Use of the posterior/anterior corneal curvature radii ratio to improve the accuracy of intraocular lens power calculation

Eom’s adjustment method

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)1016-1024
Number of pages9
JournalInvestigative Ophthalmology and Visual Science
Volume59
Issue number2
DOIs
Publication statusPublished - 2018 Feb 1

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Intraocular Lenses
Refractometry
Cataract
Phacoemulsification
Refractive Errors
Cornea

Keywords

  • Calculation
  • Cataract
  • Corneal power
  • Intraocular lens
  • Posterior corneal radius

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

Cite this

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title = "Use of the posterior/anterior corneal curvature radii ratio to improve the accuracy of intraocular lens power calculation: Eom’s adjustment method",
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.",
keywords = "Calculation, Cataract, Corneal power, Intraocular lens, Posterior corneal radius",
author = "Mingue Kim and Youngsub Eom and Hwa Lee and Young-Woo Suh and Jong-Suk Song and Kim, {Hyo Myung}",
year = "2018",
month = "2",
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language = "English",
volume = "59",
pages = "1016--1024",
journal = "Investigative Ophthalmology and Visual Science",
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TY - JOUR

T1 - Use of the posterior/anterior corneal curvature radii ratio to improve the accuracy of intraocular lens power calculation

T2 - Eom’s adjustment method

AU - Kim, Mingue

AU - Eom, Youngsub

AU - Lee, Hwa

AU - Suh, Young-Woo

AU - Song, Jong-Suk

AU - Kim, Hyo Myung

PY - 2018/2/1

Y1 - 2018/2/1

N2 - 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.

AB - 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.

KW - Calculation

KW - Cataract

KW - Corneal power

KW - Intraocular lens

KW - Posterior corneal radius

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DO - 10.1167/iovs.17-22405

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JO - Investigative Ophthalmology and Visual Science

JF - Investigative Ophthalmology and Visual Science

SN - 0146-0404

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ER -