Refractive error with optimum intraocular lens power calculation after glaucoma filtering surgery.

Abstract:

PURPOSE:To assess the possibility of deriving an optimum intraocular lens (IOL) power after previous successful trabeculectomy. SETTING:Chang Gung Memorial Hospital, Linko, Taiwan. METHODS:The retrospective study included 1 eye of 22 patients who had cataract surgery after successful trabeculectomy performed by 1 surgeon. Twenty-two eyes that had cataract surgery only performed by the same surgeon were paired as a control group. The IOL power was calculated by the Sanders-Retzlaff-Kraff regression analysis formula based on the data derived after trabeculectomy. The postoperative refractive error at least 1 month after cataract surgery was recorded, and the difference was analyzed by a paired t test and 2-sample t test. RESULTS:Cataract surgery combined with trabeculectomy resulted in a mean spherical equivalent of -0.33 diopter +/- 1.58 (SD). This was not significantly different from the predicted refractive error or the result in the control group (P>.05). CONCLUSION:Although the fluctuation in pseudophakic axial length measurement after glaucoma filtering surgery was logical, a predictable pseudophakic refractive outcome was derived clinically once the intraocular pressure stabilized after trabeculectomy.

authors

Tan HY,Wu SC

doi

10.1016/j.jcrs.2004.05.016

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

2595-7

issue

12

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(04)00551-6

journal_volume

30

pub_type

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