Accuracy of Wang-Koch axial length adjustment formulas in calculating postoperative refractive power in cataract patients with high myopia

AIM: To compare the accuracy between Wang-Koch axial length adjustment formulas(SRK/TWK, Holladay ⅠWK)and SRK/T, Haigis, Holladay Ⅰ, Hoffer Q in calculating intraocular lens power of cataract patients with high myopia.METHODS: A total of 42 cataract patients with high myopia(57 eyes)were collected....

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Main Authors: Qiong-Qiong Sun, Yan Yu, Yan Fang, Chi Xie
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2023-07-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2023/7/202307027.pdf
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author Qiong-Qiong Sun
Yan Yu
Yan Fang
Chi Xie
author_facet Qiong-Qiong Sun
Yan Yu
Yan Fang
Chi Xie
author_sort Qiong-Qiong Sun
collection DOAJ
description AIM: To compare the accuracy between Wang-Koch axial length adjustment formulas(SRK/TWK, Holladay ⅠWK)and SRK/T, Haigis, Holladay Ⅰ, Hoffer Q in calculating intraocular lens power of cataract patients with high myopia.METHODS: A total of 42 cataract patients with high myopia(57 eyes)were collected. All eyes underwent phacoemulsification combined with intraocular lens implantation surgery in our Hospital from September 2019 to March 2022. They were divided into two groups according to the axial length(AL): group A(27mm≤AL<30mm, 31 eyes)and group B(AL≥30mm, 26 eyes). Patients were followed up at 3mo. The actual postoperative diopter was recorded, and then the refractive mean numerical error(MNE)and mean absolute error(MAE)were calculated.RESULTS: MAE of each formulas was statistically different after surgery(P<0.01), among which the MAE of Holladay ⅠWK and SRK/TWK [0.31(0.08, 0.57), 0.34(0.17, 0.63)D] was lower than other formulas. However, there were no statistical difference between SRK/TWK, Holladay ⅠWK and SRK/T, Haigis formulas [0.61(0.27, 1.02), 0.63(0.22, 1.01)D](P>0.05). MAE were statistically different among the formulas in group A(27mm≤AL<30mm; P<0.01). The MAE of Holladay ⅠWK and SRK/TWK was lower than other formulas [0.18(0.05, 0.51), 0.28(0.16, 0.52)D], but there were no statistical difference with SRK/T and Haigis formulas [0.45(0.18, 0.65), 0.50(0.14, 0.75)D](P>0.05). In group B(AL≥30mm), the MAE of each formulas was statistically different after surgery(P<0.01), among which MAE of Holladay IWK and SRK/TWK was the lowest, followed by SRK/T and Haigis, whereas, Holladay I and Hoffer Q ranked the highest. Furthermore, there were statistical differences between MAE of SRK/TWK, Holladay ⅠWK [0.44(0.23, 0.67), 0.41(0.22, 0.66)D] and SRK/T, Haigis formulas [0.78(0.55, 1.07), 0.75(0.45, 1.25)D](all P<0.05).CONCLUSION: For cataract patients with AL ≥30mm, the Wang-Koch axial length adjustment formulas were relatively accurate in calculating diopter of intraocular lens, and had clinical application value to some extent.
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spelling doaj.art-425e4b07eebe40d9b852d4e10d2701032023-07-11T08:08:47ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232023-07-012371202120710.3980/j.issn.1672-5123.2023.7.27202307027Accuracy of Wang-Koch axial length adjustment formulas in calculating postoperative refractive power in cataract patients with high myopiaQiong-Qiong Sun0Yan Yu1Yan Fang2Chi Xie3Department of Ophthalmology, the First Affiliated Hospital of Anhui University of Science and Technology(Huainan Frist People's Hospital), Huainan 232000, Anhui Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Anhui University of Science and Technology(Huainan Frist People's Hospital), Huainan 232000, Anhui Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Anhui University of Science and Technology(Huainan Frist People's Hospital), Huainan 232000, Anhui Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Anhui University of Science and Technology(Huainan Frist People's Hospital), Huainan 232000, Anhui Province, ChinaAIM: To compare the accuracy between Wang-Koch axial length adjustment formulas(SRK/TWK, Holladay ⅠWK)and SRK/T, Haigis, Holladay Ⅰ, Hoffer Q in calculating intraocular lens power of cataract patients with high myopia.METHODS: A total of 42 cataract patients with high myopia(57 eyes)were collected. All eyes underwent phacoemulsification combined with intraocular lens implantation surgery in our Hospital from September 2019 to March 2022. They were divided into two groups according to the axial length(AL): group A(27mm≤AL<30mm, 31 eyes)and group B(AL≥30mm, 26 eyes). Patients were followed up at 3mo. The actual postoperative diopter was recorded, and then the refractive mean numerical error(MNE)and mean absolute error(MAE)were calculated.RESULTS: MAE of each formulas was statistically different after surgery(P<0.01), among which the MAE of Holladay ⅠWK and SRK/TWK [0.31(0.08, 0.57), 0.34(0.17, 0.63)D] was lower than other formulas. However, there were no statistical difference between SRK/TWK, Holladay ⅠWK and SRK/T, Haigis formulas [0.61(0.27, 1.02), 0.63(0.22, 1.01)D](P>0.05). MAE were statistically different among the formulas in group A(27mm≤AL<30mm; P<0.01). The MAE of Holladay ⅠWK and SRK/TWK was lower than other formulas [0.18(0.05, 0.51), 0.28(0.16, 0.52)D], but there were no statistical difference with SRK/T and Haigis formulas [0.45(0.18, 0.65), 0.50(0.14, 0.75)D](P>0.05). In group B(AL≥30mm), the MAE of each formulas was statistically different after surgery(P<0.01), among which MAE of Holladay IWK and SRK/TWK was the lowest, followed by SRK/T and Haigis, whereas, Holladay I and Hoffer Q ranked the highest. Furthermore, there were statistical differences between MAE of SRK/TWK, Holladay ⅠWK [0.44(0.23, 0.67), 0.41(0.22, 0.66)D] and SRK/T, Haigis formulas [0.78(0.55, 1.07), 0.75(0.45, 1.25)D](all P<0.05).CONCLUSION: For cataract patients with AL ≥30mm, the Wang-Koch axial length adjustment formulas were relatively accurate in calculating diopter of intraocular lens, and had clinical application value to some extent.http://ies.ijo.cn/cn_publish/2023/7/202307027.pdfhigh myopiacataractrefractive erroraxial length adjustmentintraocular lens power
spellingShingle Qiong-Qiong Sun
Yan Yu
Yan Fang
Chi Xie
Accuracy of Wang-Koch axial length adjustment formulas in calculating postoperative refractive power in cataract patients with high myopia
Guoji Yanke Zazhi
high myopia
cataract
refractive error
axial length adjustment
intraocular lens power
title Accuracy of Wang-Koch axial length adjustment formulas in calculating postoperative refractive power in cataract patients with high myopia
title_full Accuracy of Wang-Koch axial length adjustment formulas in calculating postoperative refractive power in cataract patients with high myopia
title_fullStr Accuracy of Wang-Koch axial length adjustment formulas in calculating postoperative refractive power in cataract patients with high myopia
title_full_unstemmed Accuracy of Wang-Koch axial length adjustment formulas in calculating postoperative refractive power in cataract patients with high myopia
title_short Accuracy of Wang-Koch axial length adjustment formulas in calculating postoperative refractive power in cataract patients with high myopia
title_sort accuracy of wang koch axial length adjustment formulas in calculating postoperative refractive power in cataract patients with high myopia
topic high myopia
cataract
refractive error
axial length adjustment
intraocular lens power
url http://ies.ijo.cn/cn_publish/2023/7/202307027.pdf
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AT yanyu accuracyofwangkochaxiallengthadjustmentformulasincalculatingpostoperativerefractivepowerincataractpatientswithhighmyopia
AT yanfang accuracyofwangkochaxiallengthadjustmentformulasincalculatingpostoperativerefractivepowerincataractpatientswithhighmyopia
AT chixie accuracyofwangkochaxiallengthadjustmentformulasincalculatingpostoperativerefractivepowerincataractpatientswithhighmyopia