigis and Barrett Universal II formulas had a better success rate in predicting IOL power in high myopic eyes with AL longer than 28 mm using the ULIB constant in this study. The postoperative refractive results were inferior to the benchmark standards, which indicated that the precision of IOL power calculation in patients with high myopia still required improvement.
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Affiliation(s)
- Yi-Ching Chu
- Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei, Taiwan
| | - Tzu-Lun Huang
- Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei, Taiwan
- Department of Electrical Engineering, Yuan Ze University, Taoyuan, Taiwan
| | - Pei-Yao Chang
- Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei, Taiwan
- Department of Electrical Engineering, Yuan Ze University, Taoyuan, Taiwan
- Department of Medicine, National Taiwan University, Taipei, Taiwan
| | - Wei-Ting Ho
- Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei, Taiwan
- School of Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
| | - Yung-Ray Hsu
- Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei, Taiwan
- Department of Medicine, National Taiwan University, Taipei, Taiwan
| | - Shu-Wen Chang
- Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei, Taiwan
- Department of Medicine, National Taiwan University, Taipei, Taiwan
| | - Jia-Kang Wang
- Department of Ophthalmology, Far Eastern Memorial Hospital, New Taipei, Taiwan
- Department of Electrical Engineering, Yuan Ze University, Taoyuan, Taiwan
- Department of Medicine, National Taiwan University, Taipei, Taiwan
- School of Medicine, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
- Department of Healthcare Administration and Department of Nursing, Oriental Institute of Technology, New Taipei, Taiwan
- *Correspondence: Jia-Kang Wang
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Belov DF, Nikolaenko VP. [Alternative method of intraocular lens power calculation in eyes with short axial length]. Vestn Oftalmol 2022; 138:24-28. [PMID: 35801876 DOI: 10.17116/oftalma202213803124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
PURPOSE To develop an alternative method of intraocular lens (IOL) power calculation in eyes with mature cataract and axial length (AL) of less than 22.0 mm using modern formulas Barrett Universal II and Hill RBF. MATERIAL AND METHODS The study enrolled 41 patients (41 eyes) who underwent phacoemulsification (PE). Ultrasound biometry (Tomey Biometer Al-100) and keratometry (Topcon-8800) were used for IOL power calculation by SRK/T and Haigis formulas. To calculate IOL power by Barrett Universal II and Hill RBF formulas, 0.2 mm were added to AL measured with ultrasonography (retinal thickness). One month after PE, spherical equivalent of refraction was compared with target refraction (calculated by the formulas listed above), and based on that a conclusion was made on the accuracy of calculations. RESULTS Haigis formula was found to be the least accurate (IOL calculation error -0.39±0.79 D). The calculation error in SRK/T (0.04±0.79 D), Barrett Universal II (0.02±0.79 D) and Hill RBF (-0.05±0.73 D) formulas was much lower. However, among them Hill RBF had the lowest spread of the mean absolute IOL calculation error. Pairwise comparison revealed significant difference of mean IOL calculation error by Haigis formula versus the others. There was no significant difference in the following pairs: SRK/T - Barrett Universal II (p=0.855), and SRK/T - Hill RBF (p=0.167), but there was a significant difference (p=0.043) in the Barrett Universal II - Hill RBF pairdue to the tendency for slight hypermetropic calculation error in the former and the inherent slight myopic shift in the latter.. CONCLUSION The proposed alternative method of IOL power calculation in eyes with mature cataract and short AL using modern formulas (Barrett Universal II and Hill RBF) shows higher accuracy compared to the formulas embedded in ultrasound biometer (SRK/T and Haigis), and can be recommended for use in everyday practice.
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Affiliation(s)
- D F Belov
- Saint Petersburg Multifield Hospital No. 2, St. Petersburg, Russia
| | - V P Nikolaenko
- Saint Petersburg Multifield Hospital No. 2, St. Petersburg, Russia
- Saint Petersburg State University, St. Petersburg, Russia
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Shrivastava AK, Nayak S, Mahobia A, Anto M, Kacher R, Kumar A. Optimizing lens constants specifically for short eyes: Is it essential? Indian J Ophthalmol 2021; 69:2293-2297. [PMID: 34427203 PMCID: PMC8544056 DOI: 10.4103/ijo.ijo_63_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Purpose: Optimization of lens constants is a critically important step that improves refractive outcomes significantly. Whether lens constants optimized for the entire range of axial length would perform equally well in short eyes is still a matter of debate. The aim of this study was to analyze whether lens constants need to be optimized specifically for short eyes. Methods: This retrospective observational study was conducted at a tertiary care hospital in Central India. Eighty-six eyes of eighty-six patients were included. Optical biometry with IOLMaster 500 was done in all cases and lens constants were optimized using built-in software. Barrett Universal II, Haigis, Hill-RBF, Hoffer Q, Holladay 1, and SRK/T formulae were compared using optimized constants. Mean absolute error, median absolute error (MedAE), and percentage of eyes within ±0.25, ±0.50, ±1.00, and ±2.00 diopter of the predicted refraction, of each formula were analyzed using manufacturer’s, ULIB, and optimized lens constants. MedAE was compared across various constants used by Wilcoxon signed-rank test and among optimized constants by Friedman’s test. Cochran’s Q test compared the percentage of eyes within ± 0.25, ±0.50, ±1.00, and ± 2.00 diopter of the predicted refraction. A value of P < 0.05 was considered statistically significant. Results: Optimized constant of Haigis had significantly lower MedAE (P < 0.00001) as compared to manufacturers. However, there was no statistically significant difference between ULIB and optimized constants. Postoptimization, there was no statistically significant difference among all formulae. Conclusion: Optimizing lens constants specifically for short eyes gives no added advantage over those optimized for the entire range of axial length.
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Affiliation(s)
- Ankur K Shrivastava
- Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Swatishree Nayak
- Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | | | - Mary Anto
- Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Rajaram Kacher
- Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Ajay Kumar
- Department of Ophthalmology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
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Khatib ZI, Haldipurkar SS, Shetty V, Dahake H, Nagvekar P, Kashelkar P. Comparison of three newer generation freely available intraocular lens power calculation formulae across all axial lengths. Indian J Ophthalmol 2021; 69:580-584. [PMID: 33595478 PMCID: PMC7942088 DOI: 10.4103/ijo.ijo_943_20] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Purpose: The aim of this study is to evaluate the accuracy of three newer generation formulae (Barrett Universal II, EVO, Hill-RBF 2.0) for calculation of power of two standard IOLs—the Acrysof IQ and Tecnis ZCB00 across all axial lengths. Methods: In this retrospective series, 206 eyes of 206 patients, operated for cataract surgery with above two IOLs over the last 6 months, were included in the study. Preoperative biometry measurements were obtained from LenstarLS900. By using recommended lens constants, the mean error for each formula was calculated and compared. Then, the optimized IOL constants were calculated to reduce the mean error to zero. Mean and median absolute errors were calculated for all eyes and separately for short (AL<22.5 mm), medium (22.5–24.5 mm), and long eyes (>24.5 mm). Absolute errors and percentages of eyes within prediction errors of ±0.25 D, ±0.50 D, ±0.75 D, and ±1.00 D were compared. Results: Prediction error with using recommended lens constants was significantly lower in the Barrett Universal II formula as compared to the other two formulae. However, after optimizing lens constants, there were no significant differences in the absolute errors between the three formulae. The formulae ranked by mean absolute error were as follows: Barrett Universal II (0.304 D), EVO (0.317 D), and Hill-RBF (0.322) D. There were no significant differences between absolute errors in the three formulae in each of the short-, medium-, and long-eye subgroups. Conclusion: With proper lens constant optimization, the Barrett Universal II, EVO, and Hill-RBF 2.0 formulae were equally accurate in predicting IOL power across the entire range of axial lengths.
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Affiliation(s)
| | | | - Vijay Shetty
- Laxmi Eye Institute, Panvel, Navi Mumbai, Maharashtra, India
| | - Harsha Dahake
- Laxmi Eye Institute, Panvel, Navi Mumbai, Maharashtra, India
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Popov I, Popova V, Sekac J, Krasnik V. Does Every Calculation Formula Fit for All Types of Intraocular Lenses? Optimization of Constants for Tecnis ZA9003 and ZCB00 Is Necessary. ACTA ACUST UNITED AC 2021; 57:medicina57040319. [PMID: 33808187 PMCID: PMC8065659 DOI: 10.3390/medicina57040319] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 03/18/2021] [Accepted: 03/26/2021] [Indexed: 11/16/2022]
Abstract
Background and Objectives: To evaluate the performance of intraocular lenses (IOLs) using power calculation formulas on different types of IOL. Materials and Methods: 120 eyes and four IOL types (BioLine Yellow Accurate Aspheric IOL (i-Medical), TECNIS ZCB00, TECNIS ZA9003 (Johnson & Johnson) (3-piece IOL) and Softec HD (Lenstec)) were analyzed. The performance of Haigis, Barret Universal II and SKR-II formulas were compared between IOL types. The mean prediction error (ME) and mean absolute prediction error (MAE) were analyzed. Results: The overall percentage of eyes predicted within ±0.25 diopters (D) was 40.8% for Barret; 39.2% Haigis and 31.7% for SRK-II. Barret and Haigis had a significantly lower MAE than SRK-II (p < 0.05). The results differed among IOL types. The largest portion of eyes predicted within ±0.25 D was with the Barret formula in ZCB00 (33.3%) and ZA9003 (43.3%). Haigis was the most accurate in Softec HD (50%) and SRK-II in Biolline Yellow IOL (50%). ZCB00 showed a clinically significant hypermetropic ME compared to other IOLs. Conclusions: In general, Barret formulas had the best performance as a universal formula. However, the formula should be chosen according to the type of IOL in order to obtain the best results. Constant optimizations are necessary for the Tecnis IOL ZCB00 and ZA9003, as all of the analyzed formulas achieved a clinically significant poor performance in this type of IOL. ZCB00 also showed a hypermetropic shift in ME in all the formulas.
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Affiliation(s)
- Ivajlo Popov
- Department of Ophthalmology, Faculty of Medicine, Comenius University, 821 01 Bratislava, Slovakia; (I.P.); (J.S.)
| | - Veronika Popova
- Department of Pediatric Ophthalmology, Faculty of Medicine, The National Institute of Children’s Diseases, Comenius University, 831 01 Bratislava, Slovakia;
| | - Juraj Sekac
- Department of Ophthalmology, Faculty of Medicine, Comenius University, 821 01 Bratislava, Slovakia; (I.P.); (J.S.)
| | - Vladimir Krasnik
- Department of Ophthalmology, Faculty of Medicine, Comenius University, 821 01 Bratislava, Slovakia; (I.P.); (J.S.)
- Correspondence: ; Tel.: +42-12-4823-4157
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Aksoy M, Asena L, Güngör SG, Küçüködük A, Akman A. Comparison of refractive outcomes using Scheimpflug Holladay equivalent keratometry or IOLMaster 700 keratometry for IOL power calculation. Int Ophthalmol 2021; 41:2205-2212. [PMID: 33733281 DOI: 10.1007/s10792-021-01781-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 03/06/2021] [Indexed: 10/21/2022]
Abstract
PURPOSE This study aims to compare postoperative refractive error results using Pentacam (Oculus Optikgeräte GmbH) Holladay equivalent keratometry readings (EKR) or IOLMaster 700 (Carl Zeiss Meditec AG) keratometry (K) values in IOL power calculation. MATERIAL AND METHODS This retrospective study included 54 eyes of 31 patients who underwent cataract surgery. Preoperative biometric measurements of all patients were obtained using IOLMaster 700 followed by Pentacam measurements. IOLMaster 700 K measurements on horizontal (K1) and vertical (K2) axes and EKR measurements on 2 mm (EKR2mm), 3 mm (EKR3mm) and 4.5 mm (EKR4.5 mm) corneal zones were recorded. EKR4.5 mm value and IOLMaster 700 K values were used in Holladay-II, SRK/T, Haigis, and Hoffer-Q formulas to calculate predictive refractive error (PRE). Absolute refractive error (ARE) was calculated as the absolute difference between actual postoperative refractive error (APRE) and PRE values. RESULTS Mean age was 72.2 ± 8.3 (51-87) years and mean IOL power was 21.5 ± 2.9 D (18-23 D). There was no significant difference between PRE values when IOLMaster 700 K measurements and EKR4.5 mm K measurements were used in Holladay-II, SRK/T, Haigis, and Hoffer-Q formulas (p = 0.571, p = 0.833, p = 0.165, p = 0.347, respectively). There was no significant difference between APRE and ARE values (p = 0.124). According to mean ARE results, the closest estimate was achieved when the IOLMaster 700 K values were used in the Holladay-II formula (p = 0.271). CONCLUSION IOLMaster 700 K measurement and Pentacam EKR4.5 mm measurements can be used interchangeably. IOLMaster 700 K values yielded the most predictive measurement of the refractive result using the Holladay-II formula.
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Affiliation(s)
- Mustafa Aksoy
- Department of Ophthalmology, Faculty of Medicine, Yüksek Ihtisas University, Ankara, Turkey.
| | - Leyla Asena
- Department of Ophthalmology, Faculty of Medicine, Başkent University, Ankara, Turkey
| | - Sirel Gür Güngör
- Department of Ophthalmology, Faculty of Medicine, Başkent University, Ankara, Turkey
| | - Ali Küçüködük
- Department of Ophthalmology, Faculty of Medicine, Başkent University, Ankara, Turkey
| | - Ahmet Akman
- Department of Ophthalmology, Faculty of Medicine, Başkent University, Ankara, Turkey
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Kaweri L, Wavikar C, James E, Pandit P, Bhuta N. Review of current status of refractive lens exchange and role of dysfunctional lens index as its new indication. Indian J Ophthalmol 2020; 68:2797-2803. [PMID: 33229654 PMCID: PMC7856935 DOI: 10.4103/ijo.ijo_2259_20] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Advances in phacodynamics and intraocular lenses (IOLs) has given second life to clear lens extraction (CLE) or refractive lens exchange (RLE) in recent years for the treatment of patients with high degrees of myopia, hyperopia, and astigmatism who are unsuitable for laser surgery. Furthermore, presbyopia treatment with RLE supplemented with multifocal or accommodating IOLs gives the dual benefit of correcting refractive errors with eliminating the need for cataract surgery. RLE should be consistent and effective for a good refractive outcome along with safety during the surgical procedure and in the postoperative period. Therefore, proper patient selection and accurate preoperative protocols for IOL power calculations and selection are important along with an appropriate choice of surgical procedure. Dysfunctional lens index is a new objective tool that helps surgeon to aid in diagnosing, counseling, and educating patients with dysfunctional clear lens. In this article, we give a brief overview about the application of RLE for individuals with presbyopia and refractive errors like myopia, hyperopia, and astigmatism who are not suitable for laser correction.
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Affiliation(s)
- Luci Kaweri
- Department of Cataract and Refractive Surgery, Narayana Nethralaya, Bengaluru, Karnataka, India
| | - Chandrashekhar Wavikar
- Department of Cataract and Refractive Surgery, Wavikar Eye Institute, Mumbai, Maharashtra, India
| | - Edwin James
- Assistant Professor, Government Medical College, Thiruvananthapuram, Kerala, India
| | - Payal Pandit
- Department of Cataract and Refractive Surgery, Narayana Nethralaya, Bengaluru, Karnataka, India
| | - Namrata Bhuta
- Department of Cataract and Refractive Surgery, Narayana Nethralaya, Bengaluru, Karnataka, India
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Accuracy of intraocular lens power calculation formulas using a swept-source optical biometer. PLoS One 2020; 15:e0227638. [PMID: 31935241 PMCID: PMC6959581 DOI: 10.1371/journal.pone.0227638] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Accepted: 12/22/2019] [Indexed: 12/13/2022] Open
Abstract
Purpose To compare the accuracy of the five commonly used intraocular lens (IOL) calculation formulas integrated to a swept-source optical biometer, the IOLMaster 700, and evaluate the extent of bias within each formula for different ocular biometric measurements. Methods The study included patients undergoing cataract surgery with a ZCB00 IOL implant, using IOLMaster 700 optical biometry. A single eye per patient was included in the final analysis for a total of 324 cases. The SRK/T, Hoffer Q, Haigis, Holladay 2, and Barrett Universal II formulas were evaluated. The correlations between the refractive prediction errors calculated using the five formulas and ocular dimensions such as axial length (AL), anterior chamber depth (ACD), corneal power, and lens thickness (LT) were analyzed. Results There were significant differences in the median absolute error predicted by the five formulas after the adjustment for mean refractive prediction errors to zero (P = 0.038). The Barrett Universal II formula had the lowest median absolute error (0.263) and resulted in a higher percentage of eyes with prediction errors within ±0.50 D, ±0.75 D, and ±1.00 D (all P < 0.050). The refractive errors predicted by only the Barrett formula showed no significant correlation with the ocular dimensions: AL, ACD, corneal power, and LT. Conclusions Overall, the Barrett Universal II formula, integrated to a swept-source optical biometer had the lowest prediction error and appeared to have the least bias for different ocular biometric measurements for the ZCB00 IOL.
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Kim JH, Lee SH, Han JY, Kang HG, Byeon SH, Kim SS, Koh HJ, Lee SC, Kim M. Comparison of Individual Retinal Layer Thicknesses between Highly Myopic Eyes and Normal Control Eyes Using Retinal Layer Segmentation Analysis. Sci Rep 2019; 9:14000. [PMID: 31570740 PMCID: PMC6769047 DOI: 10.1038/s41598-019-50306-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Accepted: 08/20/2019] [Indexed: 11/22/2022] Open
Abstract
The incidence of myopia is increasing worldwide, and the investigation on pathophysiology of myopia is becoming more important. This retrospective study aimed to compare the thicknesses of individual retinal layers between high-myopic and control eyes, and to evaluate the effects of age and sex on each retinal layer thickness. We assessed 164 subjects and divided them into two groups based on axial length (AL) (i.e., high-myopic group (AL ≥ 26 mm) and control group (AL < 26 mm)). Individual retinal layer thicknesses of five subfields in the macula were measured using automated retinal segmentation software packaged with the spectral-domain optical coherence tomography and were compared. In high-myopia group, the thicknesses of total retina and all individual retinal layers in central and entire perifoveal subfields were significantly thicker than the corresponding layers in control group after adjustment for ocular magnification (all P < 0.05). There were no significant effects of sex on individual retinal thicknesses, and age had less negative effects on the thicknesses of retina layers in high-myopic eyes than normal eyes. Axially elongated, non-pathologic highly myopic eyes had different structural features than control eyes, with significantly greater individual macular layer thicknesses independent of sex or age.
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Affiliation(s)
- Jin Hyung Kim
- Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul, Korea.,Eyereum Eye Clinic, Seoul, Korea
| | - Sung Hoon Lee
- Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211, Eonjuro, Gangnam-gu, Seoul, Korea
| | - Jae Yong Han
- Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211, Eonjuro, Gangnam-gu, Seoul, Korea
| | - Hyun Goo Kang
- Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211, Eonjuro, Gangnam-gu, Seoul, Korea
| | - Suk Ho Byeon
- Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul, Korea
| | - Sung Soo Kim
- Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul, Korea
| | - Hyoung Jun Koh
- Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul, Korea
| | - Sung Chul Lee
- Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul, Korea
| | - Min Kim
- Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211, Eonjuro, Gangnam-gu, Seoul, Korea.
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Razmjoo H, Atarzadeh H, Kargar N, Behfarnia M, Nasrollahi K, Kamali A. The Comparative Study of Refractive Index Variations between Haigis, Srk/T and Hoffer-Q Formulas Used for Preoperative Biometry Calculation in Patients with the Axial Length >25 mm. Adv Biomed Res 2017; 6:78. [PMID: 28808644 PMCID: PMC5539664 DOI: 10.4103/2277-9175.210657] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Background: To compare refractive index variation between Hoffer-Q, Haigis and SRK/T formulas used for preoperative biometry calculation in patients with axial length >25 mm, undergoing cataract surgery. Materials and Methods: This is a randomized clinical trial study was performed on 54 eyes of 54 patients with ages of 40–70 years old and axial length >25 mm classified into three groups that their IOL POWER were calculated by Haigis, SRK/T and Hoffer-Q formulas before undergoing cataract surgery. Their refractive index variations were calculated from the difference between predicted refractive error formula and actual post-operative refractive error formula. The collected data was entered in SPSS software and was analyzed by ANOVA and Chi-square statistical test. Results: With comparison sphere, astigmatism and spherical equivalent indexes before and after of cataract surgery between Haigis, SRK/T, and Hoffer-Q formulas, statistically significant differences were found between the mean of sphere and SE indexes in patients with use of Haigis and SRK/T formulas that have been more favorable post-operative refraction. Conclusions: Haigis formula and then, with slight difference, SRK/T formula have better and more acceptable post-operative refraction results than Hoffer-Q formula in patients with high axial myopia. Therefore, it is recommended using Haigis and SRK/T formulas for IOL power calculation in patients with high axial myopia undergoing cataract surgery.
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Affiliation(s)
- Hasan Razmjoo
- Department of Ophthalmology, Isfahan University of Medical sciences, Isfahan, Iran
| | - Hosein Atarzadeh
- Department of Ophthalmology, Isfahan University of Medical sciences, Isfahan, Iran
| | - Neda Kargar
- Department of Ophthalmology, Isfahan University of Medical sciences, Isfahan, Iran
| | - Mohammad Behfarnia
- Department of Ophthalmology, Isfahan University of Medical sciences, Isfahan, Iran
| | - Kobra Nasrollahi
- Department of Ophthalmology, Isfahan University of Medical sciences, Isfahan, Iran
| | - Ali Kamali
- Department of Ophthalmology, Isfahan University of Medical sciences, Isfahan, Iran
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Karabela Y, Eliacik M, Kocabora MS, Erdur SK, Baybora H. Predicting the refractive outcome and accuracy of IOL power calculation after phacoemulsification using the SRK/T formula with ultrasound biometry in medium axial lengths. Clin Ophthalmol 2017; 11:1143-1149. [PMID: 28670106 PMCID: PMC5479261 DOI: 10.2147/opth.s136882] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
PURPOSE To evaluate the accuracy of the SRK/T formula using ultrasound (US) biometry in predicting a target postoperative refraction of ±1.00D in eyes with medium axial length (AL) that underwent phacoemulsification. METHODS The present study was a retrospective analysis, which included 538 eyes with an AL from 22.0 to 24.60 mm that underwent phacoemulsification and foldable intraocular lens (IOL) implantation (six different IOLs) in the bag. Preoperative AL was measured by US biometry and IOL power (IOLp) was calculated with the SRK/T formula. Patients had a complete ophthalmic examination, preoperatively and 1, 7, and 30 days after surgery. The achieved spherical equivalent (SE) and the prediction error (PE) were calculated. The prediction error was defined as the difference between attempted predicted target refraction and the achieved postoperative SE refraction. Statistical analysis was performed with SPSS V21. RESULTS The mean age of the patients was 66.96±9.67 years, the mean AL was 23.29±0.62 mm, the mean K1 was 43.62±1.49D, the mean K2 was 43.69±1.53D, the mean IOL power was 21.066±1.464D, the mean attempted (predicted) SE was -0.178±0.266D, and the mean achieved SE was -0.252±0.562D. The mean PE (difference between predicted and achieved SE) showed a relatively hyperopic shift (mean ± standard deviation: 0.074±0.542D, ranging from -1.855 to 2.170D, P=0.001). A total of 93.87% of eyes were within ±1.00D of the PE and 92.75% of eyes within ±1.00D of achieved postoperative refraction. A total of 39 eyes (7.25%) had a refractive surprise. A total of 32 of 39 eyes were more myopic than -1.00D and 7 of them were more hypermetropic than +1.00D. There was no correlation between the mean PE and IOL type, AL, K1, K2, and IOLp. There were a positive statistically significant correlation between PE and age (r=0.095; P=0.028) and a negative statistically significant correlation between achieved SE and AL (Spearman's r=-0.125; P=0.04), and age (r=-0.141; P=0.01). CONCLUSION The IOLp calculation using the SRK/T formula with US biometry may demonstrate very good postoperative refractive outcomes in medium eyes with a few refractive surprises.
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Affiliation(s)
- Yunus Karabela
- Department of Ophthalmology, Istanbul Medipol University, Esenler Hospital, Esenler
| | - Mustafa Eliacik
- Department of Ophthalmology, Istanbul Medipol University, Kadıkoy Medipol Hospital, Kadıkoy
| | - Mehmet Selim Kocabora
- Department of Ophthalmology, Istanbul Medipol University, Mega Medipol Hospital, Bagcilar
| | - Sevil Karaman Erdur
- Department of Ophthalmology, Istanbul Medipol University, Mega Medipol Hospital, Bagcilar
| | - Hakan Baybora
- Department of Ophthalmology, Nisa Hospital, Bahcelievler, Istanbul, Turkey
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Doshi D, Limdi P, Parekh N, Gohil N. A Comparative Study to Assess the Predictability of Different IOL Power Calculation Formulas in Eyes of Short and Long Axial Length. J Clin Diagn Res 2017; 11:NC01-NC04. [PMID: 28273986 DOI: 10.7860/jcdr/2017/22095.9136] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Accepted: 11/01/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Accurate Intraocular Lens (IOL) power calculation in cataract surgery is very important for providing postoperative precise vision. Selection of most appropriate formula is difficult in high myopic and hypermetropic patients. AIM To investigate the predictability of different IOL (Intra Ocular Lens) power calculation formulae in eyes with short and long Axial Length (AL) and to find out most accurate IOL power calculation formula in both groups. MATERIALS AND METHODS A prospective study was conducted on 80 consecutive patients who underwent phacoemulsification with monofocal IOL implantation after obtaining an informed and written consent. Preoperative keratometry was done by IOL Master. Axial length and anterior chamber depth was measured using A-scan machine ECHORULE 2 (BIOMEDIX). Patients were divided into two groups based on AL. (40 in each group). Group A with AL<22 mm and Group B with AL>24.5 mm. The IOL power calculation in each group was done by Haigis, Hoffer Q, Holladay-I, SRK/T formulae using the software of ECHORULE 2. The actual postoperative Spherical Equivalent (SE), Estimation error (E) and Absolute Error (AE) were calculated at one and half months and were used in data analysis. The predictive accuracy of each formula in each group was analyzed by comparing the Absolute Error (AE). The Kruskal Wallis test was used to compare differences in the (AE) of the formulae. A statistically significant difference was defined as p-value<0.05. RESULTS In Group A, Hoffer Q, Holladay 1 and SRK/T formulae were equally accurate in predicting the postoperative refraction after cataract surgery (IOL power calculation) in eyes with AL less than 22.0 mm and accuracy of these three formulae was significantly higher than Haigis formula. Whereas in Group B, Hoffer Q, Holladay 1, SRK/T and Haigis formulae were equally accurate in predicting the postoperative refraction after cataract surgery (IOL power calculation) in eyes with AL more than 24.5 mm. CONCLUSION Hoffer Q, Holladay 1 and SRK/T formulae were showing significantly higher accuracy than Haigis formula in predicting the postoperative refraction after cataract surgery (IOL power calculation) in eyes with AL less than 22.0 mm. In eyes with AL more than 24.5 mm Hoffer Q, Holladay 1, SRK/T and Haigis formulae were equally accurate.
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Affiliation(s)
- Dharmil Doshi
- Resident, Department of Ophthalmology, Goverment Medical College and Sir T. Hospital , Bhavnagar, Gujarat, India
| | - Purvi Limdi
- Resident, Department of Ophthalmology, Goverment Medical College and Sir T. Hospital , Bhavnagar, Gujarat, India
| | - Nilesh Parekh
- Professor, Department of Ophthalmology, Goverment Medical College and Sir T. Hospital , Bhavnagar, Gujarat, India
| | - Neepa Gohil
- Assistant Professor, Department of Ophthalmology, Goverment Medical College and Sir T. Hospital , Bhavnagar, Gujarat, India
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Kirgiz A, Atalay K, Kaldirim H, Cabuk KS, Akdemir MO, Taskapili M. Scheimpflug camera combined with placido-disk corneal topography and optical biometry for intraocular lens power calculation. Int Ophthalmol 2016; 37:781-786. [PMID: 27586670 DOI: 10.1007/s10792-016-0330-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Accepted: 08/29/2016] [Indexed: 10/21/2022]
Abstract
The purpose of this study was to compare the keratometry (K) values obtained by the Scheimpflug camera combined with placido-disk corneal topography (Sirius) and optical biometry (Lenstar) for intraocular lens (IOL) power calculation before the cataract surgery, and to evaluate the accuracy of postoperative refraction. 50 eyes of 40 patients were scheduled to have phacoemulsification with the implantation of a posterior chamber intraocular lens. The IOL power was calculated using the SRK/T formula with Lenstar K and K readings from Sirius. Simulated K (SimK), K at 3-, 5-, and 7-mm zones from Sirius were compared with Lenstar K readings. The accuracy of these parameters was determined by calculating the mean absolute error (MAE). The mean Lenstar K value was 44.05 diopters (D) ±1.93 (SD) and SimK, K at 3-, 5-, and 7-mm zones were 43.85 ± 1.91, 43.88 ± 1.9, 43.84 ± 1.9, 43.66 ± 1.85 D, respectively. There was no statistically significant difference between the K readings (P = 0.901). When Lenstar was used for the corneal power measurements, MAE was 0.42 ± 0.33 D, but when simK of Sirius was used, it was 0.37 ± 0.32 D (the lowest MAE (0.36 ± 0.32 D) was achieved as a result of 5 mm K measurement), but it was not statistically significant (P = 0.892). Of all the K readings of Sirius and Lenstar, Sirius 5-mm zone K readings were the best in predicting a more precise IOL power. The corneal power measurements with the Scheimpflug camera combined with placido-disk corneal topography can be safely used for IOL power calculation.
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Affiliation(s)
- Ahmet Kirgiz
- Eye Clinic, Bagcilar Training and Research Hospital, Istanbul, Turkey.
| | - Kurşat Atalay
- Eye Clinic, Bagcilar Training and Research Hospital, Istanbul, Turkey
| | - Havva Kaldirim
- Eye Clinic, Bagcilar Training and Research Hospital, Istanbul, Turkey
| | | | - Mehmet Orcun Akdemir
- Department of Ophthalmology, Bulent Ecevit University School of Medicine, Zonguldak, Turkey
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Outcomes of Sutureless Iris-Claw Lens Implantation. J Ophthalmol 2016; 2016:7013709. [PMID: 27642519 PMCID: PMC5013207 DOI: 10.1155/2016/7013709] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2016] [Revised: 06/26/2016] [Accepted: 07/12/2016] [Indexed: 11/29/2022] Open
Abstract
Purpose. To evaluate the indications, refraction, and visual and safety outcomes of iris-claw intraocular lens implanted retropupillary with sutureless technique during primary or secondary operation. Methods. Retrospective study of case series. The Haigis formula was used to calculate intraocular lens power. In all cases the wound was closed without suturing. Results. The study comprised 47 eyes. The mean follow-up time was 15.9 months (SD 12.2). The mean preoperative CDVA was 0.25 (SD 0.21). The final mean CDVA was 0.46 (SD 0.27). No hypotony or need for wound suturing was observed postoperatively. Mean postoperative refractive error was −0.27 Dsph (−3.87 Dsph to +2.85 Dsph; median 0.0, SD 1.28). The mean postoperative astigmatism was −1.82 Dcyl (min −0.25, max −5.5; median −1.25, SD 1.07). Postoperative complications were observed in 10 eyes. The most common complication was ovalization of the iris, which was observed in 8 eyes. The mean operation time was 35.9 min (min 11 min, max 79 min; median 34, SD 15.4). Conclusion. Retropupilary iris-claw intraocular lens (IOL) implantation with sutureless wound closing is an easy and fast method, ensuring good refractive outcome and a low risk of complication. The Haigis formula proved to be predictable in postoperative refraction.
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Khambhiphant B, Sasiwilasagorn S, Chatbunchachai N, Pongpirul K. Effect of pupillary dilation on Haigis formula-calculated intraocular lens power measurement by using optical biometry. Clin Ophthalmol 2016; 10:1405-10. [PMID: 27555746 PMCID: PMC4968869 DOI: 10.2147/opth.s109797] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
PURPOSE The purpose of this study was to evaluate the effect of pupillary dilation on the Haigis formula-calculated intraocular lens (IOL) power and ocular biometry measurements by using IOLMaster(®). METHODS A prospective study was performed for biometry measurements of 373 eyes of 192 healthy subjects using the IOLMaster at the outpatient department of King Chulalongkorn Memorial Hospital from February 2013 to July 2013. The axial length (AL), anterior chamber depth (ACD), keratometry (K), and IOL power were measured before and after 1% tropicamide eye drop instillation. The Haigis formula was used in the IOL power calculation with the predicted target to emmetropia. Each parameter was compared by a paired t-test prior to and after pupillary dilation. Bland-Altman plots were also used to determine the agreement between each parameter. RESULTS The mean age of the subjects was 53.74±14.41 years (range 18-93 years). No differences in AL (P=0.03), steepest K (P=0.42), and flattest K (P=0.41) were obtained from the IOLMaster after pupillary dilation. However, ACD and IOL power were significantly different postdilation (P<0.01 and P<0.01, respectively). In ACD and IOL power measurements, the concordance rates were 93.03% and 97.05% within 95% limits of agreement (-0.48 to 0.26 mm and -1.09 to 0.88 D, respectively) in the Bland-Altman plots. CONCLUSION Biometry measurements in the cycloplegic stage should be considered in the IOL formulas that use parameters other than AL and K.
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Affiliation(s)
- Bharkbhum Khambhiphant
- Department of Ophthalmology, King Chulalongkorn Memorial Hospital, Thai Red Cross Society
| | | | | | - Krit Pongpirul
- Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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Karabela Y, Eliacik M, Kaya F. Performance of the SRK/T formula using A-Scan ultrasound biometry after phacoemulsification in eyes with short and long axial lengths. BMC Ophthalmol 2016; 16:96. [PMID: 27391470 PMCID: PMC4938914 DOI: 10.1186/s12886-016-0271-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2015] [Accepted: 06/09/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The SRK/T formula is one of the third generation IOL calculation formulas. The purpose of this study was to evaluate the performance of the SRK/T formula in predicting a target refraction ±1.0D in short and long eyes using ultrasound biometry after phacoemulsification. METHODS The present study was a retrospective analysis, which included 38 eyes with an AL < 22.0 mm (short AL), and 62 eyes ≥24.6 mm (long AL) that underwent uncomplicated phacoemulsification. Preoperative AL was measured by ultrasound biometry and SRK/T formula was used for IOL calculation. Three different IOLs were implanted in the capsular bag. The prediction error was defined as the difference between the achieved postoperative refraction, and attempted predicted target refraction. Statistical analysis was performed with SPSS V21. RESULTS In short ALs, the mean age was 65.13 ± 9.49 year, the mean AL was 21.55 ± 0.45 mm, the mean K1 and K2 were 45.76 ± 1.77D and 46.09 ± 1.61D, the mean IOL power was 23.96 ± 1.92D, the mean attempted (predicted) value was 0.07 ± 0.26D, the mean achieved value was 0.07 ± 0.63 D, the mean PE was 0.01 ± 0.60D, and the MAE was 0.51 ± 0.31D. A significant positive relationship with AL and K1, K2, IOL power and a strong negative relationship with PE and achieved postoperative was found. In long ALs, the mean age was 64.05 ± 7.31 year, the mean AL was 25.77 ± 1.64 mm, the mean K1 and K2 were 42.20 ± 1.57D and 42.17 ± 1.68D, the mean IOL power was 15.79 ± 5.17D, the mean attempted value was -0.434 ± 0.315D, the mean achieved value was -0.42 ± 0.96D, the mean PE was -0.004 ± 0.93D, the MAE was 0.68 ± 0.62D. A significant positive relationship with AL and K1, K2 and a significant positive relationship with PE and achieved value, otherwise a negative relationship with AL and IOL power was found. There was a little tendency towards hyperopic for short ALs and myopic for long ALs. The majority of eyes (94.74 %) for short ALs and (70.97 %) for long ALs were within ±1 D of the predicted refractive error. No significant relationship with PE and IOL types, AL, K1, K2, IOL power, and attempted value, besides with MAE and AL, K1, K2, age, attempted, achieved value were found in both groups. CONCLUSION The SRK/T formula performs well and shows good predictability in eyes with short and long axial lengths.
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Affiliation(s)
- Yunus Karabela
- Department of Ophthalmology, Istanbul Medipol University, Esenler Hospital, Birlik Mah., Bahceler Cad., Number 5, Esenler, Istanbul, 34230, Turkey.
| | - Mustafa Eliacik
- Department of Ophthalmology, School of Medicine, Istanbul Medipol University, Kadıkoy Medipol Hospital, Lambaci Sokak Number 1, Kosuyolu, Kadikoy, Istanbul, 34718, Turkey
| | - Faruk Kaya
- Department of Ophthalmology, Istanbul Medipol University, Esenler Hospital, Birlik Mah., Bahceler Cad., Number 5, Esenler, Istanbul, 34230, Turkey
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Akman A, Asena L, Güngör SG. Evaluation and comparison of the new swept source OCT-based IOLMaster 700 with the IOLMaster 500. Br J Ophthalmol 2015; 100:1201-5. [PMID: 26674777 PMCID: PMC5013111 DOI: 10.1136/bjophthalmol-2015-307779] [Citation(s) in RCA: 146] [Impact Index Per Article: 16.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Accepted: 11/22/2015] [Indexed: 11/07/2022]
Abstract
Purpose To compare the measurements and failure rates obtained with a new swept source optical coherence tomography (OCT)-based biometry to IOLMaster 500. Setting Eye Clinic, Baskent University Faculty of Medicine, Ankara, Turkey. Design Observational cross-sectional study and evaluation of a new diagnostic technology. Methods 188 eyes of 101 subjects were included in the study. Measurements of axial length (AL), anterior chamber depth (ACD), corneal power (K1 and K2) and the measurement failure rate with the new Zeiss IOLMaster 700 were compared with those obtained with the IOLMaster 500. The results were evaluated using Bland–Altman analyses. The differences between both methods were assessed using the paired samples t test, and their correlation was evaluated by intraclass correlation coefficient (ICC). Results The mean age was 68.32±12.71 years and the male/female ratio was 29/72. The agreements between two devices were outstanding regarding AL (ICC=1.0), ACD (ICC=0.920), K1 (ICC=0.992) and K2 (ICC=0.989) values. IOLMaster 700 was able to measure ACD AL, K1 and K2 in all eyes within high-quality SD limits of the manufacturer. IOLMaster 500 was able to measure ACD in 175 eyes, whereas measurements were not possible in the remaining 13 eyes. AL measurements were not possible for 17 eyes with IOLMaster 500. Nine of these eyes had posterior subcapsular cataracts and eight had dense nuclear cataracts. Conclusions Although the agreement between the two devices was excellent, the IOLMaster 700 was more effective in obtaining biometric measurements in eyes with posterior subcapsular and dense nuclear cataracts.
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Affiliation(s)
- Ahmet Akman
- Department of Ophthalmology, Başkent University, Faculty of Medicine, Ankara, Turkey
| | - Leyla Asena
- Department of Ophthalmology, Başkent University, Faculty of Medicine, Ankara, Turkey
| | - Sirel Gür Güngör
- Department of Ophthalmology, Başkent University, Faculty of Medicine, Ankara, Turkey
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Alió JL, Grzybowski A, Romaniuk D. Refractive lens exchange in modern practice: when and when not to do it? EYE AND VISION 2014; 1:10. [PMID: 26605356 PMCID: PMC4655463 DOI: 10.1186/s40662-014-0010-2] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/04/2014] [Accepted: 11/05/2014] [Indexed: 11/10/2022]
Abstract
Cataract surgery due to advances in small incision surgery evolved from a procedure concerned with the primary focus on the safe removal of cataractous lens to a procedure focused on the best possible postoperative refractive result. As the outcomes of cataract surgery became better, the use of lens surgery as a refractive modality in patients without cataracts has increased in interest and in popularity. Removal of the crystalline lens for refractive purposes or refractive lens exchange (RLE) presents several advantages over corneal refractive surgery. Patients with high degrees of myopia, hyperopia and astigmatism are still not good candidates for laser surgery. Moreover, presbyopia can currently only be corrected with monovision or reading spectacles. RLE supplemented with multifocal or accommodating intraocular lenses (IOLs) in combination with corneal astigmatic procedures might address all refractive errors including presbyopia, and eliminate the future need for cataract surgery.
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Affiliation(s)
- Jorge L Alió
- Vissum Corporation, Alicante, Spain ; Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain ; Avda de Denia s/n, Edificio Vissum, 03016 Alicante, Spain
| | - Andrzej Grzybowski
- Department of Ophthalmology, Poznan City Hospital, Poznań, Poland ; Chair of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland
| | - Dorota Romaniuk
- Clinical Department of Ophthalmology, Silesian University of Medicine, Katowice, Poland
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