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Predictive Accuracy of Intraocular Lens Formulas Calculated by Biometers with Multiple Refractive Indices According

Yeo Kyoung Won1, Young-Sik Yoo2, Hee-Jee Yun1

  • 1Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea.

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|November 27, 2024
PubMed
Summary

The EVO intraocular lens (IOL) formula demonstrated superior accuracy for both normal and long axial length eyes when using the ARGOS biometry device. This formula achieved the lowest prediction errors and highest proportion of accurate outcomes.

Keywords:
intraocular lensintraocular lens power calculation formulamultiple refractive indicesoptical biometryspecific refractive indexswept-source optical coherence tomography

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Area of Science:

  • Ophthalmology
  • Biomedical Engineering
  • Optics

Background:

  • Cataract surgery requires precise intraocular lens (IOL) power calculation.
  • Accuracy of IOL formulas can vary, especially in eyes with atypical axial lengths.
  • The ARGOS biometry device utilizes specific refractive indices for measurements.

Purpose of the Study:

  • To evaluate and compare the accuracy of five IOL formulas (SRK/T, Haigis, Barrett Universal II, Kane, EVO) using the ARGOS biometry device.
  • To assess formula performance in normal and long axial length (AL) eyes.
  • To determine the most accurate IOL formula for predicting refractive outcomes after cataract surgery.

Main Methods:

  • Retrospective review of 191 patients undergoing cataract surgery with Acrysof IQ SN60WF IOL implantation.
  • Biometry data obtained using the ARGOS device.
  • Patients categorized into normal (22.0 ≤ AL < 26.0 mm) and long (AL ≥ 26.0 mm) axial length groups.

Main Results:

  • The EVO formula exhibited the lowest Mean Absolute Error (MAE) and Median Absolute Error (MedAE) in the normal AL group.
  • EVO also showed the lowest MAE and MedAE in the long AL group.
  • EVO demonstrated the highest percentage of eyes within ±0.25, ±0.75, and ±1.00 D prediction error across both groups.

Conclusions:

  • The EVO formula is the most accurate for IOL power calculation with the ARGOS biometry device.
  • EVO provides the lowest prediction errors in both normal and long axial length eyes.
  • This finding supports the use of the EVO formula for improved refractive outcomes in a diverse patient population.