Project hyperopic power prediction: accuracy of 13 different concepts for intraocular lens calculation in short eyes

PurposeTo evaluate the accuracy of intraocular lens (IOL) power calculation in a patient cohort with short axial eye length to assess the performance of IOL power calculation schemes in strong hyperopes.MethodologyThe study was a single centre, single surgeon retrospective consecutive case series at...

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Veröffentlicht in:British journal of ophthalmology 2022-06, Vol.106 (6), p.795-801
Hauptverfasser: Wendelstein, Jascha, Hoffmann, Peter, Hirnschall, Nino, Fischinger, Isaak Raphael, Mariacher, Siegfried, Wingert, Tina, Langenbucher, Achim, Bolz, Matthias
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container_end_page 801
container_issue 6
container_start_page 795
container_title British journal of ophthalmology
container_volume 106
creator Wendelstein, Jascha
Hoffmann, Peter
Hirnschall, Nino
Fischinger, Isaak Raphael
Mariacher, Siegfried
Wingert, Tina
Langenbucher, Achim
Bolz, Matthias
description PurposeTo evaluate the accuracy of intraocular lens (IOL) power calculation in a patient cohort with short axial eye length to assess the performance of IOL power calculation schemes in strong hyperopes.MethodologyThe study was a single centre, single surgeon retrospective consecutive case series at the Augen- und Laserklinik, Castrop-Rauxel, Germany. Inclusion of patients after uneventful cataract surgery implanting either spherical (SA60AT) or aspheric (ZCB00) IOLs. Inclusion criteria were axial eye length 28.5 D. Lens constants were optimised on a separate patient cohort considering the full bandwidth of axial eye length. Data of one single eye per patient were randomly included. The outcome measures were: mean absolute prediction error (MAE), median absolute prediction error, mean prediction error with SD and median prediction error and the percentage of eyes with an MAE within 0.25 D, 0.5 D, 0.75 D and 1.0 D.ResultsA total of 150 eyes from 150 patients were assessed. Okulix, PEARL-DGS, Kane and Castrop provided a statistically significantly smaller MAE compared with the Hoffer Q and SRK/T formulae.ConclusionIn our patient cohort with short axial eye length, the use of PEARL-DGS, Okulix, Kane or Castrop formulae showed the lowest MAE. The Castrop formula has not been published before, but will be disclosed with a ready-to-use Excel sheet as an addendum to this paper.
doi_str_mv 10.1136/bjophthalmol-2020-318272
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Inclusion of patients after uneventful cataract surgery implanting either spherical (SA60AT) or aspheric (ZCB00) IOLs. Inclusion criteria were axial eye length &lt;21.5 mm and/or emmetropising IOL power &gt;28.5 D. Lens constants were optimised on a separate patient cohort considering the full bandwidth of axial eye length. Data of one single eye per patient were randomly included. The outcome measures were: mean absolute prediction error (MAE), median absolute prediction error, mean prediction error with SD and median prediction error and the percentage of eyes with an MAE within 0.25 D, 0.5 D, 0.75 D and 1.0 D.ResultsA total of 150 eyes from 150 patients were assessed. Okulix, PEARL-DGS, Kane and Castrop provided a statistically significantly smaller MAE compared with the Hoffer Q and SRK/T formulae.ConclusionIn our patient cohort with short axial eye length, the use of PEARL-DGS, Okulix, Kane or Castrop formulae showed the lowest MAE. The Castrop formula has not been published before, but will be disclosed with a ready-to-use Excel sheet as an addendum to this paper.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjophthalmol-2020-318272</identifier><identifier>PMID: 33504489</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Accuracy ; Axial Length, Eye ; Biometrics ; Biometry ; Clinical science ; Cornea ; Humans ; Hyperopia - surgery ; lens and zonules ; Lens Implantation, Intraocular ; Lenses, Intraocular ; Optics ; Optics and Photonics ; optics and refraction ; Performance evaluation ; Phacoemulsification ; posterior chamber ; Refraction, Ocular ; Retrospective Studies ; Software ; Statistical analysis ; Surgeons ; Surgery</subject><ispartof>British journal of ophthalmology, 2022-06, Vol.106 (6), p.795-801</ispartof><rights>Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2022 Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b432t-99bd7fd72354385ba90b23309250f02f76cb7a7ee6154848c203da23a0926f253</citedby><cites>FETCH-LOGICAL-b432t-99bd7fd72354385ba90b23309250f02f76cb7a7ee6154848c203da23a0926f253</cites><orcidid>0000-0001-9175-6177 ; 0000-0002-1389-2605</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33504489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wendelstein, Jascha</creatorcontrib><creatorcontrib>Hoffmann, Peter</creatorcontrib><creatorcontrib>Hirnschall, Nino</creatorcontrib><creatorcontrib>Fischinger, Isaak Raphael</creatorcontrib><creatorcontrib>Mariacher, Siegfried</creatorcontrib><creatorcontrib>Wingert, Tina</creatorcontrib><creatorcontrib>Langenbucher, Achim</creatorcontrib><creatorcontrib>Bolz, Matthias</creatorcontrib><title>Project hyperopic power prediction: accuracy of 13 different concepts for intraocular lens calculation in short eyes</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><addtitle>Br J Ophthalmol</addtitle><description>PurposeTo evaluate the accuracy of intraocular lens (IOL) power calculation in a patient cohort with short axial eye length to assess the performance of IOL power calculation schemes in strong hyperopes.MethodologyThe study was a single centre, single surgeon retrospective consecutive case series at the Augen- und Laserklinik, Castrop-Rauxel, Germany. Inclusion of patients after uneventful cataract surgery implanting either spherical (SA60AT) or aspheric (ZCB00) IOLs. Inclusion criteria were axial eye length &lt;21.5 mm and/or emmetropising IOL power &gt;28.5 D. Lens constants were optimised on a separate patient cohort considering the full bandwidth of axial eye length. Data of one single eye per patient were randomly included. The outcome measures were: mean absolute prediction error (MAE), median absolute prediction error, mean prediction error with SD and median prediction error and the percentage of eyes with an MAE within 0.25 D, 0.5 D, 0.75 D and 1.0 D.ResultsA total of 150 eyes from 150 patients were assessed. Okulix, PEARL-DGS, Kane and Castrop provided a statistically significantly smaller MAE compared with the Hoffer Q and SRK/T formulae.ConclusionIn our patient cohort with short axial eye length, the use of PEARL-DGS, Okulix, Kane or Castrop formulae showed the lowest MAE. 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Inclusion of patients after uneventful cataract surgery implanting either spherical (SA60AT) or aspheric (ZCB00) IOLs. Inclusion criteria were axial eye length &lt;21.5 mm and/or emmetropising IOL power &gt;28.5 D. Lens constants were optimised on a separate patient cohort considering the full bandwidth of axial eye length. Data of one single eye per patient were randomly included. The outcome measures were: mean absolute prediction error (MAE), median absolute prediction error, mean prediction error with SD and median prediction error and the percentage of eyes with an MAE within 0.25 D, 0.5 D, 0.75 D and 1.0 D.ResultsA total of 150 eyes from 150 patients were assessed. Okulix, PEARL-DGS, Kane and Castrop provided a statistically significantly smaller MAE compared with the Hoffer Q and SRK/T formulae.ConclusionIn our patient cohort with short axial eye length, the use of PEARL-DGS, Okulix, Kane or Castrop formulae showed the lowest MAE. 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subjects Accuracy
Axial Length, Eye
Biometrics
Biometry
Clinical science
Cornea
Humans
Hyperopia - surgery
lens and zonules
Lens Implantation, Intraocular
Lenses, Intraocular
Optics
Optics and Photonics
optics and refraction
Performance evaluation
Phacoemulsification
posterior chamber
Refraction, Ocular
Retrospective Studies
Software
Statistical analysis
Surgeons
Surgery
title Project hyperopic power prediction: accuracy of 13 different concepts for intraocular lens calculation in short eyes
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