The influence of corneal ablation patterns on prediction error after cataract surgery in post-myopic-LASIK eyes

Abstract Purpose To evaluate the influence of corneal ablation patterns on the prediction error after cataract surgery in post-myopic-LASIK eyes. Methods Eighty-three post-myopic-LASIK eyes of 83 patients that underwent uneventful cataract surgery were retrospectively included. Predicted postoperati...

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Main Authors: Yunqian Yao, Jing Zhao, Jifeng Yu, Wenwen He, Ling Wei, Xingtao Zhou, Yi Lu, Xiangjia Zhu
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Eye and Vision
Subjects:
Online Access:https://doi.org/10.1186/s40662-022-00295-1
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author Yunqian Yao
Jing Zhao
Jifeng Yu
Wenwen He
Ling Wei
Xingtao Zhou
Yi Lu
Xiangjia Zhu
author_facet Yunqian Yao
Jing Zhao
Jifeng Yu
Wenwen He
Ling Wei
Xingtao Zhou
Yi Lu
Xiangjia Zhu
author_sort Yunqian Yao
collection DOAJ
description Abstract Purpose To evaluate the influence of corneal ablation patterns on the prediction error after cataract surgery in post-myopic-LASIK eyes. Methods Eighty-three post-myopic-LASIK eyes of 83 patients that underwent uneventful cataract surgery were retrospectively included. Predicted postoperative spherical equivalence (SE) was calculated for the implanted lens using the Haigis-L and Barrett True-K formula. Prediction error at one month postsurgery was calculated as actual SE minus predicted SE. For each eye, area and decentration of the ablation zone was measured using the tangential curvature map. The associations between prediction errors and corneal ablation patterns were investigated. Results The mean prediction error was − 0.83 ± 1.00 D with the Haigis-L formula and − 1.00 ± 0.99 D with the Barrett True-K formula. Prediction error was positively correlated with keratometry (K) value and negatively correlated with ablation zone area using either formula, and negatively correlated with decentration of the ablation zone using the Barrett True-K formula (all P < 0.05). In the K < 37.08 D group, prediction error was negatively correlated with decentration of the ablation zone with both formulas (all P < 0.05). Multivariate analysis showed that with the Haigis-L formula, prediction error was associated with axial length (AL), K value and decentration, and with the Barrett True-K formula, prediction error was associated with AL and decentration (all P < 0.05). Conclusion A flatter cornea, larger corneal ablation zone and greater decentration will lead to more myopic prediction error after cataract surgery in post-myopic-LASIK eyes.
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spelling doaj.art-f7d6613e34eb4648ab8c7769bad19baf2022-12-22T01:40:54ZengBMCEye and Vision2326-02542022-07-01911910.1186/s40662-022-00295-1The influence of corneal ablation patterns on prediction error after cataract surgery in post-myopic-LASIK eyesYunqian Yao0Jing Zhao1Jifeng Yu2Wenwen He3Ling Wei4Xingtao Zhou5Yi Lu6Xiangjia Zhu7Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityDepartment of Ophthalmology, Beijing Children’s Hospital, National Center for Children’s Health, Capital Medical UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan UniversityAbstract Purpose To evaluate the influence of corneal ablation patterns on the prediction error after cataract surgery in post-myopic-LASIK eyes. Methods Eighty-three post-myopic-LASIK eyes of 83 patients that underwent uneventful cataract surgery were retrospectively included. Predicted postoperative spherical equivalence (SE) was calculated for the implanted lens using the Haigis-L and Barrett True-K formula. Prediction error at one month postsurgery was calculated as actual SE minus predicted SE. For each eye, area and decentration of the ablation zone was measured using the tangential curvature map. The associations between prediction errors and corneal ablation patterns were investigated. Results The mean prediction error was − 0.83 ± 1.00 D with the Haigis-L formula and − 1.00 ± 0.99 D with the Barrett True-K formula. Prediction error was positively correlated with keratometry (K) value and negatively correlated with ablation zone area using either formula, and negatively correlated with decentration of the ablation zone using the Barrett True-K formula (all P < 0.05). In the K < 37.08 D group, prediction error was negatively correlated with decentration of the ablation zone with both formulas (all P < 0.05). Multivariate analysis showed that with the Haigis-L formula, prediction error was associated with axial length (AL), K value and decentration, and with the Barrett True-K formula, prediction error was associated with AL and decentration (all P < 0.05). Conclusion A flatter cornea, larger corneal ablation zone and greater decentration will lead to more myopic prediction error after cataract surgery in post-myopic-LASIK eyes.https://doi.org/10.1186/s40662-022-00295-1Cataract surgeryLaser in situ keratomileusisIntraocular lens powerKeratometryAblation zone decentrationAblation zone size
spellingShingle Yunqian Yao
Jing Zhao
Jifeng Yu
Wenwen He
Ling Wei
Xingtao Zhou
Yi Lu
Xiangjia Zhu
The influence of corneal ablation patterns on prediction error after cataract surgery in post-myopic-LASIK eyes
Eye and Vision
Cataract surgery
Laser in situ keratomileusis
Intraocular lens power
Keratometry
Ablation zone decentration
Ablation zone size
title The influence of corneal ablation patterns on prediction error after cataract surgery in post-myopic-LASIK eyes
title_full The influence of corneal ablation patterns on prediction error after cataract surgery in post-myopic-LASIK eyes
title_fullStr The influence of corneal ablation patterns on prediction error after cataract surgery in post-myopic-LASIK eyes
title_full_unstemmed The influence of corneal ablation patterns on prediction error after cataract surgery in post-myopic-LASIK eyes
title_short The influence of corneal ablation patterns on prediction error after cataract surgery in post-myopic-LASIK eyes
title_sort influence of corneal ablation patterns on prediction error after cataract surgery in post myopic lasik eyes
topic Cataract surgery
Laser in situ keratomileusis
Intraocular lens power
Keratometry
Ablation zone decentration
Ablation zone size
url https://doi.org/10.1186/s40662-022-00295-1
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