{"title":"Change in intraocular lens power calculation results after ptosis surgery","authors":"M. Mutlu Sönmez , E. Savran Elibol , H. Oğuz","doi":"10.1016/j.jfo.2025.104571","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the difference between intraocular lens power calculation and ocular biometric parameters before and after anterior levator resection surgery (ALR).</div></div><div><h3>Methods</h3><div>In this prospective study, patients with involutional ptosis who underwent ALR surgery were included. Ocular biometric parameters were obtained preoperatively and 3 and 6 months postoperatively.</div></div><div><h3>Results</h3><div>Forty-five patients with ptosis were selected for the study, 25 eyes had only ALR surgery, and 20 eyes had both ALR and upper lid blepharoplasty. The mean keratometry (Km) value significantly decreased from the preoperative value at 3 months postoperatively (<em>P</em> <!-->=<!--> <!-->0.026) and did not change between 3 and 6 months (<em>P</em> <!-->=<!--> <!-->0.4). The mean preoperative MRD-1 level was 0.86<!--> <!-->±<!--> <!-->1.1<!--> <!-->mm, 3.4<!--> <!-->±<!--> <!-->0.9<!--> <!-->mm at 3 months, and 3.45<!--> <!-->±<!--> <!-->1<!--> <!-->mm at 6 months postoperatively (<em>P</em> <!-->=<!--> <!-->0.0001). The mean IOL power targeting emmetropia increased at 3 months postoperatively (<em>P</em> <!-->=<!--> <!-->0.041) and did not change between 3 and 6 months (<em>P</em> <!-->=<!--> <!-->0.2). There was a negative correlation between MRD-1 level, K1, K2 and Km after 6 months (<em>r</em>: –0.171, <em>P</em>: 0.02; <em>r</em>: –0.334, <em>P</em>: 0.04; <em>r</em>: –041, <em>P</em>: 0.001 respectively), whereas there was a positive correlation between MRD-1 level and IOL power after 6 months (<em>r</em>: 0.348, <em>P</em>: 0.04). The mean Km, IOL power and MRD-1 levels were not statistically different between ALR-only patients and ALR-blepharoplasty patients at 6 months postoperatively (<em>P</em>: 0.2, 0.07, 0.32 respectively).</div></div><div><h3>Conclusion</h3><div>Ptosis surgery can affect IOL power postoperatively due to keratometric changes, and these changes stabilize at 3 months after surgery. Keratometric measurements have been shown to be related to postoperative eyelid position.</div></div>","PeriodicalId":14777,"journal":{"name":"Journal Francais D Ophtalmologie","volume":"48 7","pages":"Article 104571"},"PeriodicalIF":1.1000,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal Francais D Ophtalmologie","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0181551225001536","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose
To evaluate the difference between intraocular lens power calculation and ocular biometric parameters before and after anterior levator resection surgery (ALR).
Methods
In this prospective study, patients with involutional ptosis who underwent ALR surgery were included. Ocular biometric parameters were obtained preoperatively and 3 and 6 months postoperatively.
Results
Forty-five patients with ptosis were selected for the study, 25 eyes had only ALR surgery, and 20 eyes had both ALR and upper lid blepharoplasty. The mean keratometry (Km) value significantly decreased from the preoperative value at 3 months postoperatively (P = 0.026) and did not change between 3 and 6 months (P = 0.4). The mean preoperative MRD-1 level was 0.86 ± 1.1 mm, 3.4 ± 0.9 mm at 3 months, and 3.45 ± 1 mm at 6 months postoperatively (P = 0.0001). The mean IOL power targeting emmetropia increased at 3 months postoperatively (P = 0.041) and did not change between 3 and 6 months (P = 0.2). There was a negative correlation between MRD-1 level, K1, K2 and Km after 6 months (r: –0.171, P: 0.02; r: –0.334, P: 0.04; r: –041, P: 0.001 respectively), whereas there was a positive correlation between MRD-1 level and IOL power after 6 months (r: 0.348, P: 0.04). The mean Km, IOL power and MRD-1 levels were not statistically different between ALR-only patients and ALR-blepharoplasty patients at 6 months postoperatively (P: 0.2, 0.07, 0.32 respectively).
Conclusion
Ptosis surgery can affect IOL power postoperatively due to keratometric changes, and these changes stabilize at 3 months after surgery. Keratometric measurements have been shown to be related to postoperative eyelid position.
期刊介绍:
The Journal français d''ophtalmologie, official publication of the French Society of Ophthalmology, serves the French Speaking Community by publishing excellent research articles, communications of the French Society of Ophthalmology, in-depth reviews, position papers, letters received by the editor and a rich image bank in each issue. The scientific quality is guaranteed through unbiased peer-review, and the journal is member of the Committee of Publication Ethics (COPE). The editors strongly discourage editorial misconduct and in particular if duplicative text from published sources is identified without proper citation, the submission will not be considered for peer review and returned to the authors or immediately rejected.