Intraocular Lens Power Calculation in Myopic Eyes Undergoing Bilensectomy: Analysis of Comparability and Accuracy.

IF 3.2 3区医学 Q2 OPHTHALMOLOGY

Journal of cataract and refractive surgery Pub Date : 2025-08-04 DOI:10.1097/j.jcrs.0000000000001752

Klemens Paul Kaiser, Tyll Jandewerth, Julian Bucur, Marvin Lucas Biller, Christoph Lwowski, Thomas Kohnen

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引用次数: 0

Abstract

Purpose: To address the calculation of intraocular lens (IOL) power in myopic eyes undergoing simultaneous anterior or posterior chamber phakic IOL (pIOL) explantation and lens extraction surgery, a procedure known as bilensectomy, in comparison to myopic eyes without pIOL (controls).

Design: Retrospective analysis of comparability and accuracy.

Setting: Department of Ophthalmology, Goethe-University, Frankfurt, Germany.

Methods: IOLMaster 700 (Zeiss Meditec AG) and Pentacam AXL (Oculus Optikgeräte GmbH) were used for biometry. IOL power was calculated using the Barrett Universal II (BUII), Cooke K6, Hoffer-QST, EVO 2.0, PEARL-DGS, Hill-RBF, and Kane formulas included in the ESCRS online calculator, as well as the T2 and Ladas super formula and the SRK/T and Holladay 1 with or without Wang-Koch axial length adjustment.

Results: Sixty eyes (mean axial length: 29.1±2.06 mm) of 60 patients (mean age 57.4±10.9 years) were included. Thirty eyes underwent bilensectomy and 30 served as controls. In bilensectomy eyes, Kane (0.53 D), PEARL-DGS (0.56 D), and Hill-RBF (0.61 D) demonstrated the lowest root-mean square of the absolute error. PEARL-DGS demonstrated the highest percentage of eyes within ±0.25D (46.7%), followed by BUII, Hill-RBF, and Kane (40.0%, each). EVO 2.0 showed a significant difference (p=0.001) in mean PE between the bilensectomy group and the control group. All other formulas showed no significant differences between the two groups (each p>0.05).

Conclusion: Simultaneous explantation of a pIOL does not appear to exert a considerable impact on the IOL power calculation in myopic eyes. The performance of the formulas is comparable to myopic eyes without phakic IOLs.

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双眼切除术后近视眼人工晶状体度数计算的可比性及准确性分析。

目的：探讨同时行前房或后房晶状体植入术和晶状体摘除术的近视眼与未行晶状体植入术的近视眼（对照组）的人工晶状体（IOL）度数的计算。设计：回顾性分析可比性和准确性。单位：德国法兰克福歌德大学眼科。方法：采用IOLMaster 700（蔡司Meditec AG）和Pentacam AXL （Oculus Optikgeräte GmbH）进行生物识别。使用ESCRS在线计算器中的Barrett Universal II （BUII）、Cooke K6、Hoffer-QST、EVO 2.0、PEARL-DGS、Hill-RBF、Kane公式，以及T2和Ladas超级公式、SRK/T和Holladay 1（有或没有Wang-Koch轴向长度调整）计算IOL度数。结果：纳入60例患者（平均年龄57.4±10.9岁）60只眼，平均眼轴长29.1±2.06 mm。30只眼睛行双胆管切除术，30只作为对照。在双肠切除眼中，Kane （0.53 D）、PEARL-DGS （0.56 D）和Hill-RBF （0.61 D）的绝对误差均方根最低。PEARL-DGS在±0.25D内的眼睛比例最高（46.7%），其次是BUII、Hill-RBF和Kane（各占40.0%）。在EVO 2.0中，双肠切除术组与对照组的平均PE差异有统计学意义（p=0.001）。其他配方两组间差异无统计学意义（p < 0.05）。结论：同时植入术对近视眼人工晶状体度数的计算没有明显影响。该配方的性能与没有晶状体人工晶状体的近视眼睛相当。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

$Journal of cataract and refractive surgery$

Journal of cataract and refractive surgery 医学-外科

CiteScore

5.60

自引率

14.30%

发文量

259

审稿时长

8.5 weeks

期刊介绍： The Journal of Cataract & Refractive Surgery (JCRS), a preeminent peer-reviewed monthly ophthalmology publication, is the official journal of the American Society of Cataract and Refractive Surgery (ASCRS) and the European Society of Cataract and Refractive Surgeons (ESCRS). JCRS publishes high quality articles on all aspects of anterior segment surgery. In addition to original clinical studies, the journal features a consultation section, practical techniques, important cases, and reviews as well as basic science articles.