Eyeworld

MAR 2018

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

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139 EW REFRACTIVE March 2018 investigators found that the OLCR device outperformed the PCI device using the Olsen formula, which also ranked first for both short and long eyes. 5 Finally, a study that included more than 13,000 cataract surgeries using monofocal IOLs revealed that the Olsen method was more than 80% within 0.5 D, while most other formulas did worse. Error versus axial length showed ray tracing outcomes to be among the best com- pared to other formulas, especially in long eyes. 6 Fellow eye "We saw in almost 400 eyes that there is a correlation coefficient of roughly 0.9 between the error of the left and right eyes. If you take the difference between the right and left IOL position, you will get more than 95% within ±0.25 mm. This is even better than what I can predict from preop data. That means I can use the observed IOL position in the first eye in the planning for the second eye," Dr. Olsen explained, referring to his study that tested the hypothesis that the refractive outcomes of the first eye could be used to improve the IOL power calculation of the second eye. 7 EW References 1. Olsen T, et al. Ray-tracing analysis of the corneal power from Scheimpflug data. J Refract Surg. 2018;34:45–50. 2. Olsen T, et al. Ray-tracing analysis of intra- ocular lens power in situ. J Cataract Refract Surg. 2012;38:641–7. 3. Olsen T, et al. C constant: new concept for ray tracing-assisted intraocular lens power calculation. J Cataract Refract Surg. 2014;40:764–73. 4. Cooke DL, et al. Comparison of 9 intraocular lens power calculation formulas. J Cataract Refract Surg. 2016;42:1157–64. 5. Cooke DL, et al. Prediction accuracy of preinstalled formulas on 2 optical biometers. J Cataract Refract Surg. 2016;42:358–62. 6. Melles RB, et al. Accuracy of intraocular lens calculation formulas. Ophthalmology. 2018;125:169–178. 7. Olsen T. Use of fellow eye data in the calcu- lation of intraocular lens power for the second eye. Ophthalmology. 2011;118:1710–5. Editors' note: Dr. Olsen has finan- cial interests with Haag-Streit and PhacoOptics (Aarhus, Denmark). Contact information Olsen: t@olsen.dk

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