Predicting the refractive outcome and accuracy of IOL power calculation after phacoemulsification using the SRK/T formula with ultrasound biometry in medium axial lengths

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dc.authorid0000-0002-2267-6656
dc.authorid0000-0002-2563-2149
dc.authorid0000-0001-5335-3860
dc.authorid0000-0001-9829-7268
dc.contributor.authorKarabela, Yunus
dc.contributor.authorEliaçık, Mustafa
dc.contributor.authorKocabora, Mehmet Selim
dc.contributor.authorKaraman Erdur, Sevil
dc.contributor.authorBaybora, Hakan
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:51:23Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:51:23Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göz Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000403959400001
dc.descriptionPubMed ID: 28670106
dc.description.abstractPurpose: To evaluate the accuracy of the SRK/T formula using ultrasound (US) biometry in predicting a target postoperative refraction of +/- 1.00D in eyes with medium axial length (AL) that underwent phacoemulsification. Methods: The present study was a retrospective analysis, which included 538 eyes with an AL from 22.0 to 24.60 mm that underwent phacoemulsification and foldable intraocular lens (IOL) implantation (six different IOLs) in the bag. Preoperative AL was measured by US biometry and IOL power (IOLp) was calculated with the SRK/T formula. Patients had a complete ophthalmic examination, preoperatively and 1, 7, and 30 days after surgery. The achieved spherical equivalent (SE) and the prediction error (PE) were calculated. The prediction error was defined as the difference between attempted predicted target refraction and the achieved postoperative SE refraction. Statistical analysis was performed with SPSS V21. Results: The mean age of the patients was 66.96 +/- 9.67 years, the mean AL was 23.29 +/- 0.62 mm, the mean K1 was 43.62 +/- 1.49D, the mean K2 was 43.69 +/- 1.53D, the mean IOL power was 21.066 +/- 1.464D, the mean attempted (predicted) SE was -0.178 +/- 0.266D, and the mean achieved SE was -0.252 +/- 0.562D. The mean PE (difference between predicted and achieved SE) showed a relatively hyperopic shift (mean +/- standard deviation: 0.074 +/- 0.542D, ranging from -1.855 to 2.170D, P=0.001). A total of 93.87% of eyes were within +/- 1.00D of the PE and 92.75% of eyes within +/- 1.00D of achieved postoperative refraction. A total of 39 eyes (7.25%) had a refractive surprise. A total of 32 of 39 eyes were more myopic than -1.00D and 7 of them were more hypermetropic than +1.00D. There was no correlation between the mean PE and IOL type, AL, K1, K2, and IOLp. There were a positive statistically significant correlation between PE and age (r=0.095; P=0.028) and a negative statistically significant correlation between achieved SE and AL (Spearmans r=-0.125; P=0.04), and age (r=-0.141; P=0.01). Conclusion: The IOLp calculation using the SRK/T formula with US biometry may demonstrate very good postoperative refractive outcomes in medium eyes with a few refractive surprises.
dc.identifier.citationKarabela, Y., Eliaçık, M., Kocabora, M. N., Karaman Erdur, S. ve Baybora, H. (2017). Predicting the refractive outcome and accuracy of IOL power calculation after phacoemulsification using the SRK/T formula with ultrasound biometry in medium axial lengths. Clinical Ophthalmology, 11, 1143-1149. https://dx.doi.org/10.2147/OPTH.S136882
dc.identifier.doi10.2147/OPTH.S136882
dc.identifier.endpage1149
dc.identifier.issn1177-5483
dc.identifier.scopusqualityQ2
dc.identifier.startpage1143
dc.identifier.urihttps://dx.doi.org/10.2147/OPTH.S136882
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2207
dc.identifier.volume11
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherDove Medical Press Ltd.
dc.relation.ispartofClinical Ophthalmologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 3.0 Unported*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/*
dc.subjectAxial Length
dc.subjectBiometry
dc.subjectCataract Surgery
dc.subjectIOL Power Calculation
dc.subjectPrediction Error
dc.subjectSRK/T Formula
dc.titlePredicting the refractive outcome and accuracy of IOL power calculation after phacoemulsification using the SRK/T formula with ultrasound biometry in medium axial lengths
dc.typeArticle

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