3rd Generation Formulas and Intraocular Lens Calculation with IOLMaster®. Refractive Results in 101 Eyes and Relationship with Axial Length

Introduction: Intraocular lens calculation has become one of the main aspects of cataract surgery. An accurate lens calculation is an important factor for patient satisfaction and quality of life. The purpose of our study is to evaluate which formula (SRK II, HofferQ, Holladay 1 and SRK-T) was neare...

Full description

Bibliographic Details
Main Authors: Mário Rosado Ramalho, Fernando Trancoso Vaz, Catarina Pedrosa, Mafalda Mota, Ines Coutinho, Ana Sofia Lopes, Antonio Melo, Isabel Prieto
Format: Article
Language:English
Published: Pan-American Association of Ophthalmology 2016-01-01
Series:Vision Pan-America
Subjects:
Online Access:http://journals.sfu.ca/paao/index.php/journal/article/view/288
_version_ 1818548461163773952
author Mário Rosado Ramalho
Fernando Trancoso Vaz
Catarina Pedrosa
Mafalda Mota
Ines Coutinho
Ana Sofia Lopes
Antonio Melo
Isabel Prieto
author_facet Mário Rosado Ramalho
Fernando Trancoso Vaz
Catarina Pedrosa
Mafalda Mota
Ines Coutinho
Ana Sofia Lopes
Antonio Melo
Isabel Prieto
author_sort Mário Rosado Ramalho
collection DOAJ
description Introduction: Intraocular lens calculation has become one of the main aspects of cataract surgery. An accurate lens calculation is an important factor for patient satisfaction and quality of life. The purpose of our study is to evaluate which formula (SRK II, HofferQ, Holladay 1 and SRK-T) was nearer to the final refraction after cataract surgery, using the IOLMaster®. Material and Methods: 101 eyes of 78 cataract patients were evaluated. The expected refraction with the intraocular lens used in each patient was calculated with the different formulas and compared to the patient refraction one month after surgery. We obtained data retrospectively from 23 eyes with axial length inferior to 22 mm, 62 eyes with axial length between 22 and 26 mm and 16 eyes with axial length superior to 26 mm. Results: The mean refraction after cataract surgery for all patients was -0.277 diopters (D) ± 0.94. Hoffer Q performed better for eyes with axial length inferior to 22 mm with a mean absolut error (difference between lens calculation and final refraction) of 0.4957 D ± 0.396. For eyes with axial length between 22 and 26 mm SRK-T performed better with a mean absolut error of 0.4515 D ± 0.323 and for eyes with axial length superior to 26 mm SRK-T performed better with a mean absolut error of 0.5538 D ± 0.333. We did not find statistical difference in the comparison between 3º generation formulas, we found statistical significance comparing HofferQ and SRKII in the “inferior to 22 mm” group and SRK-T and SRKII in “between 22 and 26 mm” group. Conclusions: All third generation formulas can be used to calculate intraocular lens, we recommend using HofferQ in axial length inferior to 22 mm and using SRK-T in axial length superior to 22 mm.
first_indexed 2024-12-12T08:20:15Z
format Article
id doaj.art-9d91f946d23a41a0b9cc0b4feb90319d
institution Directory Open Access Journal
issn 2219-4665
2219-4673
language English
last_indexed 2024-12-12T08:20:15Z
publishDate 2016-01-01
publisher Pan-American Association of Ophthalmology
record_format Article
series Vision Pan-America
spelling doaj.art-9d91f946d23a41a0b9cc0b4feb90319d2022-12-22T00:31:25ZengPan-American Association of OphthalmologyVision Pan-America2219-46652219-46732016-01-011517910.15324/vpa.v15i1.2882133rd Generation Formulas and Intraocular Lens Calculation with IOLMaster®. Refractive Results in 101 Eyes and Relationship with Axial LengthMário Rosado Ramalho0Fernando Trancoso Vaz1Catarina Pedrosa2Mafalda Mota3Ines Coutinho4Ana Sofia Lopes5Antonio MeloIsabel Prieto6Hospital Professor Doutor Fernando FonsecaHospital Prof. Dr. Fernando FonsecaHospital Prof. Dr. Fernando FonsecaHospital Prof. Dr. Fernando FonsecaHospital Prof. Dr. Fernando FonsecaHospital Prof. Dr. Fernando FonsecaHospital Prof. Dr. Fernando FonsecaIntroduction: Intraocular lens calculation has become one of the main aspects of cataract surgery. An accurate lens calculation is an important factor for patient satisfaction and quality of life. The purpose of our study is to evaluate which formula (SRK II, HofferQ, Holladay 1 and SRK-T) was nearer to the final refraction after cataract surgery, using the IOLMaster®. Material and Methods: 101 eyes of 78 cataract patients were evaluated. The expected refraction with the intraocular lens used in each patient was calculated with the different formulas and compared to the patient refraction one month after surgery. We obtained data retrospectively from 23 eyes with axial length inferior to 22 mm, 62 eyes with axial length between 22 and 26 mm and 16 eyes with axial length superior to 26 mm. Results: The mean refraction after cataract surgery for all patients was -0.277 diopters (D) ± 0.94. Hoffer Q performed better for eyes with axial length inferior to 22 mm with a mean absolut error (difference between lens calculation and final refraction) of 0.4957 D ± 0.396. For eyes with axial length between 22 and 26 mm SRK-T performed better with a mean absolut error of 0.4515 D ± 0.323 and for eyes with axial length superior to 26 mm SRK-T performed better with a mean absolut error of 0.5538 D ± 0.333. We did not find statistical difference in the comparison between 3º generation formulas, we found statistical significance comparing HofferQ and SRKII in the “inferior to 22 mm” group and SRK-T and SRKII in “between 22 and 26 mm” group. Conclusions: All third generation formulas can be used to calculate intraocular lens, we recommend using HofferQ in axial length inferior to 22 mm and using SRK-T in axial length superior to 22 mm.http://journals.sfu.ca/paao/index.php/journal/article/view/288biometryformulacataractrefraction
spellingShingle Mário Rosado Ramalho
Fernando Trancoso Vaz
Catarina Pedrosa
Mafalda Mota
Ines Coutinho
Ana Sofia Lopes
Antonio Melo
Isabel Prieto
3rd Generation Formulas and Intraocular Lens Calculation with IOLMaster®. Refractive Results in 101 Eyes and Relationship with Axial Length
Vision Pan-America
biometry
formula
cataract
refraction
title 3rd Generation Formulas and Intraocular Lens Calculation with IOLMaster®. Refractive Results in 101 Eyes and Relationship with Axial Length
title_full 3rd Generation Formulas and Intraocular Lens Calculation with IOLMaster®. Refractive Results in 101 Eyes and Relationship with Axial Length
title_fullStr 3rd Generation Formulas and Intraocular Lens Calculation with IOLMaster®. Refractive Results in 101 Eyes and Relationship with Axial Length
title_full_unstemmed 3rd Generation Formulas and Intraocular Lens Calculation with IOLMaster®. Refractive Results in 101 Eyes and Relationship with Axial Length
title_short 3rd Generation Formulas and Intraocular Lens Calculation with IOLMaster®. Refractive Results in 101 Eyes and Relationship with Axial Length
title_sort 3rd generation formulas and intraocular lens calculation with iolmaster r refractive results in 101 eyes and relationship with axial length
topic biometry
formula
cataract
refraction
url http://journals.sfu.ca/paao/index.php/journal/article/view/288
work_keys_str_mv AT mariorosadoramalho 3rdgenerationformulasandintraocularlenscalculationwithiolmasterrefractiveresultsin101eyesandrelationshipwithaxiallength
AT fernandotrancosovaz 3rdgenerationformulasandintraocularlenscalculationwithiolmasterrefractiveresultsin101eyesandrelationshipwithaxiallength
AT catarinapedrosa 3rdgenerationformulasandintraocularlenscalculationwithiolmasterrefractiveresultsin101eyesandrelationshipwithaxiallength
AT mafaldamota 3rdgenerationformulasandintraocularlenscalculationwithiolmasterrefractiveresultsin101eyesandrelationshipwithaxiallength
AT inescoutinho 3rdgenerationformulasandintraocularlenscalculationwithiolmasterrefractiveresultsin101eyesandrelationshipwithaxiallength
AT anasofialopes 3rdgenerationformulasandintraocularlenscalculationwithiolmasterrefractiveresultsin101eyesandrelationshipwithaxiallength
AT antoniomelo 3rdgenerationformulasandintraocularlenscalculationwithiolmasterrefractiveresultsin101eyesandrelationshipwithaxiallength
AT isabelprieto 3rdgenerationformulasandintraocularlenscalculationwithiolmasterrefractiveresultsin101eyesandrelationshipwithaxiallength