Intraocular lens power calculation for combined cataract. Iol master versus amode acoustic biometry pakistan journal of ophthalmology vol. Axial elongation has been shown to contribute to myopia in kcn patients. Repeatability and reproducibility of measurements obtained using this technique are high and the results are less dependent on operators skills. The second generation was designed by combining linear. Biometry is the method of applying mathematics to biology. Estimation of intraocular lens position from full crystalline lens. It has been optimized for use with the haagstreit lenstar, using optical biometry for all axial measurements and high density autokeratometry. These different devices include the manual keratometers, automatic keratometers. To compare the intraocular lens iol power calculations and refractive outcomes obtained with a new optical biometer and standard ultrasonic. During ultrasound measurement the axial length is determined between the anterior surface of the cornea and intraocular lens power calculation for combined cataract surgery, vitrectomy and. We compared the performance of each formula with respect to the error in predicted spherical equivalent and.
There are two components to accurate iol power calculation precise biometry. Piggyback iol calculations easily calculated utilizing the holladay iol consultant r formula piggyback iol calculations no holladay iol consultant. Matrix formula for intraocular lens power calculation iovs. The power of the intraocular lens implant can be calculated accurately when the corneal refractive power, media type, and. It is intended to be used in conjunction with a comprehensive ophthalmic examination and the appropriate diagnostic tests and measurements necessary for cataract surgery candidates with a history of prior refractive surgery. Effective ocular biometry and intraocular lens power. Iol power calculations using the pentacam if, prior to surgery, we have confirmed with the pentacam that the patient does not have corneal pathology, or evidence of previous corneal refractive surgery, after deciding the iol type to be implanted, in most of our patients we usually proceed with the iol power calculation. These are a merger of linear regression methods with theoretical eye models. When planning for cataract surgery, in order to achieve the desired postoperative refraction, the required power of. Oculus pentacam interpretation manual pdf download. The development of better instrumentation for measuring the eyes axial length al and the use of more precise mathematical formulas to perform the appropriate calculations have significantly improved the accuracy with which the. Intraocular lens iol power calculation poses difficulties for cataract surgeon. Axial length biometry and iol calculations axial length biometry and iol calculations axial length measurement axial length measurement is one of the crucial measurements necessary for predicting the appropriate intraocular lens iol power to replace the natural.
Therefore, in kcn, a precise biometric calculation of al is important for iol power calculation and achieving desired refractive outcomes and patient satisfaction after cataract surgery. Al is a combination of anterior chamber depth acd, lens thickness and vitreous chamber depth and can change the iol power by up to 2. The hillrbf calculator is an advanced, selfvalidating method for iol power selection employing pattern recognition and sophisticated data interpolation. The aim of an accurate intraocular lens power calculation is to provide an intraocular lens iol that fits the specific needs and desires of the individual patient. Surgeons should begin by calculating the spherical equivalent iol power normally with the same optimized lens constant as for the sn60at model. Intraocular lens power calculation in patients with high axial myopia. The calculation of iol power in patients with high axial myopia using the third or the. Pdf biometry and intraocular lens power calculation.
The additional power that must be added to the original iol calculation for a convexplano iol is determined by the following relationship, as described in 1995 by patel and confirmed by meldrum. The accuracy of two newer generation theoretical intraocular lens iol power calculation formulas and of the empirical srk i and ii formulas was evaluated in a series of 500 iol implantations. Holladay, md, msee, facs clinical professor of ophthalmology baylor college of medicine houston, texas, usa i have the following financial interests or relationships to disclose. Learn how to fill pdf forms with excel data free excel.
Pdf intraocular lens power calculation in patients with high axial. A 3 d super surface combining modern intraocular lens formulas to. Holladay md msee facs page 1 of 8 8272018 jth 1 iol power calculations jack t. In this section youll find an overview of the latest generation of formulas for rotationally symmetrical iol designs postlaser vision correction eyes are. Pdf accuracy of intraocular lens power calculation in.
However, this outcome can be compromised by errors in axial length measurement due to a thicker retina. Biometry and intraocular lens power calculation results. Iol power calculation formulas which modern intraocular lens iol calculation formula gives the best results for prediction of the effective lens position elp is a widely debated topic. Intraocular lens iol power calculation is the single most important determinant of functionally improved result of a technically precise cataract surgery. Iol calculation in these eyes is a more challenging process. After determining the desired iol power, surgeons can use the acrysof toric iol calculator. To support the surgeon in this challenging job, eyesuite iol features a comprehensive set of cuttingedge iol calculation formulae for post refractive patients with. When planning cataract surgery, one of the most crucial stages for treatment success is choosing the correct intraocular lens iol power. Iol power calculations have become a focal point of cataract surgery. New approach for the calculation of the intraocular lens. Org 0 american academy of ophthalmology financial disclosure i have the following financial interests or. The power of the intraocular lens implant can be calculated accurately when the corneal refractive power, media type, and axial length are properly measured.
The term was originally used by whewell initially in the 1800s for calculating life expectancy. A 3d super surface combining modern intraocular lens formulas to. The toric power can now be preset in the iol database and used for the individual iol calculation to save extra work. Iol power calculation formulas zeiss medical technology. Biometry for intraocular lens iol power calculation. Because the reference biometer was considered the current gold standard at the time of the study, the final choice of iol power was based on measurements of the reference biometer combined. Prior to1975, iol power was calculated on the basis of clinical history, i. The iol calculator is meant to serve as an adjunct tool to assist physicians in selecting the appropriate iol for a particular patient. Conclusions overall, the barrett universal ii formula, integrated to a. Md, department of ophthalmology and visual sciences date. To compare the accuracy of intraocular lens iol calculation formulas barrett universal ii, haigis, hoffer q, holladay 1, holladay 2, olsen, and srkt in the prediction of postoperative refraction using a single optical biometry device. Iol power calculation special situations slideshare. The aconstants used for the iol power calculations were 118. Iol power calculation after corneal refractive surgery.
Accuracy of intraocular lens power calculation formulas using a. Intraocular lens power calculation in silicone oil filled. Intraocular lens power calculation and optimized constants. Iol power calculation in special situations dr ravish vaishnav moderator. The refractive power of the eye primarily depends upon the cornea, the lens, ocular media, and the axial length of the eye. Biometry, formula, intraocular lens power, optical biometry. Update on optical biometry and intraocular lens power. The selection of appropriate formulas and surgical techniques is vitally important to best fulfill each patients visual needs and expectations. Formulas include barrett universal ii, hillrbf, olsen, holladay, hoffer q, haigis, srkt, ladas. Pdf to evaluate the accuracy of different formulas used for iol power. The barrett formula was significantly better than the other formulas in. Holladay, md, msee, facs page 1 of 23 3282014 jth 1 advanced iol power calculations jack t. Some of the toric iols from main manufacturers have also been included in the iol database.
Accurate iol calculation is an important factor for excellent visual acuity, and most modern iol formulas provide good results, even in long and short eyes. Although research has demonstrated that calculations for toric iols with a cylinder power of 2. The theories behind formulas for calculating iol power are described, using regression and optical methods. True net power map, determination of true refractive power of the cornea even and in particular after refractive surgery selection of toric iols calculation of iols. To allow accurate quantification of the impact of the changed posterior corneal surface after dmek surgery on the calculation of iol power, we used a standard axial length of 23. The second generation was designed by combining linear regression.
Over the last decade, iol power calculations have become a focal point of cataract surgery. Learn how to fill a pdf form with excel row data with the click of a button. Intraocular lens power calculation using iolmaster and various formulas in short eyes to evaluate the predictability of intraocular lens iol power calculations using the iolmaster and four different iol power calculation formulas haigis, hoffer q, srk ii, and srkt for cataract surgery in eyes with a short axial length al included 25 eyes. Intraocular lens power calculation and optimized constants for highly myopic eyes katrin petermeier, md, florian gekeler, md, andre messias, md, martin s. Bscans taken at the different foci have been manually merged for. Lens power calculations should really be referred to as lens power estimations due to the fluctuations that we see in the postoperative refractive results. Flatter k used for iol calculation will predictflatter k used for iol calculation will predict more anterior elp and a lower iol power than would be used if prewould be used if preop k utilized op k utilized. Pdf comparison of intraocular lens power calculation using a. The nohistory method is a viable alternative for iol power calculation after myopic lasik when the refractive surgery data are not available. A modification of the installation program allows the user of registered versions to merge andor overwrite existing iol definitions. Iol power calculation formulas explained zeiss medical. John shammas, md clearly explains the importance of intraocular lens iol power calculations during preoperative cataract evaluation and their role in positively improving surgical outcomes. We have discussed recent advances in the field of optical biometry and iol power calculation formulae as a. The spherical equivalent powers currently available range from 16.
1153 66 1646 1271 256 286 1060 651 499 1444 459 924 1101 463 290 1097 88 1170 733 1566 1378 1106 1232 871 987 975 1453 1518 780 994 889 563 1268 873 968 1166 1446 771 469 6 522 586 1051 42 1094 351 1412