Comparison of Three Formulas for Calculating Intraocular Lens Power after Corneal Refractive Surgery Without Including Medical History Data in Cataract Surgery
Abstract: Objective: To evaluate the accuracy of three formulas for calculating intraocular lens power after corneal refractive surgery without including medical history data after corneal refractive surgery. Methods: A total of 31 eyes of 23 patients who had corneal refractive surgery for myopia and subsequent cataract surgery in Hankou Aier Eye Hospital from October 2016 to October 2019 were included in the study. Three IOL powers were calculated by the three prediction formulas (including Shammas formula, Haigis-L formula and Barrett True-K formula) without medical history using the ASCRS online calculator. The suitable IOL power was selected. One month after the operation, subjective perception was measured to obtain the actual postoperative refractive state. Refractive prediction error (RPE) and refractive absolute error (RAE) of the three formulas were calculated according to the optometric testing results. The accuracy of the different IOL calculation formulas was compared. The percentages of eyes within RPE <±0.25 D, <±0.5 D, <±0.75 D and <±1.00 D were calculated. Results: The RPE calculated by the three formulas was significantly different from "0" (t=-3.305, P=0.002; t=-2.788, P=0.009; t=-2.528, P=0.017), and the RPE calculated by the three formulas was significantly different overall (F=2.653, P=0.023). The RPE for the Barrett True-K formula was significantly different from those for the Shammas formula and Haigis-L formula (P=0.017, 0.030). The RAE calculated by the three formulas was significantly different overall from those for the Shammas formula and Haigis-L formula (P=0.015, 0.017). The RAE for the Shammas formula was significantly different from that for Haigis-L formula (P=0.010). The proportions of RPE <±0.25 D, <±0.5 D and <±1.00 D after the operation were significantly different overall for the 3 formulas (χ2 =11.682, P=0.026; χ2 =9.042, P=0.022; χ2 =8.017, P=0.013). The percentages of RPE within ±0.25 D, ±0.5 D and ±1.00 D for the Barrett True-K formula were significantly higher than those for the other formulas (P<0.05). Conclusions: The Barrett True-K formula has a higher accuracy in the calculation of IOL power after refractive surgery when medical history is not included. The calculation of IOL degree in cataract surgery after corneal refractive surgery still needs further study. It is suggested to consult a variety of formulas for comprehensive selection.
常晓可 吴立平 许荣. 三种无病史资料人工晶状体度数计算公式在角膜屈光术后白内障手术中的应用比较[J]. 中华眼视光学与视觉科学杂志, 2021, 23(3): 185-191.
Xiaoke Chang, Liping Wu, Rong Xu. Comparison of Three Formulas for Calculating Intraocular Lens Power after Corneal Refractive Surgery Without Including Medical History Data in Cataract Surgery. Chinese Journal of Optometry Ophthalmology and Visual science, 2021, 23(3): 185-191. DOI: 10.3760/cma.j.cn115909-20200619-00263
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