C constant: new concept for ray tracing-assisted intraocular lens power calculation.

Abstract:

PURPOSE:To evaluate the accuracy of the C constant for ray tracing-assisted intraocular lens (IOL) power calculation. DESIGN:Case series. SETTING:Public university hospital and private clinic. METHODS:Preoperatively, all intraocular distances were measured using laser biometry. Various IOL designs were studied; powers ranged from -5.0 diopters (D) to +38.0 D. The IOL power calculation was performed with the Olsen formula using the C constant and compared with the Haigis, Hoffer Q, Holladay 1, and the SRK/T formulas on optimized datasets. Outcome measures were the error of the prediction, expressed as the arithmetic error, and the absolute error between the observed refraction and the predicted refraction. RESULTS:Two thousand forty-three cases from the 2 centers were studied. No significant differences were found between the Haigis, Hoffer Q, Holladay 1, and SRK/T formulas with the exception of the SRK/T formula, which performed better than the other thin-lens formulas in eyes with an axial length (AL) greater than 27.0 mm (P<.01). Compared with the SRK/T formula, the Olsen formula showed an improvement of 15% and 14% in the mean absolute error and a 39% and 85% reduction in the number of large errors (>1.0 D) for the 2 series, respectively (P<.0001). Contrary to the Olsen formula, all thin-lens formulas showed a significant bias in terms of the AL, keratometry reading, and anterior segment length (P<.0001). CONCLUSION:The C constant is a promising concept for ray tracing-assisted IOL power calculation.

authors

Olsen T,Hoffmann P

doi

10.1016/j.jcrs.2013.10.037

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

764-73

issue

5

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(14)00249-1

journal_volume

40

pub_type

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