Different lens power calculation formulas for the prediction of refractive outcome after phacoemulsification with silicone oil removal

Abstract Background Formulas predicting intraocular lens power have not been compared in silicone oil-tamponaded eyes. The study aims to compare six intraocular lens power assessment formulas in silicone oil-tamponaded eyes. Methods This prospective study included patients with silicone oil-tamponad...

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Main Authors: Yanan Hou, Lei Liu, Gang Wang, Junwei Xie, Yi Wang
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-022-02304-2
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author Yanan Hou
Lei Liu
Gang Wang
Junwei Xie
Yi Wang
author_facet Yanan Hou
Lei Liu
Gang Wang
Junwei Xie
Yi Wang
author_sort Yanan Hou
collection DOAJ
description Abstract Background Formulas predicting intraocular lens power have not been compared in silicone oil-tamponaded eyes. The study aims to compare six intraocular lens power assessment formulas in silicone oil-tamponaded eyes. Methods This prospective study included patients with silicone oil-tamponaded eyes scheduled for silicone oil removal, phacoemulsification, and intraocular lens implantation at Chongqing Aier Eye Hospital (June 2019 to December 2019). Implanted intraocular lens power was used to predict postsurgical spherical equivalence using SRK/T, Holladay 1, Holladay 2, Haigis, Hoffer Q, and Barrett Universal II, and assess those formula’s predictive accuracy with predictive error. Results The analysis included 47 eyes in 47 patients (28 and 19 eyes with normal and long axial length, respectively). Postoperative spherical equivalence at 6 months in normal and long axial length eyes was − 0.6 ± 0.96 and − 0.8 ± 1.52 D, respectively. Predictive error values for SRK/T, Holladay 1, Holladay 2, Haigis, and Hoffer Q and Barrett Universal II were − 0.18 ± 0.92, − 0.15 ± 0.88, − 0.06 ± 0.94, − 0.15 ± 0.87, and − 0.05 ± 0.90 D and − 0.06 ± 0.90, respectively, for normal axial length eyes and 0.15 ± 1.16, 0.46 ± 1.17, 0.28 ± 1.11, − 0.04 ± 1.12, 0.49 ± 1.09 D and 0.11 ± 0.99, respectively, for long axial length eyes. For normal axial length eyes, predicted outcomes were similar to actual outcomes for all formulas. For long axial length eyes, predicted outcomes differed significantly from measured postsurgical values for Holladay 1, Holladay 2, and Hoffer Q (P < 0.05) but not SRK/T or Haigis or Barrett Universal II . Conclusions The formulas had comparable predictive accuracy in silicone oil-tamponaded eyes with normal axial length, but Haigis or SRK/T or Barrett Universal II may be preferable in long axial length eyes. Trial registration ChiCTR1900023215.
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spelling doaj.art-6726b701b296418aa515952792ef70f12022-12-21T23:44:13ZengBMCBMC Ophthalmology1471-24152022-02-012211710.1186/s12886-022-02304-2Different lens power calculation formulas for the prediction of refractive outcome after phacoemulsification with silicone oil removalYanan Hou0Lei Liu1Gang Wang2Junwei Xie3Yi Wang4Jinan UniversityDepartment of Fundus, Chongqing Aier Eye HospitalDepartment of Fundus, Chongqing Aier Eye HospitalDepartment of Fundus, Chongqing Aier Eye HospitalJinan UniversityAbstract Background Formulas predicting intraocular lens power have not been compared in silicone oil-tamponaded eyes. The study aims to compare six intraocular lens power assessment formulas in silicone oil-tamponaded eyes. Methods This prospective study included patients with silicone oil-tamponaded eyes scheduled for silicone oil removal, phacoemulsification, and intraocular lens implantation at Chongqing Aier Eye Hospital (June 2019 to December 2019). Implanted intraocular lens power was used to predict postsurgical spherical equivalence using SRK/T, Holladay 1, Holladay 2, Haigis, Hoffer Q, and Barrett Universal II, and assess those formula’s predictive accuracy with predictive error. Results The analysis included 47 eyes in 47 patients (28 and 19 eyes with normal and long axial length, respectively). Postoperative spherical equivalence at 6 months in normal and long axial length eyes was − 0.6 ± 0.96 and − 0.8 ± 1.52 D, respectively. Predictive error values for SRK/T, Holladay 1, Holladay 2, Haigis, and Hoffer Q and Barrett Universal II were − 0.18 ± 0.92, − 0.15 ± 0.88, − 0.06 ± 0.94, − 0.15 ± 0.87, and − 0.05 ± 0.90 D and − 0.06 ± 0.90, respectively, for normal axial length eyes and 0.15 ± 1.16, 0.46 ± 1.17, 0.28 ± 1.11, − 0.04 ± 1.12, 0.49 ± 1.09 D and 0.11 ± 0.99, respectively, for long axial length eyes. For normal axial length eyes, predicted outcomes were similar to actual outcomes for all formulas. For long axial length eyes, predicted outcomes differed significantly from measured postsurgical values for Holladay 1, Holladay 2, and Hoffer Q (P < 0.05) but not SRK/T or Haigis or Barrett Universal II . Conclusions The formulas had comparable predictive accuracy in silicone oil-tamponaded eyes with normal axial length, but Haigis or SRK/T or Barrett Universal II may be preferable in long axial length eyes. Trial registration ChiCTR1900023215.https://doi.org/10.1186/s12886-022-02304-2Silicone oil tamponaded eyeSilicone oil removalAxialLens assessment, intraocular lens implantationIOL power evaluation
spellingShingle Yanan Hou
Lei Liu
Gang Wang
Junwei Xie
Yi Wang
Different lens power calculation formulas for the prediction of refractive outcome after phacoemulsification with silicone oil removal
BMC Ophthalmology
Silicone oil tamponaded eye
Silicone oil removal
Axial
Lens assessment, intraocular lens implantation
IOL power evaluation
title Different lens power calculation formulas for the prediction of refractive outcome after phacoemulsification with silicone oil removal
title_full Different lens power calculation formulas for the prediction of refractive outcome after phacoemulsification with silicone oil removal
title_fullStr Different lens power calculation formulas for the prediction of refractive outcome after phacoemulsification with silicone oil removal
title_full_unstemmed Different lens power calculation formulas for the prediction of refractive outcome after phacoemulsification with silicone oil removal
title_short Different lens power calculation formulas for the prediction of refractive outcome after phacoemulsification with silicone oil removal
title_sort different lens power calculation formulas for the prediction of refractive outcome after phacoemulsification with silicone oil removal
topic Silicone oil tamponaded eye
Silicone oil removal
Axial
Lens assessment, intraocular lens implantation
IOL power evaluation
url https://doi.org/10.1186/s12886-022-02304-2
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AT gangwang differentlenspowercalculationformulasforthepredictionofrefractiveoutcomeafterphacoemulsificationwithsiliconeoilremoval
AT junweixie differentlenspowercalculationformulasforthepredictionofrefractiveoutcomeafterphacoemulsificationwithsiliconeoilremoval
AT yiwang differentlenspowercalculationformulasforthepredictionofrefractiveoutcomeafterphacoemulsificationwithsiliconeoilremoval