Modified Haigis Formula Effective Lens Position Equation for Ciliary Sulcus-Implanted Intraocular Lenses

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Abstract

Purpose To investigate the effect of a modified Haigis formula effective lens position equation on improving refractive outcomes in eyes with ciliary sulcus-implanted intraocular lenses (YOLs). Design Retrospective cross-sectional study. Methods One hundred thirty-two eyes of 132 consecutive patients who underwent phacoemulsification with implantation of a ZA9003 (Abbott Medical Optics Inc, Santa Ana, California, USA; 69 eyes) or AR40e (Abbott Medical Optics Inc; 63 eyes) IOL in the ciliary sulcus were enrolled. The modified effective lens position (ELP) equation based on the corneal radius (CR) (ELP - β0 - β1 × CR, where β0 and β1 are parameters in the linear regression analysis) was obtained using linear regression analysis in each IOL group, and was applied to the other IOL group in order to evaluate its effect on refractive outcomes in an independent data set. The median absolute error (MedAE) was predicted using the modified effective lens position equation and was compared with that predicted using the adjusted IOL power. Results The modified effective lens position equation was ELP + 11.662 - 1.6225 × CR in the ZA9003 group and ELP + 10.606 - 1.4817 × CR in the AR40e group. The MedAE that was predicted using the modified effective lens position equation (0.34 diopter [D] in the ZA9003 group and 0.42 D in the AR40e group) was significantly smaller than that predicted using the adjusted IOL power (0.47 D in the ZA9003 group and 0.66 D in the AR40e group) (P <.001 and P =.005, respectively). Conclusions IOL power calculation using the modified Haigis formula effective lens position equation improved refractive outcomes in eyes with sulcus-implanted IOLs.

Original languageEnglish
Pages (from-to)142-149e2
JournalAmerican Journal of Ophthalmology
Volume161
DOIs
Publication statusPublished - 2016 Jan 1

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Intraocular Lenses
Lenses
Linear Models
Regression Analysis
Phacoemulsification
Cross-Sectional Studies

ASJC Scopus subject areas

  • Ophthalmology

Cite this

@article{0ca2a2ee81834b5281911ef08c20ad79,
title = "Modified Haigis Formula Effective Lens Position Equation for Ciliary Sulcus-Implanted Intraocular Lenses",
abstract = "Purpose To investigate the effect of a modified Haigis formula effective lens position equation on improving refractive outcomes in eyes with ciliary sulcus-implanted intraocular lenses (YOLs). Design Retrospective cross-sectional study. Methods One hundred thirty-two eyes of 132 consecutive patients who underwent phacoemulsification with implantation of a ZA9003 (Abbott Medical Optics Inc, Santa Ana, California, USA; 69 eyes) or AR40e (Abbott Medical Optics Inc; 63 eyes) IOL in the ciliary sulcus were enrolled. The modified effective lens position (ELP) equation based on the corneal radius (CR) (ELP - β0 - β1 × CR, where β0 and β1 are parameters in the linear regression analysis) was obtained using linear regression analysis in each IOL group, and was applied to the other IOL group in order to evaluate its effect on refractive outcomes in an independent data set. The median absolute error (MedAE) was predicted using the modified effective lens position equation and was compared with that predicted using the adjusted IOL power. Results The modified effective lens position equation was ELP + 11.662 - 1.6225 × CR in the ZA9003 group and ELP + 10.606 - 1.4817 × CR in the AR40e group. The MedAE that was predicted using the modified effective lens position equation (0.34 diopter [D] in the ZA9003 group and 0.42 D in the AR40e group) was significantly smaller than that predicted using the adjusted IOL power (0.47 D in the ZA9003 group and 0.66 D in the AR40e group) (P <.001 and P =.005, respectively). Conclusions IOL power calculation using the modified Haigis formula effective lens position equation improved refractive outcomes in eyes with sulcus-implanted IOLs.",
author = "Youngsub Eom and Jong-Suk Song and Kim, {Hyo Myung}",
year = "2016",
month = "1",
day = "1",
doi = "10.1016/j.ajo.2015.09.040",
language = "English",
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TY - JOUR

T1 - Modified Haigis Formula Effective Lens Position Equation for Ciliary Sulcus-Implanted Intraocular Lenses

AU - Eom, Youngsub

AU - Song, Jong-Suk

AU - Kim, Hyo Myung

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Purpose To investigate the effect of a modified Haigis formula effective lens position equation on improving refractive outcomes in eyes with ciliary sulcus-implanted intraocular lenses (YOLs). Design Retrospective cross-sectional study. Methods One hundred thirty-two eyes of 132 consecutive patients who underwent phacoemulsification with implantation of a ZA9003 (Abbott Medical Optics Inc, Santa Ana, California, USA; 69 eyes) or AR40e (Abbott Medical Optics Inc; 63 eyes) IOL in the ciliary sulcus were enrolled. The modified effective lens position (ELP) equation based on the corneal radius (CR) (ELP - β0 - β1 × CR, where β0 and β1 are parameters in the linear regression analysis) was obtained using linear regression analysis in each IOL group, and was applied to the other IOL group in order to evaluate its effect on refractive outcomes in an independent data set. The median absolute error (MedAE) was predicted using the modified effective lens position equation and was compared with that predicted using the adjusted IOL power. Results The modified effective lens position equation was ELP + 11.662 - 1.6225 × CR in the ZA9003 group and ELP + 10.606 - 1.4817 × CR in the AR40e group. The MedAE that was predicted using the modified effective lens position equation (0.34 diopter [D] in the ZA9003 group and 0.42 D in the AR40e group) was significantly smaller than that predicted using the adjusted IOL power (0.47 D in the ZA9003 group and 0.66 D in the AR40e group) (P <.001 and P =.005, respectively). Conclusions IOL power calculation using the modified Haigis formula effective lens position equation improved refractive outcomes in eyes with sulcus-implanted IOLs.

AB - Purpose To investigate the effect of a modified Haigis formula effective lens position equation on improving refractive outcomes in eyes with ciliary sulcus-implanted intraocular lenses (YOLs). Design Retrospective cross-sectional study. Methods One hundred thirty-two eyes of 132 consecutive patients who underwent phacoemulsification with implantation of a ZA9003 (Abbott Medical Optics Inc, Santa Ana, California, USA; 69 eyes) or AR40e (Abbott Medical Optics Inc; 63 eyes) IOL in the ciliary sulcus were enrolled. The modified effective lens position (ELP) equation based on the corneal radius (CR) (ELP - β0 - β1 × CR, where β0 and β1 are parameters in the linear regression analysis) was obtained using linear regression analysis in each IOL group, and was applied to the other IOL group in order to evaluate its effect on refractive outcomes in an independent data set. The median absolute error (MedAE) was predicted using the modified effective lens position equation and was compared with that predicted using the adjusted IOL power. Results The modified effective lens position equation was ELP + 11.662 - 1.6225 × CR in the ZA9003 group and ELP + 10.606 - 1.4817 × CR in the AR40e group. The MedAE that was predicted using the modified effective lens position equation (0.34 diopter [D] in the ZA9003 group and 0.42 D in the AR40e group) was significantly smaller than that predicted using the adjusted IOL power (0.47 D in the ZA9003 group and 0.66 D in the AR40e group) (P <.001 and P =.005, respectively). Conclusions IOL power calculation using the modified Haigis formula effective lens position equation improved refractive outcomes in eyes with sulcus-implanted IOLs.

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