{"title":"Accuracy of no-history formulae for intraocular lens power calculation in post-myopic laser vision correction eyes: a multicenter study in Japan.","authors":"So Goto, Yosai Mori, Hidemasa Torii, Yumi Hasegawa, Takashi Kojima, Kazutaka Kamiya, Takuya Shiba, Kazunori Miyata","doi":"10.1007/s10384-025-01217-z","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To compare the refractive prediction accuracy of seven no-history intraocular lens (IOL) power calculation formulas in post-myopic laser vision correction (M-LVC) eyes in Japanese patients.</p><p><strong>Study design: </strong>Multicenter retrospective case series.</p><p><strong>Methods: </strong>This study included patients with previous M-LVC who underwent cataract surgery between 2016 and 2023. IOL power calculation formulas were assessed using measurements from a swept-source optical coherence biometer. Refractive prediction errors were calculated for the Emmetropia Verifying Optical 2.0 (EVO 2.0), Post Myopic LASIK/PRK Hoffer QST (Hoffer QST), and Post-M-LVC PEARL-DGS (PEARL-DGS) formulas. These results were compared with those obtained from the Barrett True-K No History (BTKNH), Haigis-L, Shammas, and ASCRS average formulas. Heteroscedastic testing for root mean square absolute error (RMSAE) was used to evaluate formula performance.</p><p><strong>Results: </strong>The study comprised 125 post-LASIK eyes from 89 patients. Only the BTKNH had mean numerical errors not significantly different from zero. The formulas were ranked by absolute prediction error (MAE): ASCRS average (0.42 D), BTKNH (0.43 D), Hoffer QST (0.46 D), Pearl-DGS and Shammas (0.46 D), EVO 2.0 (0.48 D), and Haigis-L (0.51 D). The BTKNH and ASCRS average demonstrated smaller RMSAE compared to Shammas (P < .0001). The Hoffer QST had a smaller RMSAE than Pearl-DGS (P = 0.02).</p><p><strong>Conclusion: </strong>The BTKNH, ASCRS average, and Hoffer QST formulas are precise and reliable for improving postoperative refractive outcomes in Japanese patients with a history of M-LVC.</p>","PeriodicalId":14563,"journal":{"name":"Japanese Journal of Ophthalmology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japanese Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10384-025-01217-z","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To compare the refractive prediction accuracy of seven no-history intraocular lens (IOL) power calculation formulas in post-myopic laser vision correction (M-LVC) eyes in Japanese patients.
Study design: Multicenter retrospective case series.
Methods: This study included patients with previous M-LVC who underwent cataract surgery between 2016 and 2023. IOL power calculation formulas were assessed using measurements from a swept-source optical coherence biometer. Refractive prediction errors were calculated for the Emmetropia Verifying Optical 2.0 (EVO 2.0), Post Myopic LASIK/PRK Hoffer QST (Hoffer QST), and Post-M-LVC PEARL-DGS (PEARL-DGS) formulas. These results were compared with those obtained from the Barrett True-K No History (BTKNH), Haigis-L, Shammas, and ASCRS average formulas. Heteroscedastic testing for root mean square absolute error (RMSAE) was used to evaluate formula performance.
Results: The study comprised 125 post-LASIK eyes from 89 patients. Only the BTKNH had mean numerical errors not significantly different from zero. The formulas were ranked by absolute prediction error (MAE): ASCRS average (0.42 D), BTKNH (0.43 D), Hoffer QST (0.46 D), Pearl-DGS and Shammas (0.46 D), EVO 2.0 (0.48 D), and Haigis-L (0.51 D). The BTKNH and ASCRS average demonstrated smaller RMSAE compared to Shammas (P < .0001). The Hoffer QST had a smaller RMSAE than Pearl-DGS (P = 0.02).
Conclusion: The BTKNH, ASCRS average, and Hoffer QST formulas are precise and reliable for improving postoperative refractive outcomes in Japanese patients with a history of M-LVC.
期刊介绍:
The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication.
Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.