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Ratio of Axial Length to Corneal Radius in Japanese Patients and Accuracy of Intraocular Lens Power Calculation Based on Biometric Data
- Source :
- American Journal of Ophthalmology. 218:320-329
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- To evaluate the features of the axial length-to-corneal radius (AL/CR) ratio in Japanese patients with cataracts and to determine the accuracy of intraocular lens (IOL) power calculation formulas according to the AL/CR features and the axial length (AL).Retrospective observational case series.Setting was a clinical practice. Patient population was a total of 1,135 eyes (1,135 patients) with cataracts. Observation procedures included measurement of the AL and corenal radius (CR) by optical biometry and evaluation of the refractive outcomes by using the SRK/T, Holladay 1, Hoffer Q, Haigis, and Barrett Universal II formulas. Main outcome measurements were the features of the AL/CR ratio and the accuracy of IOL power calculations based on the AL/CR ratio and the AL.The mean AL/CR ratio was 3.15 ± 0.19. Significant weak negative correlations were observed between the spherical equivalent (SE) and AL (r = -0.7489; P.001) and between the SE and AL/CR ratio (r = -0.8069; P.001); no correlation was found between the SE and CR (r = 0.0208, P = .483). For medium ALs and high AL/CR ratios, the SRK/T formula performed less accurately. For long ALs and high AL/CR ratios, the Holladay 1 and Hoffer Q formulas performed less accurately. The Barrett Universal II formula performed well across a range of ALs and AL/CR ratios.The AL/CR ratio explained the total variation in the SE better than the AL alone. Surgeons should pay attention to the selection of IOL power calculation formulas in eyes with high AL/CR ratios.
- Subjects :
- Adult
Male
Optics and Photonics
Biometry
genetic structures
medicine.medical_treatment
Spherical equivalent
Intraocular lens
Cataract
Cornea
03 medical and health sciences
0302 clinical medicine
Optical biometry
Asian People
Japan
Lens Implantation, Intraocular
medicine
Humans
Aged
Retrospective Studies
030304 developmental biology
Aged, 80 and over
Lenses, Intraocular
Physics
0303 health sciences
Phacoemulsification
business.industry
Reproducibility of Results
Radius
Axial length
Middle Aged
eye diseases
Clinical Practice
Axial Length, Eye
Ophthalmology
030221 ophthalmology & optometry
Female
Intraocular lens power calculation
sense organs
Biometric data
Nuclear medicine
business
Tomography, Optical Coherence
Subjects
Details
- ISSN :
- 00029394
- Volume :
- 218
- Database :
- OpenAIRE
- Journal :
- American Journal of Ophthalmology
- Accession number :
- edsair.doi.dedup.....44fa9610eb0a3a8b87b6a2b932ad4e27