Evaluation of Barrett universal II formula for intraocular lens power calculation in Asian Indian population

Purpose: Barrett Universal II (BU-II) is considered as one of the most accurate intraocular lens (IOL) power calculation formulas; however, there is no literature studying the same in Indian population. The aim of this study was to evaluate the accuracy of BU-II formula in prediction of IOL power fo...

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Main Authors: Nikhil Kuthirummal, Murugesan Vanathi, Ritika Mukhija, Noopur Gupta, Rachna Meel, Rohit Saxena, Radhika Tandon
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=1;spage=59;epage=64;aulast=Kuthirummal
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author Nikhil Kuthirummal
Murugesan Vanathi
Ritika Mukhija
Noopur Gupta
Rachna Meel
Rohit Saxena
Radhika Tandon
author_facet Nikhil Kuthirummal
Murugesan Vanathi
Ritika Mukhija
Noopur Gupta
Rachna Meel
Rohit Saxena
Radhika Tandon
author_sort Nikhil Kuthirummal
collection DOAJ
description Purpose: Barrett Universal II (BU-II) is considered as one of the most accurate intraocular lens (IOL) power calculation formulas; however, there is no literature studying the same in Indian population. The aim of this study was to evaluate the accuracy of BU-II formula in prediction of IOL power for cataract surgery in Asian Indian population. This was an institutional, prospective, observational study. Methods: Patients with senile cataract who underwent phacoemulsification with posterior chamber IOL implantation were enrolled in the study. Biometry data from Lenstar-LS900 was used and IOL power was calculated using four IOL formulas: modified SRK-II, SRK/T, Olsen, and BU-II. Primary outcome was measured as the prediction error in postoperative refraction for each formula and secondary outcome was measured as the difference in mean absolute errors between the four formulas. SPSS Version-21 with P < 0.05 considered significant. Results: A total of 244 eyes were included in the study and were divided into three groups in accordance to axial length (AL): Group 1 (AL: 22–24.5 mm; N = 135), Group 2 (AL <22 mm; N = 53), and Group 3 (AL >24.5 mm; N = 56). BU-II formula gave the lowest mean absolute error (0.37 ± 0.27D) and median absolute error (0.34) in predicted postoperative refraction in the entire study population. When compared with the other formulas, mean absolute error was significantly lower in all three groups (P < 0.0005) as well, except for Olsen formula in the normal AL group, where the results were comparable (P = 0.742). Conclusion: BU-II performed as the most accurate formula in the prediction of postoperative refraction over a wide range of ALs.
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spelling doaj.art-fe04018a19fa4a73a212288843e50b4b2022-12-21T18:14:15ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892020-01-01681596410.4103/ijo.IJO_600_19Evaluation of Barrett universal II formula for intraocular lens power calculation in Asian Indian populationNikhil KuthirummalMurugesan VanathiRitika MukhijaNoopur GuptaRachna MeelRohit SaxenaRadhika TandonPurpose: Barrett Universal II (BU-II) is considered as one of the most accurate intraocular lens (IOL) power calculation formulas; however, there is no literature studying the same in Indian population. The aim of this study was to evaluate the accuracy of BU-II formula in prediction of IOL power for cataract surgery in Asian Indian population. This was an institutional, prospective, observational study. Methods: Patients with senile cataract who underwent phacoemulsification with posterior chamber IOL implantation were enrolled in the study. Biometry data from Lenstar-LS900 was used and IOL power was calculated using four IOL formulas: modified SRK-II, SRK/T, Olsen, and BU-II. Primary outcome was measured as the prediction error in postoperative refraction for each formula and secondary outcome was measured as the difference in mean absolute errors between the four formulas. SPSS Version-21 with P < 0.05 considered significant. Results: A total of 244 eyes were included in the study and were divided into three groups in accordance to axial length (AL): Group 1 (AL: 22–24.5 mm; N = 135), Group 2 (AL <22 mm; N = 53), and Group 3 (AL >24.5 mm; N = 56). BU-II formula gave the lowest mean absolute error (0.37 ± 0.27D) and median absolute error (0.34) in predicted postoperative refraction in the entire study population. When compared with the other formulas, mean absolute error was significantly lower in all three groups (P < 0.0005) as well, except for Olsen formula in the normal AL group, where the results were comparable (P = 0.742). Conclusion: BU-II performed as the most accurate formula in the prediction of postoperative refraction over a wide range of ALs.http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=1;spage=59;epage=64;aulast=Kuthirummalbarrettiol formulaprediction errorrefraction
spellingShingle Nikhil Kuthirummal
Murugesan Vanathi
Ritika Mukhija
Noopur Gupta
Rachna Meel
Rohit Saxena
Radhika Tandon
Evaluation of Barrett universal II formula for intraocular lens power calculation in Asian Indian population
Indian Journal of Ophthalmology
barrett
iol formula
prediction error
refraction
title Evaluation of Barrett universal II formula for intraocular lens power calculation in Asian Indian population
title_full Evaluation of Barrett universal II formula for intraocular lens power calculation in Asian Indian population
title_fullStr Evaluation of Barrett universal II formula for intraocular lens power calculation in Asian Indian population
title_full_unstemmed Evaluation of Barrett universal II formula for intraocular lens power calculation in Asian Indian population
title_short Evaluation of Barrett universal II formula for intraocular lens power calculation in Asian Indian population
title_sort evaluation of barrett universal ii formula for intraocular lens power calculation in asian indian population
topic barrett
iol formula
prediction error
refraction
url http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=1;spage=59;epage=64;aulast=Kuthirummal
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AT ritikamukhija evaluationofbarrettuniversaliiformulaforintraocularlenspowercalculationinasianindianpopulation
AT noopurgupta evaluationofbarrettuniversaliiformulaforintraocularlenspowercalculationinasianindianpopulation
AT rachnameel evaluationofbarrettuniversaliiformulaforintraocularlenspowercalculationinasianindianpopulation
AT rohitsaxena evaluationofbarrettuniversaliiformulaforintraocularlenspowercalculationinasianindianpopulation
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