Comparison of intraocular lens power calculation formulas in Chinese eyes with axial myopia.

Abstract:

PURPOSE:To assess the accuracy of intraocular lens (IOL) power calculation formulas in Chinese eyes with axial lengths (ALs) longer than 26.0 mm. SETTING:Department of Cataract Surgery, Shanxi Eye Hospital, China. DESIGN:Prospective case series. METHODS:This study evaluated (1) two new formulas (Barrett Universal II and Hill-RBF 2.0), (2) three vergence formulas (Haigis, Holladay 1, and SRK/T), and (3) the original and modified Wang-Koch AL adjustment formulas with Holladay 1 and SRK/T. The User Group for Laser Interference Biometry lens constants were used for IOL power calculation. The refractive prediction error was calculated by subtracting the predicted refraction from the actual refraction postoperatively. The mean numerical error (MNE), percentage of eyes with hyperopic outcomes, and mean absolute error (MAE) were determined. RESULTS:The study comprised 136 eyes. The Barrett and Hill-RBF formulas had MNEs close to zero (-0.09 D to 0.03 D), the Haigis, Holladay 1, and SRK/T produced hyperopic MNEs (0.25 to 0.70 D), and the original and modified Wang-Koch AL adjustment formulas induced myopic MNEs (-0.48 to -0.22 D). The original Wang-Koch formulas produced significantly lower percentages of eyes with hyperopic outcomes (15% to 18%) than all other formulas (28% to 91%). There were no significant differences in MAEs between the Barrett, Hill-RBF, Haigis, and original and modified Wang-Koch adjustment with the Holladay 1 (0.32 to 0.41 D). CONCLUSION:The performances of the Barrett and Hill-RBF were comparable in long eyes. The incidence of hyperopic outcome with the Wang-Koch AL adjustment formula was significantly lower than other formulas.

authors

Liu J,Wang L,Chai F,Han Y,Qian S,Koch DD,Weikert MP

doi

10.1016/j.jcrs.2019.01.018

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

725-731

issue

6

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(19)30042-2

journal_volume

45

pub_type

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