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Use of the Posterior/Anterior Corneal Curvature Radii Ratio to Improve the Accuracy of Intraocular Lens Power Calculation: Eom's Adjustment Method

Authors
Kim, MingueEom, YoungsubLee, HwaSuh, Young-WooSong, Jong SukKim, Hyo Myung
Issue Date
2월-2018
Publisher
ASSOC RESEARCH VISION OPHTHALMOLOGY INC
Keywords
intraocular lens; calculation; corneal power; posterior corneal radius; cataract
Citation
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, v.59, no.2, pp.1016 - 1024
Indexed
SCIE
SCOPUS
Journal Title
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE
Volume
59
Number
2
Start Page
1016
End Page
1024
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/77902
DOI
10.1167/iovs.17-22405
ISSN
0146-0404
Abstract
PURPOSE. To evaluate the accuracy of IOL power calculation using adjusted corneal power according to the posterior/anterior corneal curvature radii ratio. METHODS. Nine hundred twenty-eight eyes from 928 reference subjects and 158 eyes from 158 cataract patients who underwent phacoemulsification surgery were enrolled. Adjusted corneal power of cataract patients was calculated using the fictitious refractive index that was obtained from the geometric mean posterior/anterior corneal curvature radii ratio of reference subjects and adjusted anterior and predicted posterior corneal curvature radii from conventional keratometry (K) using the posterior/anterior corneal curvature radii ratio. The median absolute error (MedAE) based on the adjusted corneal power was compared with that based on conventional K in the Haigis and SRK/T formulae. RESULTS. The geometric mean posterior/anterior corneal curvature radii ratio was 0.808, and the fictitious refractive index of the cornea for a single Scheimpflug camera was 1.3275. The mean difference between adjusted corneal power and conventional K was 0.05 diopter (D). The MedAE based on adjusted corneal power (0.31 D in the Haigis formula and 0.32 D in the SRK/T formula) was significantly smaller than that based on conventional K (0.41 D and 0.40 D, respectively; P < 0.001 and P < 0.001, respectively). The percentage of eyes with refractive prediction error within +/- 0.50 D calculated using adjusted corneal power (74.7%) was significantly greater than that obtained using conventional K (62.7%) in the Haigis formula (P = 0.029). CONCLUSIONS. IOL power calculation using adjusted corneal power according to the posterior/anterior corneal curvature radii ratio provided more accurate refractive outcomes than calculation using conventional K.
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