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Updated: Jul 12, 2025

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
Published on: September 20, 2024
The Development of a Thick-Lens Post-Myopic Laser Vision Correction Intraocular Lens Calculation Formula
Guillaume Debellemanière1, Nicole Mechleb1, Timothée Bernier2
1Department of Ophthalmology, Rothschild Foundation Hospital (G.D., N.M., A.S., D.G.), Paris, France.
Purpose:
To describe the development of the post-myopic laser vision correction (LVC) version of the PEARL-DGS intraocular lens (IOL) calculation formula and to evaluate its outcomes on an independent test set.
Design:
Retrospective, single-center case series.
Methods:
A modified lens position prediction algorithm was designed along with methods to predict the posterior corneal curvature radius and correct the corneal power measurement error. A different set of previously operated eyes that underwent LVC was used to evaluate the prediction precision of the post-LVC formula.
Results:
Post-LVC PEARL-DGS formula significantly reduced mean absolute error of prediction in comparison to Haigis-L, Shammas, and American Society of Cataract and Refractive Surgery (ASCRS) average formulas (P < .001). It exhibited similar postoperative refractive precision as the Barrett True-K No History formula (P = .61).
Conclusion:
The post-LVC formula development process described in this article performed as well as the state-of-the-art post-LVC formula on the present test set. Further studies are required to assess its efficacy in other independent sets.
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