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[Comparative assessment of the accuracy of toric intraocular lens calculations]
S V Shukhaev1, E V Boiko1,2,3, S S Kudlakhmedov2
1Saint Petersburg branch of the S.N. Fedorov National Medical Research Center «MNTK «Eye Microsurgery», St. Petersburg, Russia.
Purpose:
To compare the accuracy of toric intraocular lens (IOL) calculations on three modern toric calculators.
Material And Methods:
The study comprised 35 eyes of 35 patients who underwent phacoemulsification with toric IOL implantation (EnVista Toric). Residual postoperative refractive astigmatism was calculated on three calculators: EnVista Toric Calculator, ASSORT Toric IOL Calculator and the Kane formula. Prediction error for each calculator was determined using vector analysis.
Results:
The mean absolute deviation of predicted postoperative refractive astigmatism over actual astigmatism in diopters was distributed in the following way: 0.82±0.58, 0.70±0.67 and 0.72±0.76 using EnVista Toric Calculator, ASSORT Toric IOL Calculator and the Kane formula, respectively. Centroid prediction error was 0.08 (EnVista Toric Calculator), 0.06 (ASSORT) and 0.10 (Kane formula). There was a significantly smaller deviation using ASSORT and the Kane formula compared to the online calculator (p<0.05).
Conclusions:
Toric calculators ASSORT Toric IOL Calculator and the Kane formula showed higher accuracy of toric IOL calculation than EnVista Toric Calculator.
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