Eyeworld

DEC 2023

EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.

Issue link: https://digital.eyeworld.org/i/1510779

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DECEMBER 2023 | EYEWORLD | 23 on the five parameters (MAE, MedAE, RMSAE, FPI, percentage of eyes within ±1 D of predic- tive error), the Kane formula was found to the most accurate formula for post-vitrectomy eyes (MAE 0.49 D, MedAE 0.36 D, FPI 0.85, RMSAE 0.67 D). The Barrett Universal II formula was found to be the most accurate in eyes with prior scleral buckle (MAE 0.63 D, FPI 0.69, highest percentage within ±1 D of PE 82.81%). In long eyes (AL>26 mm), the Holladay 1 with the nonlinear version of the Wang-Koch AL adjust- ment (WKn) was most accurate (MAE 0.52 D, RMSAE 0.69 D, FPI 0.75, highest percentage within ±1 D of PE 88.14%). The Kane was also found to be the most accurate in eyes with flat corneas (K<42 D; MAE 0.44 D, FPI 0.84, high- est percentage within ±1 D of PE 95.83%). had a scleral buckle, and 33.9% of eyes had silicone oil tamponade (with the remaining eyes having balanced salt solution tamponade). The majority of implanted IOLs were one-piece (69.4%) hydrophobic acrylic (84.7%) IOLs. Of the included eyes, 178 (18.3%) had a hyperopic predictive error greater than 1 D. The most significant risk factors for hyperopic refractive predictive error were silicone oil tamponade (OR 1.82) and higher axial length (OR 1.55 per 1 mm increase of axial length). In the study, 106 eyes (11.2%) were found to have a myopic predictive error greater than 1 D, with the high- est risk factors being sulcus IOL placement (OR 6.65), history of scleral buckle (OR 2.43), and shallower anterior chamber depth (OR 1.79 per 1 mm decrease). When the performance of the IOL calculation formulas was analyzed based continued on page 24

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