Accuracy of intraocular lens formulas using total keratometry in eyes with previous myopic laser refractive surgery

Yeo, Tun Kuan; Heng, Wee Jin; Pek, Don C.K.; Wong, John X H; Fam, Han Bor

doi:10.1038/s41433-020-01159-5

Cited by 47 publications

(36 citation statements)

References 30 publications

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“…UCVA, BCVA, and prediction error were not significantly different between FLACS and conventional PCS. The Barrett True-K formula is one of the most accurate IOL calculation formulas for patients with a previous history of CRS 15 , and the prediction error of the Barrett True-K formula was − 0.24, which was similar to those of our study.…”

Section: Discussionsupporting

confidence: 89%

Femtosecond laser-assisted cataract surgery after corneal refractive surgery

Ahn

Jun

Seo

et al. 2022

Sci Rep

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Cataract is the leading cause of blindness worldwide, and advanced cataract techniques such as femtosecond laser-assisted cataract surgery (FLACS) have been commercially available. Corneal refractive surgery (CRS) is one of the most popular surgeries for the correction of refractive errors. CRS changes the cornea not only anatomically but also pathophysiologically. However, there has been no clinical research analyzing the refractive and safety outcomes of FLACS after CRS. The aim of this retrospective chart review and comparative study is to evaluate the effect and safety of FLACS after CRS comparing with conventional PCS. Participants with a previous CRS history who underwent FLACS or conventional PCS were included in this study. The visual outcomes and the refractive outcomes including refractive, corneal, and ocular residual astigmatism were compared. The safety outcomes were then studied intraoperatively and postoperatively. A total of 102 patients with age-related cataract were enrolled. At 3 months postoperatively, UCVA, BCVA, and predictive error were not significantly different between the FLACS and conventional PCS groups. Reduction of refractive astigmatism was higher in FLACS. Postoperative ORA was significant lower in FLACS. Reduction of ORA was higher in FLACS. The intraoperative and postoperative complications were also not significantly different between the two groups. FLACS could effectively change refractive astigmatism and ORA; without more complications than conventional PCS. FLACS’ competitive edge in postoperative ORA may provide better visual quality than conventional PCS in patients with a previous history of CRS.

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Section: Discussionsupporting

confidence: 89%

Femtosecond laser-assisted cataract surgery after corneal refractive surgery

Ahn

Jun

Seo

et al. 2022

Sci Rep

View full text Add to dashboard Cite

show abstract

“…UCVA, BCVA, and prediction error were not signi cantly different between FLACS and conventional PCS. The Barrett True-K formula is one of the most accurate IOL calculation formulas for patients with a previous history of CRS, 17 and the prediction error of Barrett True-K formula was − 0.24, which was similar to those of our study (-0.30 in FLACS and − 0.25 in conventional PCS).…”

Section: Discussionsupporting

confidence: 88%

Femtosecond Laser-Assisted Cataract Surgery After Corneal Refractive Surgery

Ahn

Jun

Seo

et al. 2021

Preprint

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Cataract is the leading cause of blindness worldwide, and advanced cataract techniques such as femtosecond laser-assisted cataract surgery (FLACS) have been commercially available. Corneal refractive surgery (CRS) is one of the most popular surgeries for the correction of refractive errors. CRS changes the cornea not only anatomically but also pathophysiologically. However, there has been no clinical research analyzing the refractive and safety outcomes of FLACS after CRS. The aim of this study is to evaluate whether FLACS after CRS is more effective and safe than conventional PCS. Participants with a previous CRS history who underwent FLACS or conventional PCS were included in this study. The visual outcomes and the refractive outcomes including refractive, corneal, and ocular residual astigmatism were compared. The safety outcomes were then studied intraoperatively and postoperatively. A total of 102 patients with age-related cataract were enrolled. At 3 months postoperatively, UCVA, BCVA, and predictive error were not significantly different between the FLACS and conventional PCS groups. Reduction of refractive astigmatism was higher in FLACS. Postoperative ORA was significant lower in FLACS. Reduction of ORA was higher in FLACS. The intraoperative and postoperative complications were also not significantly different between the two groups. FLACS was found to be effective in patients with a previous history of CRS in terms of vision and refractive outcomes and was free from adverse effects. The competitive edge of FLACS in postoperative ORA, with the reduction of refractive astigmatism and ORA, may provide better visual quality than conventional PCS.

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“…Their best combination gave RPE within ±0.50 D and ±1.00 D for 67% and 93%, respectively. 44 Two recent studies compared no-history formulas with conventional formulas using TCP from an IOLMaster 700: Yeo et al found the best prediction errors using TCP with the EVO (a new unpublished formula), Barret TK NH, and Haigis formulas with 69%, 64% and 64%, respectively, within ±0.5 D and 83% within ±0.75 D for all three formulas, which was better than both the Barret TK NH and the Haigis-L. 45 Lawless et al found the best results with the Barret TK (TCP), followed by Barret TK NH and Haigis TCP with; 35%, 38% and 40%, respectively, within ±0.25 D; 75%, 63% and 60%, respectively, within ±0.50 D; 90%, 83% and 80%, respectively, within ±0.75 D. 46 Both these studies show that the use of TCP is likely to improve IOL-calculations in post-LVC patients. This could be expected as and both the Haigis-L and Barret TK NH uses a regression equation, with its inherent variance, to account for the altered corneal power in post LVC corneas.…”

Section: Discussionmentioning

confidence: 99%

Refractive Precision of Ray Tracing IOL Calculations Based on OCT Data versus Traditional IOL Calculation Formulas Based on Reflectometry in Patients with a History of Laser Vision Correction for Myopia

Gjerdrum¹,

Gundersen²,

Lundmark³

et al. 2021

OPTH

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Purpose To compare the refractive predictability of ray tracing IOL calculations based on OCT data versus traditional IOL calculation formulas based on reflectometry in patients with a history of previous myopic laser vision correction (LVC). Patients and Methods This was a prospective interventional single-arm study of IOL calculations for cataract and refractive lens exchange (RLE) patients with a history of myopic LVC. Preoperative biometric data were collected using an optical low coherence reflectometry (OLCR) device (Haag-Streit Lenstar 900) and two optical coherence tomography (OCT) devices (Tomey Casia SS-1000 and Heidelberg Engineering Anterion). Traditional post LVC formulas (Barret True-K no-history and Haigis-L) with reflectometry data, and ray tracing IOL calculation software (OKULIX, Panopsis GmbH, Mainz, Germany) with OCT data were used to calculate IOL power. Follow-up examination was 2 to 3 months after surgery. The main outcome measure, refractive prediction error (RPE), was calculated as the achieved postoperative refraction minus the predicted refraction. Results We found that the best ray tracing combination (Anterion-OKULIX) resulted in an arithmetic prediction error statistically significantly lower than that achieved with the best formula calculation (Barret True-K no-history) (−0.13 D and −0.32 D, respectively, adjusted p = 0.01), while the Barret TK NH had the lowest SD. The absolute prediction error was 0.26 D and 0.35 D for Anterion-OKULIX and Barret TK NH, respectively, but this was not statistically significantly different. The Anterion-OKULIX calculation also had the highest percentage of eyes within ± 0.25, compared to both formulas and within ±0.50 and ±0.75 compared to the Haigis-L ( p = 0.03). Conclusion Ray tracing calculation based on OCT data from the Anterion device can yield similar or better results than traditional post LVC formulas. Ray tracing calculations are based on individual measurements and do not rely on the ocular history of the patient and are therefore applicable for any patient, also without previous refractive surgery.

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Accuracy of intraocular lens formulas using total keratometry in eyes with previous myopic laser refractive surgery

Cited by 47 publications

References 30 publications

Femtosecond laser-assisted cataract surgery after corneal refractive surgery

Femtosecond laser-assisted cataract surgery after corneal refractive surgery

Femtosecond Laser-Assisted Cataract Surgery After Corneal Refractive Surgery

Refractive Precision of Ray Tracing IOL Calculations Based on OCT Data versus Traditional IOL Calculation Formulas Based on Reflectometry in Patients with a History of Laser Vision Correction for Myopia

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