Comparison of Intraocular Lens Calculation Formulas for Phacoemulsification after Corneal Refractive Surgery in Asian Eyes
Objective: To compare the different intraocular lens (IOL) calculation formulas available on the American Society of Cataract and Refractive Surgery (ASCRS) IOL power calculator website among Asian eyes with previous corneal refractive surgery. Methods: A retrospective cohort study of 84 eyes in...
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Philippine Academy of Ophthalmology
2020-12-01
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| Series: | Philippine Journal of Ophthalmology |
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| Online Access: | https://paojournal.com/index.php/pjo/article/view/101 |
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| author | Cris Martin Jacoba, MD, DPBO Mary Ellen Sy, MD, DPBO Isa Mulingbayan Jacoba, MD |
| author_facet | Cris Martin Jacoba, MD, DPBO Mary Ellen Sy, MD, DPBO Isa Mulingbayan Jacoba, MD |
| author_sort | Cris Martin Jacoba, MD, DPBO |
| collection | DOAJ |
| description | Objective: To compare the different intraocular lens (IOL) calculation formulas available on the American Society of Cataract and Refractive Surgery (ASCRS) IOL power calculator website among Asian eyes with previous corneal refractive surgery.
Methods: A retrospective cohort study of 84 eyes in 68 Asian patients who had phacoemulsification with previous LASIK or photorefractive keratectomy (PRK) was done. Using the post-phacoemulsification manifest refraction spherical equivalent (MRSE) as target refraction, IOL prediction error (PE) for each formula was calculated as the implanted minus the predicted IOL power. Refractive PE was determined by calculating that 1 diopter (D) of IOL PE produces 0.7 D of refractive error at the spectacle plane.
Results: Comparing the Shammas, Haigis-L, Barrett True-K No History, ASCRS Average IOL Power No History, Barrett True-K, and ASCRS Average IOL Power with Change in Manifest Refraction (ΔMR), the mean IOL PEs ranged from -0.23 to -0.62 D, with the Barrett True-K having the lowest PE. The median refractive PEs for all formulas were similar at 0.35 D, except for the Haigis-L at 0.53 D. The ASCRS average with ΔMR had a statistically higher percentage of eyes within 0.5 D of target refraction versus other formulas (p<0.05). The Haigis-L IOL PE and refractive PE were significantly higher than the Barrett True-K (p<0.001), and the ASCRS average with ΔMR (p<0.001) respectively. The ASCRS average with ΔMR produced a significantly smaller variance of IOL PE (p<0.05).
Conclusion: Accounting for PEs and variance, the ASCRS average IOL power with ΔMR is recommended, followed by the ASCRS average IOL power No History if without historical data. |
| format | Article |
| id | doaj-art-dd62ee133023456fbd1fc238ee72b5ed |
| institution | DOAJ |
| issn | 0031-7659 |
| language | English |
| publishDate | 2020-12-01 |
| publisher | Philippine Academy of Ophthalmology |
| record_format | Article |
| series | Philippine Journal of Ophthalmology |
| spelling | doaj-art-dd62ee133023456fbd1fc238ee72b5ed2025-08-20T02:52:27ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592020-12-014527783101Comparison of Intraocular Lens Calculation Formulas for Phacoemulsification after Corneal Refractive Surgery in Asian EyesCris Martin Jacoba, MD, DPBO0Mary Ellen Sy, MD, DPBO1Isa Mulingbayan Jacoba, MD2Beetham Eye Institute, Joslin Diabetes Center, Harvard Department of Ophthalmology, Boston, MA, USAAmerican Eye Center, Mandaluyong, PhilippinesUniversity of the East Ramon Magsaysay Medical Center, Quezon City, PhilippinesObjective: To compare the different intraocular lens (IOL) calculation formulas available on the American Society of Cataract and Refractive Surgery (ASCRS) IOL power calculator website among Asian eyes with previous corneal refractive surgery. Methods: A retrospective cohort study of 84 eyes in 68 Asian patients who had phacoemulsification with previous LASIK or photorefractive keratectomy (PRK) was done. Using the post-phacoemulsification manifest refraction spherical equivalent (MRSE) as target refraction, IOL prediction error (PE) for each formula was calculated as the implanted minus the predicted IOL power. Refractive PE was determined by calculating that 1 diopter (D) of IOL PE produces 0.7 D of refractive error at the spectacle plane. Results: Comparing the Shammas, Haigis-L, Barrett True-K No History, ASCRS Average IOL Power No History, Barrett True-K, and ASCRS Average IOL Power with Change in Manifest Refraction (ΔMR), the mean IOL PEs ranged from -0.23 to -0.62 D, with the Barrett True-K having the lowest PE. The median refractive PEs for all formulas were similar at 0.35 D, except for the Haigis-L at 0.53 D. The ASCRS average with ΔMR had a statistically higher percentage of eyes within 0.5 D of target refraction versus other formulas (p<0.05). The Haigis-L IOL PE and refractive PE were significantly higher than the Barrett True-K (p<0.001), and the ASCRS average with ΔMR (p<0.001) respectively. The ASCRS average with ΔMR produced a significantly smaller variance of IOL PE (p<0.05). Conclusion: Accounting for PEs and variance, the ASCRS average IOL power with ΔMR is recommended, followed by the ASCRS average IOL power No History if without historical data.https://paojournal.com/index.php/pjo/article/view/101lasikprkascrsiol calculationrefractive surgery |
| spellingShingle | Cris Martin Jacoba, MD, DPBO Mary Ellen Sy, MD, DPBO Isa Mulingbayan Jacoba, MD Comparison of Intraocular Lens Calculation Formulas for Phacoemulsification after Corneal Refractive Surgery in Asian Eyes Philippine Journal of Ophthalmology lasik prk ascrs iol calculation refractive surgery |
| title | Comparison of Intraocular Lens Calculation Formulas for Phacoemulsification after Corneal Refractive Surgery in Asian Eyes |
| title_full | Comparison of Intraocular Lens Calculation Formulas for Phacoemulsification after Corneal Refractive Surgery in Asian Eyes |
| title_fullStr | Comparison of Intraocular Lens Calculation Formulas for Phacoemulsification after Corneal Refractive Surgery in Asian Eyes |
| title_full_unstemmed | Comparison of Intraocular Lens Calculation Formulas for Phacoemulsification after Corneal Refractive Surgery in Asian Eyes |
| title_short | Comparison of Intraocular Lens Calculation Formulas for Phacoemulsification after Corneal Refractive Surgery in Asian Eyes |
| title_sort | comparison of intraocular lens calculation formulas for phacoemulsification after corneal refractive surgery in asian eyes |
| topic | lasik prk ascrs iol calculation refractive surgery |
| url | https://paojournal.com/index.php/pjo/article/view/101 |
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