ASCRS calculator formula accuracy in multifocal intraocular lens implantation in hyperopic corneal refractive laser surgery eyes

J Cataract Refract Surg. 2019 May;45(5):582-586. doi: 10.1016/j.jcrs.2018.12.006. Epub 2019 Feb 28.

Abstract

Purpose: To evaluate the accuracy of different intraocular lens (IOL) power calculation formulas available on the American Society of Cataract and Refractive Surgery calculator in calculating multifocal IOL power in eyes with previous hyperopic corneal refractive laser surgery.

Design: Retrospective case series.

Setting: Amsterdam University Medical Center, University of Amsterdam, and Retina Total Eye Care, Driebergen, the Netherlands.

Methods: This study compared the accuracy of 3 formulas using historical refractive data (ie, Masket, modified Masket, and Barrett True-K) and 3 formulas using no previous refractive data (ie, Shammas, Haigis-L, and Barrett True-K no-history).

Results: Sixty-four eyes were included. The variance of the prediction error of the various formulas was similar and ranged from 0.27 D2 to 0.33 D2 (P = .99). The modified Masket formula had a significantly higher median absolute prediction error than the Masket formula, Barrett True-K formula, and mean value of all formulas (P < .001).

Conclusion: All formulas showed comparable accuracy in predicting IOL power in eyes after hyperopic corneal refractive laser surgery except for the modified Masket formula, which performed less accurately than the Masket formula, Barrett True-K formula, and mean value of all formulas.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Biometry / methods*
  • Corneal Surgery, Laser*
  • Female
  • Humans
  • Hyperopia / surgery*
  • Lens Implantation, Intraocular*
  • Male
  • Middle Aged
  • Multifocal Intraocular Lenses*
  • Ophthalmology / organization & administration
  • Optics and Photonics*
  • Phacoemulsification
  • Pseudophakia / physiopathology
  • Refraction, Ocular / physiology
  • Reproducibility of Results
  • Retrospective Studies
  • Societies, Medical
  • Visual Acuity / physiology