An evaluation of the accuracy of toric intraocular lens power calculation based on measured total corneal refractive power

Purpose: To evaluate a method using measured values of total corneal refractive power (TCRP) for a manufacturer's online calculator by comparing it with the Barrett toric calculator (BTC) and Kane toric calculator (KTC) combined with simulated keratometry values (SimK). Methods: This was a re...

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Main Authors: Zhi Yang, Yanwen Zhou, Tianru Jin, Jingjing Li
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=2;spage=541;epage=546;aulast=Yang
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author Zhi Yang
Yanwen Zhou
Tianru Jin
Jingjing Li
author_facet Zhi Yang
Yanwen Zhou
Tianru Jin
Jingjing Li
author_sort Zhi Yang
collection DOAJ
description Purpose: To evaluate a method using measured values of total corneal refractive power (TCRP) for a manufacturer's online calculator by comparing it with the Barrett toric calculator (BTC) and Kane toric calculator (KTC) combined with simulated keratometry values (SimK). Methods: This was a retrospective case series. Patient records were reviewed to identify the patients who had biometry with the IOL Master 700 and Pentacam recorded before toric IOL implantation and refractive follow-up data after implantation. The predicted error in residual astigmatism was calculated by vector analysis according to the calculation methods and the measurements used. Results: A total of 70 eyes of 56 patients were included. The mean absolute astigmatism prediction errors were 0.6 ± 0.32, 0.59 ± 0.35, and 0.61 ± 0.35 D for the ATCTCRP, BTCSimK, and KTCSimK calculators, respectively (P = 0.934), and the centroid of the prediction errors were 0.3 D @ 178°, 0.11 D @ 102°, and 0.09 D @ 147°, respectively (P = 0.23). In the with-the-rule subgroup, the centroid of the prediction error was 0.34 D @ 176° for ATCTCRP and was the highest among the three calculation methods (P = 0.046). Conclusion: The ATCTCRP, BTCSimK, and KTCSimK calculators had similar performance with regards to their astigmatism prediction accuracy. The ATCTCRP calculator combined with 4.0-mm apex/ring readings of TCRP was slightly intended to result in against-the-rule residual astigmatism.
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spelling doaj.art-1a34e9a8e73c4a76b1d4d0a8440d2b1c2023-07-21T15:04:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-0171254154610.4103/ijo.IJO_1539_22An evaluation of the accuracy of toric intraocular lens power calculation based on measured total corneal refractive powerZhi YangYanwen ZhouTianru JinJingjing LiPurpose: To evaluate a method using measured values of total corneal refractive power (TCRP) for a manufacturer's online calculator by comparing it with the Barrett toric calculator (BTC) and Kane toric calculator (KTC) combined with simulated keratometry values (SimK). Methods: This was a retrospective case series. Patient records were reviewed to identify the patients who had biometry with the IOL Master 700 and Pentacam recorded before toric IOL implantation and refractive follow-up data after implantation. The predicted error in residual astigmatism was calculated by vector analysis according to the calculation methods and the measurements used. Results: A total of 70 eyes of 56 patients were included. The mean absolute astigmatism prediction errors were 0.6 ± 0.32, 0.59 ± 0.35, and 0.61 ± 0.35 D for the ATCTCRP, BTCSimK, and KTCSimK calculators, respectively (P = 0.934), and the centroid of the prediction errors were 0.3 D @ 178°, 0.11 D @ 102°, and 0.09 D @ 147°, respectively (P = 0.23). In the with-the-rule subgroup, the centroid of the prediction error was 0.34 D @ 176° for ATCTCRP and was the highest among the three calculation methods (P = 0.046). Conclusion: The ATCTCRP, BTCSimK, and KTCSimK calculators had similar performance with regards to their astigmatism prediction accuracy. The ATCTCRP calculator combined with 4.0-mm apex/ring readings of TCRP was slightly intended to result in against-the-rule residual astigmatism.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=2;spage=541;epage=546;aulast=Yangastigmatismbarrettcalculationcataractkanetotal corneal refractive power
spellingShingle Zhi Yang
Yanwen Zhou
Tianru Jin
Jingjing Li
An evaluation of the accuracy of toric intraocular lens power calculation based on measured total corneal refractive power
Indian Journal of Ophthalmology
astigmatism
barrett
calculation
cataract
kane
total corneal refractive power
title An evaluation of the accuracy of toric intraocular lens power calculation based on measured total corneal refractive power
title_full An evaluation of the accuracy of toric intraocular lens power calculation based on measured total corneal refractive power
title_fullStr An evaluation of the accuracy of toric intraocular lens power calculation based on measured total corneal refractive power
title_full_unstemmed An evaluation of the accuracy of toric intraocular lens power calculation based on measured total corneal refractive power
title_short An evaluation of the accuracy of toric intraocular lens power calculation based on measured total corneal refractive power
title_sort evaluation of the accuracy of toric intraocular lens power calculation based on measured total corneal refractive power
topic astigmatism
barrett
calculation
cataract
kane
total corneal refractive power
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=2;spage=541;epage=546;aulast=Yang
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