Triple procedure; analysis of outcome, refraction, and intraocular lens power calculation
A J Geerards1, E Hassmann, W H Beekhuis
1Rotterdam Eye Hospital, Netherlands.
Aims:
A total of 97 triple procedures performed over a 6 year period were studied retrospectively to determine the best approach to calculate intraocular lens power.
Methods:
The cases were divided into two diagnostic categories.
Results:
After 1 year best corrected visual acuity was 20/40 or better in 37.5% of the cases of the 'modified group'. This group consists of patients with the diagnosis Fuchs' dystrophy, non-guttate endothelial dystrophy, and Reis-Buckler dystrophy. Analysis of visual acuity was made using logMAR. A final postoperative refraction within 2 dioptres of predicted refraction was achieved in 76.5% of patients in the modified group.
Conclusion:
In future, in the absence of a keratometry, a keratometry value of 7.49 mm will be used for calculation of the power of the implant as analysed in this study.
