Intraocular lens power calculation after refractive surgery
- 1 July 2003
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Cataract & Refractive Surgery
- Vol. 29 (7), 1346-1351
- https://doi.org/10.1016/s0886-3350(03)00351-1
Abstract
Purpose: To analyze the results of phacoemulsification cataract surgery in eyes that had had refractive surgery and to compare the predictability of various methods of intraocular lens (IOL) power calculation. Setting: Instituto de la Visión, Buenos Aires, Argentina. Methods: The study involved 7 cases that had phacoemulsification after radial keratotomy or laser in situ keratomileusis. The spherical equivalent (SE) and visual acuity were evaluated preoperatively and postoperatively to assess the changes before cataract development. The IOL power calculated with conventional keratometry (CK), adjusted keratometry, the clinical history method (CHM), corneal topography (CT), and the contact lens method (CLM) was compared with the final refractive and keratometric results measured with the BackCalcs (Holladay® IOL Consultant Program, Holladay Consulting, Inc.) to assess the accuracy and predictability of each method. Results: The mean SE was –4.82 diopters (D) ± 5.13 (SD) before phacoemulsification and +0.19 ± 1.01 D after phacoemulsification, and the mean best corrected visual acuity was 0.39 ± 0.07 (20/50) and 0.80 ± 0.06 (20/25), respectively. Conclusions: Post-phacoemulsification refraction in cases with previous refractive surgery appeared to be predictable when the appropriate calculation method was applied. When all the data were available, the CHM provided the best results. Adjusted keratometry and CT seemed to be more accurate than CK and the CLM.Keywords
This publication has 17 references indexed in Scilit:
- Accuracy and predictability of intraocular lens power calculation after photorefractive keratectomyJournal of Cataract & Refractive Surgery, 2000
- Intraocular lens calculations status after corneal refractive surgeryCurrent Opinion in Opthalmology, 2000
- Comparison of contact lens overrefraction and standard keratometry for measuring corneal curvature in eyes with lenticular opacityJournal of Cataract & Refractive Surgery, 1999
- Underestimation of intraocular lens power for cataract surgery after myopic photorefractive keratectomyOphthalmology, 1999
- Laser in situ keratomileusis versus arcuatekeratotomy to treat astigmatismJournal of Cataract & Refractive Surgery, 1999
- Laser in situ keratomileusis for hyperopiaJournal of Cataract & Refractive Surgery, 1998
- Keratometric index, videokeratography, and refractive surgeryJournal of Cataract & Refractive Surgery, 1998
- Intraocular Lens Power Prediction in Patients Who Undergo Cataract Surgery Following Previous Radial KeratotomyAmerican Journal of Ophthalmology, 1997
- Phacoemulsification with intraocular lens implantation after excimer photorefractive keratectomy: A case reportJournal of Cataract & Refractive Surgery, 1994
- Refractive Complications of Cataract Surgery After Radial KeratotomyAmerican Journal of Ophthalmology, 1989