Intraocular lens power calculation for plus and minus lenses in high myopia using partial coherence interferometry
Purpose We assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL). Methods We included 58 consecutive, myopic eyes with an axial length (AL) > 26.0 mm, undergoing phacoemulsification and IOL implantation following biometry usin...
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Published in | International ophthalmology Vol. 41; no. 5; pp. 1585 - 1592 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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Dordrecht
Springer Netherlands
01.05.2021
Springer Nature B.V |
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Abstract | Purpose
We assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL).
Methods
We included 58 consecutive, myopic eyes with an axial length (AL) > 26.0 mm, undergoing phacoemulsification and IOL implantation following biometry using the IOLMaster 500. For lens power calculation, the Haigis formula was used in all cases. For comparison, refraction was back-calculated using the Barrett Universal II (Barrett), Holladay I, Hill-RBF (RBF) and SRK/T formulae.
Results
The mean axial length was 30.17 ± 2.67 mm. Barrett (80%), Haigis (87%) and RBF (82%) showed comparable numbers of IOLs within 1 diopter (D) of target refraction. Visual acuity (BSCVA) improved (
p
< 0.001) from 0.60 ± 0.35 to 0.29 ± 0.29 logMAR (> 28-days postsurgery). The median absolute error (MedAE) of Barrett 0.49 D, Haigis 0.38, RBF 0.44 and SRK/T 0.44 did not differ. The MedAE of Haigis was significantly smaller than Holladay (0.75 D;
p
= 0.01). All median postoperative refractive errors (MedRE) differed significantly with the exception of Haigis to SRK/T (
p
= 0.6): Barrett − 0.33 D, Haigis 0.25, Holladay 0.63, RBF 0.04 and SRK/T 0.13. Barrett, Haigis, Holladay and RBF showed a tendency for higher MedAEs in their minus compared to plus IOLs, which only reached significance for SRK/T (
p
= 0.001). Barrett (
p
< 0.001) and RBF (
p
= 0.04) showed myopic, SRK/T (
p
= 002) a hyperopic shift in their minus IOLs.
Conclusions
In highly myopic patients, the accuracies of Barrett, Haigis and RBF were comparable with a tendency for higher MedAEs in minus IOLs. Barrett and RBF showed myopic, SRK/T a hyperopic shift in their minus IOLs. |
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AbstractList | We assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL).
We included 58 consecutive, myopic eyes with an axial length (AL) > 26.0 mm, undergoing phacoemulsification and IOL implantation following biometry using the IOLMaster 500. For lens power calculation, the Haigis formula was used in all cases. For comparison, refraction was back-calculated using the Barrett Universal II (Barrett), Holladay I, Hill-RBF (RBF) and SRK/T formulae.
The mean axial length was 30.17 ± 2.67 mm. Barrett (80%), Haigis (87%) and RBF (82%) showed comparable numbers of IOLs within 1 diopter (D) of target refraction. Visual acuity (BSCVA) improved (p < 0.001) from 0.60 ± 0.35 to 0.29 ± 0.29 logMAR (> 28-days postsurgery). The median absolute error (MedAE) of Barrett 0.49 D, Haigis 0.38, RBF 0.44 and SRK/T 0.44 did not differ. The MedAE of Haigis was significantly smaller than Holladay (0.75 D; p = 0.01). All median postoperative refractive errors (MedRE) differed significantly with the exception of Haigis to SRK/T (p = 0.6): Barrett - 0.33 D, Haigis 0.25, Holladay 0.63, RBF 0.04 and SRK/T 0.13. Barrett, Haigis, Holladay and RBF showed a tendency for higher MedAEs in their minus compared to plus IOLs, which only reached significance for SRK/T (p = 0.001). Barrett (p < 0.001) and RBF (p = 0.04) showed myopic, SRK/T (p = 002) a hyperopic shift in their minus IOLs.
In highly myopic patients, the accuracies of Barrett, Haigis and RBF were comparable with a tendency for higher MedAEs in minus IOLs. Barrett and RBF showed myopic, SRK/T a hyperopic shift in their minus IOLs. PURPOSEWe assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL). METHODSWe included 58 consecutive, myopic eyes with an axial length (AL) > 26.0 mm, undergoing phacoemulsification and IOL implantation following biometry using the IOLMaster 500. For lens power calculation, the Haigis formula was used in all cases. For comparison, refraction was back-calculated using the Barrett Universal II (Barrett), Holladay I, Hill-RBF (RBF) and SRK/T formulae. RESULTSThe mean axial length was 30.17 ± 2.67 mm. Barrett (80%), Haigis (87%) and RBF (82%) showed comparable numbers of IOLs within 1 diopter (D) of target refraction. Visual acuity (BSCVA) improved (p < 0.001) from 0.60 ± 0.35 to 0.29 ± 0.29 logMAR (> 28-days postsurgery). The median absolute error (MedAE) of Barrett 0.49 D, Haigis 0.38, RBF 0.44 and SRK/T 0.44 did not differ. The MedAE of Haigis was significantly smaller than Holladay (0.75 D; p = 0.01). All median postoperative refractive errors (MedRE) differed significantly with the exception of Haigis to SRK/T (p = 0.6): Barrett - 0.33 D, Haigis 0.25, Holladay 0.63, RBF 0.04 and SRK/T 0.13. Barrett, Haigis, Holladay and RBF showed a tendency for higher MedAEs in their minus compared to plus IOLs, which only reached significance for SRK/T (p = 0.001). Barrett (p < 0.001) and RBF (p = 0.04) showed myopic, SRK/T (p = 002) a hyperopic shift in their minus IOLs. CONCLUSIONSIn highly myopic patients, the accuracies of Barrett, Haigis and RBF were comparable with a tendency for higher MedAEs in minus IOLs. Barrett and RBF showed myopic, SRK/T a hyperopic shift in their minus IOLs. Abstract Purpose We assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL). Methods We included 58 consecutive, myopic eyes with an axial length (AL) > 26.0 mm, undergoing phacoemulsification and IOL implantation following biometry using the IOLMaster 500. For lens power calculation, the Haigis formula was used in all cases. For comparison, refraction was back-calculated using the Barrett Universal II (Barrett), Holladay I, Hill-RBF (RBF) and SRK/T formulae. Results The mean axial length was 30.17 ± 2.67 mm. Barrett (80%), Haigis (87%) and RBF (82%) showed comparable numbers of IOLs within 1 diopter (D) of target refraction. Visual acuity (BSCVA) improved ( p < 0.001) from 0.60 ± 0.35 to 0.29 ± 0.29 logMAR (> 28-days postsurgery). The median absolute error (MedAE) of Barrett 0.49 D, Haigis 0.38, RBF 0.44 and SRK/T 0.44 did not differ. The MedAE of Haigis was significantly smaller than Holladay (0.75 D; p = 0.01). All median postoperative refractive errors (MedRE) differed significantly with the exception of Haigis to SRK/T ( p = 0.6): Barrett − 0.33 D, Haigis 0.25, Holladay 0.63, RBF 0.04 and SRK/T 0.13. Barrett, Haigis, Holladay and RBF showed a tendency for higher MedAEs in their minus compared to plus IOLs, which only reached significance for SRK/T ( p = 0.001). Barrett ( p < 0.001) and RBF ( p = 0.04) showed myopic, SRK/T ( p = 002) a hyperopic shift in their minus IOLs. Conclusions In highly myopic patients, the accuracies of Barrett, Haigis and RBF were comparable with a tendency for higher MedAEs in minus IOLs. Barrett and RBF showed myopic, SRK/T a hyperopic shift in their minus IOLs. PurposeWe assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL).MethodsWe included 58 consecutive, myopic eyes with an axial length (AL) > 26.0 mm, undergoing phacoemulsification and IOL implantation following biometry using the IOLMaster 500. For lens power calculation, the Haigis formula was used in all cases. For comparison, refraction was back-calculated using the Barrett Universal II (Barrett), Holladay I, Hill-RBF (RBF) and SRK/T formulae.ResultsThe mean axial length was 30.17 ± 2.67 mm. Barrett (80%), Haigis (87%) and RBF (82%) showed comparable numbers of IOLs within 1 diopter (D) of target refraction. Visual acuity (BSCVA) improved (p < 0.001) from 0.60 ± 0.35 to 0.29 ± 0.29 logMAR (> 28-days postsurgery). The median absolute error (MedAE) of Barrett 0.49 D, Haigis 0.38, RBF 0.44 and SRK/T 0.44 did not differ. The MedAE of Haigis was significantly smaller than Holladay (0.75 D; p = 0.01). All median postoperative refractive errors (MedRE) differed significantly with the exception of Haigis to SRK/T (p = 0.6): Barrett − 0.33 D, Haigis 0.25, Holladay 0.63, RBF 0.04 and SRK/T 0.13. Barrett, Haigis, Holladay and RBF showed a tendency for higher MedAEs in their minus compared to plus IOLs, which only reached significance for SRK/T (p = 0.001). Barrett (p < 0.001) and RBF (p = 0.04) showed myopic, SRK/T (p = 002) a hyperopic shift in their minus IOLs.ConclusionsIn highly myopic patients, the accuracies of Barrett, Haigis and RBF were comparable with a tendency for higher MedAEs in minus IOLs. Barrett and RBF showed myopic, SRK/T a hyperopic shift in their minus IOLs. Purpose We assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL). Methods We included 58 consecutive, myopic eyes with an axial length (AL) > 26.0 mm, undergoing phacoemulsification and IOL implantation following biometry using the IOLMaster 500. For lens power calculation, the Haigis formula was used in all cases. For comparison, refraction was back-calculated using the Barrett Universal II (Barrett), Holladay I, Hill-RBF (RBF) and SRK/T formulae. Results The mean axial length was 30.17 ± 2.67 mm. Barrett (80%), Haigis (87%) and RBF (82%) showed comparable numbers of IOLs within 1 diopter (D) of target refraction. Visual acuity (BSCVA) improved ( p < 0.001) from 0.60 ± 0.35 to 0.29 ± 0.29 logMAR (> 28-days postsurgery). The median absolute error (MedAE) of Barrett 0.49 D, Haigis 0.38, RBF 0.44 and SRK/T 0.44 did not differ. The MedAE of Haigis was significantly smaller than Holladay (0.75 D; p = 0.01). All median postoperative refractive errors (MedRE) differed significantly with the exception of Haigis to SRK/T ( p = 0.6): Barrett − 0.33 D, Haigis 0.25, Holladay 0.63, RBF 0.04 and SRK/T 0.13. Barrett, Haigis, Holladay and RBF showed a tendency for higher MedAEs in their minus compared to plus IOLs, which only reached significance for SRK/T ( p = 0.001). Barrett ( p < 0.001) and RBF ( p = 0.04) showed myopic, SRK/T ( p = 002) a hyperopic shift in their minus IOLs. Conclusions In highly myopic patients, the accuracies of Barrett, Haigis and RBF were comparable with a tendency for higher MedAEs in minus IOLs. Barrett and RBF showed myopic, SRK/T a hyperopic shift in their minus IOLs. |
Author | Kuerten, David Fuest, Matthias Schellhase, Hannah Roessler, Gernot Walter, Peter Widder, Randolf A. Plange, Niklas Kohnen, Stephan Mazinani, Babac A. E. |
Author_xml | – sequence: 1 givenname: Matthias surname: Fuest fullname: Fuest, Matthias organization: Department of Ophthalmology, RWTH Aachen University – sequence: 2 givenname: Niklas surname: Plange fullname: Plange, Niklas organization: Department of Ophthalmology, RWTH Aachen University – sequence: 3 givenname: David surname: Kuerten fullname: Kuerten, David organization: Department of Ophthalmology, RWTH Aachen University – sequence: 4 givenname: Hannah surname: Schellhase fullname: Schellhase, Hannah organization: Department of Ophthalmology, RWTH Aachen University – sequence: 5 givenname: Babac A. E. surname: Mazinani fullname: Mazinani, Babac A. E. organization: Department of Ophthalmology, RWTH Aachen University – sequence: 6 givenname: Peter surname: Walter fullname: Walter, Peter organization: Department of Ophthalmology, RWTH Aachen University – sequence: 7 givenname: Stephan surname: Kohnen fullname: Kohnen, Stephan organization: ACD Augen Centrum Dreiländereck – sequence: 8 givenname: Randolf A. surname: Widder fullname: Widder, Randolf A. organization: Department of Ophthalmology, St. Martinus-Krankenhaus Düsseldorf, Department of Ophthalmology, University of Cologne – sequence: 9 givenname: Gernot orcidid: 0000-0002-0660-8645 surname: Roessler fullname: Roessler, Gernot email: groessler@ukaachen.de organization: Department of Ophthalmology, RWTH Aachen University, Department of Ophthalmology, St. Martinus-Krankenhaus Düsseldorf |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33521894$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1007_s10792_022_02466_4 crossref_primary_10_5005_rmo_11013_0019 crossref_primary_10_3389_fmed_2023_1241824 crossref_primary_10_5005_rmo_11013_0020 crossref_primary_10_1007_s40123_023_00856_0 crossref_primary_10_3390_jcm11195947 crossref_primary_10_1371_journal_pone_0296771 |
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Keywords | Cataract Calculation Pathologic Biometry Myopia IOL |
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References | Terzi, Wang, Kohnen (CR4) 2009; 35 Roessler, Dietlein, Plange (CR2) 2012; 32 Abulafia, Barrett, Rotenberg (CR21) 2015; 41 Pesudovs, Garamendi, Elliott (CR5) 2006; 22 Hoffer, Aramberri, Haigis (CR16) 2015; 160 Connell, Kane (CR22) 2019; 4 Mamalis (CR1) 2000; 26 Martinez-Enriquez, Perez-Merino, Duran-Poveda, Jimenez-Alfaro, Marcos (CR9) 2018; 8 Norrby (CR17) 2008; 34 Chen, Xu, Miao, Zheng, Sun, Xu (CR14) 2015; 2015 Tehrani, Krummenauer, Blom, Dick (CR7) 2003; 29 Findl, Drexler, Menapace, Heinzl, Hitzenberger, Fercher (CR6) 2001; 27 Wang, Shirayama, Ma, Kohnen, Koch (CR3) 2011; 37 Melles, Holladay, Chang (CR10) 2018; 125 Haigis (CR19) 2009; 35 Suto, Sato, Shimamura, Toshida, Ichikawa, Hori (CR15) 2007; 33 Curtin, Karlin (CR20) 1971; 71 Kohnen, Brauweiler (CR8) 1996; 22 Barrett (CR11) 1993; 19 Wang, Hu, Chang (CR13) 2008; 34 Roberts, Hodge, Sutton, Lawless (CR12) 2018; 46 Petermeier, Gekeler, Messias, Spitzer, Haigis, Szurman (CR18) 2009; 35 S Kohnen (1684_CR8) 1996; 22 GF Roessler (1684_CR2) 2012; 32 E Terzi (1684_CR4) 2009; 35 RB Melles (1684_CR10) 2018; 125 C Suto (1684_CR15) 2007; 33 O Findl (1684_CR6) 2001; 27 K Petermeier (1684_CR18) 2009; 35 K Pesudovs (1684_CR5) 2006; 22 A Abulafia (1684_CR21) 2015; 41 L Wang (1684_CR3) 2011; 37 M Tehrani (1684_CR7) 2003; 29 GD Barrett (1684_CR11) 1993; 19 BJ Connell (1684_CR22) 2019; 4 BJ Curtin (1684_CR20) 1971; 71 JK Wang (1684_CR13) 2008; 34 N Mamalis (1684_CR1) 2000; 26 KJ Hoffer (1684_CR16) 2015; 160 S Norrby (1684_CR17) 2008; 34 TV Roberts (1684_CR12) 2018; 46 E Martinez-Enriquez (1684_CR9) 2018; 8 C Chen (1684_CR14) 2015; 2015 W Haigis (1684_CR19) 2009; 35 |
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Snippet | Purpose
We assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL).
Methods
We included 58... We assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL). We included 58 consecutive,... Abstract Purpose We assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL). Methods We... PurposeWe assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL).MethodsWe included 58... PURPOSEWe assessed the accuracy of lens power calculation in highly myopic patients implanting plus and minus intraocular lenses (IOL). METHODSWe included 58... |
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StartPage | 1585 |
SubjectTerms | Acuity Eye (anatomy) Interferometry Intraocular lenses Mathematical analysis Medicine Medicine & Public Health Myopia Ophthalmology Original Paper Refraction Visual acuity |
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Title | Intraocular lens power calculation for plus and minus lenses in high myopia using partial coherence interferometry |
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