TY - JOUR
T1 - Refractive Outcomes with New Generation Formulas for Intraocular Lens Power Calculation in Radial Keratotomy Patients
AU - Ferrara, Silvia
AU - Crincoli, Emanuele
AU - Savastano, Alfonso
AU - Savastano, Maria Cristina
AU - Catania, Fiammetta
AU - Catania, Francesca
AU - Rizzo, Stanislao
PY - 2024
Y1 - 2024
N2 - Purpose:Radial keratotomies (RKs) are responsible for corneal irregularities resulting in biometric errors and lower best-corrected visual acuity (BCVA) due to lower-order and higher-order optical aberrations. The aim of the study was to compare performances of new and old generation formulas in a population of RK patients.Methods:RK patients who underwent phacoemulsification with intraocular lens (IOL) implantation were retrospectively recruited. Inclusion criteria were availability of preoperative and 6-month postoperative BCVA assessment, topography, and tomography. Documented refraction instability, corneal ectasia, and previous ocular surgery except for RK were exclusion criteria. Mean prediction error (ME), mean absolute prediction error (MAE), and incidence of MAE > 0.25D were calculated for SRK-T, Barrett True K, EVO 2.0, Kane, and PEARL-DGS.Results:Twenty-seven patients with a mean baseline BCVA of 0.32 ± 0.18 logMAR and a mean corneal root mean square (RMS) value of 1.59 ± 0.91 m were included. EVO 2.0, Kane, and PEARL-DGS showed a significantly lower MAE and lower ME compared with all other formulas (P < 0.001 and P < 0.001) and a significant lower incidence of MAE >0.25D (P < 0.001). Significant differences were still detected when using 3-mm mean keratometry for IOL calculation.Conclusions:PEARL-DGS, Kane, and EVO 2.0 formulas show superior accuracy in IOL power calculation compared with SRK-T and Barrett True K in RK patients, with no significant differences between the 3.
AB - Purpose:Radial keratotomies (RKs) are responsible for corneal irregularities resulting in biometric errors and lower best-corrected visual acuity (BCVA) due to lower-order and higher-order optical aberrations. The aim of the study was to compare performances of new and old generation formulas in a population of RK patients.Methods:RK patients who underwent phacoemulsification with intraocular lens (IOL) implantation were retrospectively recruited. Inclusion criteria were availability of preoperative and 6-month postoperative BCVA assessment, topography, and tomography. Documented refraction instability, corneal ectasia, and previous ocular surgery except for RK were exclusion criteria. Mean prediction error (ME), mean absolute prediction error (MAE), and incidence of MAE > 0.25D were calculated for SRK-T, Barrett True K, EVO 2.0, Kane, and PEARL-DGS.Results:Twenty-seven patients with a mean baseline BCVA of 0.32 ± 0.18 logMAR and a mean corneal root mean square (RMS) value of 1.59 ± 0.91 m were included. EVO 2.0, Kane, and PEARL-DGS showed a significantly lower MAE and lower ME compared with all other formulas (P < 0.001 and P < 0.001) and a significant lower incidence of MAE >0.25D (P < 0.001). Significant differences were still detected when using 3-mm mean keratometry for IOL calculation.Conclusions:PEARL-DGS, Kane, and EVO 2.0 formulas show superior accuracy in IOL power calculation compared with SRK-T and Barrett True K in RK patients, with no significant differences between the 3.
KW - artificial intelligence
KW - refractive outcome
KW - radial keratotomy
KW - IOL power calculation
KW - artificial intelligence
KW - refractive outcome
KW - radial keratotomy
KW - IOL power calculation
UR - http://hdl.handle.net/10807/301880
U2 - 10.1097/ICO.0000000000003301
DO - 10.1097/ICO.0000000000003301
M3 - Article
SN - 0277-3740
VL - 43
SP - 178
EP - 183
JO - Cornea
JF - Cornea
ER -