Influence of Ocular Biometry Parameters on the Predictive Accuracy of IOL Power Formulas in Patients with High Myopia
Abstract Introduction The aim of this study was to investigate the influence of ocular biometry parameters on the predictive accuracy of 10 intraocular lens (IOL) power formulas in patients with high myopia (HM). Methods We analyzed 202 eyes of 202 patients. The ocular biometry was determined preope...
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| Format: | Article |
| Language: | English |
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Adis, Springer Healthcare
2023-12-01
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| Series: | Ophthalmology and Therapy |
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| Online Access: | https://doi.org/10.1007/s40123-023-00856-0 |
| _version_ | 1797355929597902848 |
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| author | Ao Miao Peimin Lin Shaolong Ren Jie Xu Fan Yang Dongjin Qian Yi Lu Tianyu Zheng |
| author_facet | Ao Miao Peimin Lin Shaolong Ren Jie Xu Fan Yang Dongjin Qian Yi Lu Tianyu Zheng |
| author_sort | Ao Miao |
| collection | DOAJ |
| description | Abstract Introduction The aim of this study was to investigate the influence of ocular biometry parameters on the predictive accuracy of 10 intraocular lens (IOL) power formulas in patients with high myopia (HM). Methods We analyzed 202 eyes of 202 patients. The ocular biometry was determined preoperatively using an IOLMaster 700. The associations between the biometry parameters and the prediction error (PE) 1 month postoperatively were assessed. HM was defined as an axial length exceeding 26.50 mm. Results In patients with HM (n = 108), the K6, Emmetropia Verifying Optical (EVO), Olsen, and Barrett Universal II (BUII) formulas had the lowest absolute PEs among the 10 formulas. The ocular biometry parameters were not associated with the PE of K6, EVO, Olsen, or BUII. A longer axial length in HM eyes was associated with myopic outcomes by Kane, Hoffer QST, and VRF and hyperopic outcomes by Holladay 2 and T2. Steeper keratometry, a deeper anterior chamber, and a thicker lens were associated with a hyperopic shift in HM eyes when using VRF, Kane, and Hoffer QST, respectively. In patients without HM (n = 94), there was no difference between the formulas in absolute PE. The significant associations between the biometry parameters and PE in patients with HM were not present in patients without HM. Conclusions K6, EVO, Olsen, and BUII displayed high accuracy in HM eyes and were not influenced by preoperative biometry parameters. For the remaining formulas, the preoperative keratometry, anterior chamber depth, lens thickness, and axial length were possible error sources underlying an inaccurate IOL power prediction in patients with HM. |
| first_indexed | 2024-03-08T14:18:16Z |
| format | Article |
| id | doaj.art-8184a7de0a2f45c78dbaaad84e9a036a |
| institution | Directory Open Access Journal |
| issn | 2193-8245 2193-6528 |
| language | English |
| last_indexed | 2024-03-08T14:18:16Z |
| publishDate | 2023-12-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Ophthalmology and Therapy |
| spelling | doaj.art-8184a7de0a2f45c78dbaaad84e9a036a2024-01-14T12:14:32ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282023-12-0113143544810.1007/s40123-023-00856-0Influence of Ocular Biometry Parameters on the Predictive Accuracy of IOL Power Formulas in Patients with High MyopiaAo Miao0Peimin Lin1Shaolong Ren2Jie Xu3Fan Yang4Dongjin Qian5Yi Lu6Tianyu Zheng7Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan UniversityDepartment of Epidemiology, School of Public Health, Fudan UniversityEye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan UniversityAbstract Introduction The aim of this study was to investigate the influence of ocular biometry parameters on the predictive accuracy of 10 intraocular lens (IOL) power formulas in patients with high myopia (HM). Methods We analyzed 202 eyes of 202 patients. The ocular biometry was determined preoperatively using an IOLMaster 700. The associations between the biometry parameters and the prediction error (PE) 1 month postoperatively were assessed. HM was defined as an axial length exceeding 26.50 mm. Results In patients with HM (n = 108), the K6, Emmetropia Verifying Optical (EVO), Olsen, and Barrett Universal II (BUII) formulas had the lowest absolute PEs among the 10 formulas. The ocular biometry parameters were not associated with the PE of K6, EVO, Olsen, or BUII. A longer axial length in HM eyes was associated with myopic outcomes by Kane, Hoffer QST, and VRF and hyperopic outcomes by Holladay 2 and T2. Steeper keratometry, a deeper anterior chamber, and a thicker lens were associated with a hyperopic shift in HM eyes when using VRF, Kane, and Hoffer QST, respectively. In patients without HM (n = 94), there was no difference between the formulas in absolute PE. The significant associations between the biometry parameters and PE in patients with HM were not present in patients without HM. Conclusions K6, EVO, Olsen, and BUII displayed high accuracy in HM eyes and were not influenced by preoperative biometry parameters. For the remaining formulas, the preoperative keratometry, anterior chamber depth, lens thickness, and axial length were possible error sources underlying an inaccurate IOL power prediction in patients with HM.https://doi.org/10.1007/s40123-023-00856-0Anterior segmentCataractHigh myopiaIntraocular lens power |
| spellingShingle | Ao Miao Peimin Lin Shaolong Ren Jie Xu Fan Yang Dongjin Qian Yi Lu Tianyu Zheng Influence of Ocular Biometry Parameters on the Predictive Accuracy of IOL Power Formulas in Patients with High Myopia Ophthalmology and Therapy Anterior segment Cataract High myopia Intraocular lens power |
| title | Influence of Ocular Biometry Parameters on the Predictive Accuracy of IOL Power Formulas in Patients with High Myopia |
| title_full | Influence of Ocular Biometry Parameters on the Predictive Accuracy of IOL Power Formulas in Patients with High Myopia |
| title_fullStr | Influence of Ocular Biometry Parameters on the Predictive Accuracy of IOL Power Formulas in Patients with High Myopia |
| title_full_unstemmed | Influence of Ocular Biometry Parameters on the Predictive Accuracy of IOL Power Formulas in Patients with High Myopia |
| title_short | Influence of Ocular Biometry Parameters on the Predictive Accuracy of IOL Power Formulas in Patients with High Myopia |
| title_sort | influence of ocular biometry parameters on the predictive accuracy of iol power formulas in patients with high myopia |
| topic | Anterior segment Cataract High myopia Intraocular lens power |
| url | https://doi.org/10.1007/s40123-023-00856-0 |
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