The Effect of Anterior Segment Depth on the Accuracy of 7 Different Intraocular Lens Calculation Formulas

Objectives:To evaluate the effect of anterior segment depth (ASD; sum of anterior chamber depth and lens thickness) on the accuracy of 7 intraocular lens formulas calculated in patients with axial length (AL) between 22.5 and 24.5 mm.Materials and Methods:In this retrospective study, patients who un...

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Main Authors: Cem Kesim, Ayşe Yıldız-Taş, Melisa Zişan Karslıoğlu, Murat Hasanreisoğlu, Orkun Müftüoğlu, Afsun Şahin
Format: Article
Language:English
Published: Galenos Yayinevi 2022-08-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/the-effect-of-anterior-segment-depth-on-the-accura/52729
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author Cem Kesim
Ayşe Yıldız-Taş
Melisa Zişan Karslıoğlu
Murat Hasanreisoğlu
Orkun Müftüoğlu
Afsun Şahin
author_facet Cem Kesim
Ayşe Yıldız-Taş
Melisa Zişan Karslıoğlu
Murat Hasanreisoğlu
Orkun Müftüoğlu
Afsun Şahin
author_sort Cem Kesim
collection DOAJ
description Objectives:To evaluate the effect of anterior segment depth (ASD; sum of anterior chamber depth and lens thickness) on the accuracy of 7 intraocular lens formulas calculated in patients with axial length (AL) between 22.5 and 24.5 mm.Materials and Methods:In this retrospective study, patients who underwent cataract surgery were divided into three groups based on their ASD measurements (Group I: ASD <7.30 mm, Group II: ASD between 7.30-7.90 mm, Group III: ASD >7.90 mm). The mean predictive error (MPE), mean absolute error (MAE), and median absolute error (MedAE) values of each group were compared. The effect of ASD on the predictive error (PE) of each lens formula was additionally tested in subgroups based on mean keratometry (K) values (Subgroup I: K <42.0 D, Subgroup II: K between 42.0-44.5 D, Subgroup III: K >44.5 D).Results:The study included 184 eyes of 184 patients. In Group I, all formulas except Olsen OLCR and Barrett II had clinically myopic MPEs. In Group II, the MPEs of all lens formulas except Barrett II were statistically non-different from zero (p>0.05). In Group III, the MPEs of all lens formulas were found to be statistically hyperopic. In Group III, all formulas except Olsen OLCR were significantly shifted to more hyperopic results when compared with Groups I and II (p<0.05). ASD was positively correlated with the PEs of the SRK/T, Holladay I, Hoffer Q, Barrett II, Hill-RBF, and Haigis formulas. In cases with mean K greater than 42.0 D, ASD was similarly correlated with PE for all formulas except Olsen OLCR.Conclusion:In eyes with AL between 22.5 and 24.5 mm, the predictions of lens formulas were significantly hyperopic in cases with greater ASD.
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spelling doaj.art-d3ab4b91efa14620a734b5240b4121b32023-02-15T16:18:34ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612022-08-0152422823610.4274/tjo.galenos.2021.4372613049054The Effect of Anterior Segment Depth on the Accuracy of 7 Different Intraocular Lens Calculation FormulasCem Kesim0Ayşe Yıldız-Taş1Melisa Zişan Karslıoğlu2Murat Hasanreisoğlu3Orkun Müftüoğlu4Afsun Şahin5 Koç Üniversitesi Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye Koç Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye Koç Üniversitesi Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye Koç Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye Koç Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye Koç Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye Objectives:To evaluate the effect of anterior segment depth (ASD; sum of anterior chamber depth and lens thickness) on the accuracy of 7 intraocular lens formulas calculated in patients with axial length (AL) between 22.5 and 24.5 mm.Materials and Methods:In this retrospective study, patients who underwent cataract surgery were divided into three groups based on their ASD measurements (Group I: ASD <7.30 mm, Group II: ASD between 7.30-7.90 mm, Group III: ASD >7.90 mm). The mean predictive error (MPE), mean absolute error (MAE), and median absolute error (MedAE) values of each group were compared. The effect of ASD on the predictive error (PE) of each lens formula was additionally tested in subgroups based on mean keratometry (K) values (Subgroup I: K <42.0 D, Subgroup II: K between 42.0-44.5 D, Subgroup III: K >44.5 D).Results:The study included 184 eyes of 184 patients. In Group I, all formulas except Olsen OLCR and Barrett II had clinically myopic MPEs. In Group II, the MPEs of all lens formulas except Barrett II were statistically non-different from zero (p>0.05). In Group III, the MPEs of all lens formulas were found to be statistically hyperopic. In Group III, all formulas except Olsen OLCR were significantly shifted to more hyperopic results when compared with Groups I and II (p<0.05). ASD was positively correlated with the PEs of the SRK/T, Holladay I, Hoffer Q, Barrett II, Hill-RBF, and Haigis formulas. In cases with mean K greater than 42.0 D, ASD was similarly correlated with PE for all formulas except Olsen OLCR.Conclusion:In eyes with AL between 22.5 and 24.5 mm, the predictions of lens formulas were significantly hyperopic in cases with greater ASD. http://www.oftalmoloji.org/archives/archive-detail/article-preview/the-effect-of-anterior-segment-depth-on-the-accura/52729 anterior segment depthpredictive errorlens formulaaxial length
spellingShingle Cem Kesim
Ayşe Yıldız-Taş
Melisa Zişan Karslıoğlu
Murat Hasanreisoğlu
Orkun Müftüoğlu
Afsun Şahin
The Effect of Anterior Segment Depth on the Accuracy of 7 Different Intraocular Lens Calculation Formulas
Türk Oftalmoloji Dergisi
anterior segment depth
predictive error
lens formula
axial length
title The Effect of Anterior Segment Depth on the Accuracy of 7 Different Intraocular Lens Calculation Formulas
title_full The Effect of Anterior Segment Depth on the Accuracy of 7 Different Intraocular Lens Calculation Formulas
title_fullStr The Effect of Anterior Segment Depth on the Accuracy of 7 Different Intraocular Lens Calculation Formulas
title_full_unstemmed The Effect of Anterior Segment Depth on the Accuracy of 7 Different Intraocular Lens Calculation Formulas
title_short The Effect of Anterior Segment Depth on the Accuracy of 7 Different Intraocular Lens Calculation Formulas
title_sort effect of anterior segment depth on the accuracy of 7 different intraocular lens calculation formulas
topic anterior segment depth
predictive error
lens formula
axial length
url http://www.oftalmoloji.org/archives/archive-detail/article-preview/the-effect-of-anterior-segment-depth-on-the-accura/52729
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