Accuracy of intraocular lens power calculation after phototherapeutic keratectomy using different methods of determining corneal refractive power

Eiko Kaneda, Kazuno Negishi, Shigenori Yamazaki, Satomi Shimizu, Daijiro Kurosaka, Masakazu Yamada, Yukihiko Mashima

Research output: Contribution to journalArticle

Abstract

Purpose: To evaluate the predictability of intraocular lens (IOL) power calculation after phototherapeutic keratectomy (PTK). Methods: In this study, 12 eyes of 8 patients who underwent cataract surgery after PTK (PTK group), and 63 eyes of 55 patients who underwent only cataract surgery (control group) were compared. The main outcome measure was the difference between the target and actual refraction achieved 1 month after cataract surgery. IOL power was determined using 4 measurements for the PTK group: standard keratometric power, total optical power and total axial power (central 3mm) analyzed using a slit-scan corneal topographic analysis system, and pre-PTK measurements of keratometric power. Results: Measurements of corneal power by the 4 different methods in the PTK group did not differ significantly, nor did errors in postoperative refractive power differ for the different methods. The refractive errors after cataract surgery were within ±1.0 D of the targeted value in about 50% of the PTK groups using any measurement method, and all of the predicted values were lower than values in the control group. There was no significant difference in predictability of achieving the target refraction as a function of the 4 different keratometric values used to calculate IOL power. Conclusions: The predictability of IOL power needed to achieve postoperative refraction within a target range is lower for eyes undergoing both PTK and cataract surgery than for eyes undergoing cataract surgery alone, which suggests that informed consent to cataract surgery with IOL implantation should include the information that the range of possible refractive error after cataract surgery is greater in eyes that have undergone PTK.

Original languageEnglish
Pages (from-to)706-710
Number of pages5
JournalFolia Ophthalmologica Japonica
Volume55
Issue number9
Publication statusPublished - 2004 Sep

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Intraocular Lenses
Cataract
Refractive Errors
Control Groups
Intraocular Lens Implantation
Informed Consent
Outcome Assessment (Health Care)

Keywords

  • Corneal Refractive Power
  • Corneal Topography
  • Intraocular Lens Power Calculation
  • Phototherapeutic Keratectomy (PTK)

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Accuracy of intraocular lens power calculation after phototherapeutic keratectomy using different methods of determining corneal refractive power. / Kaneda, Eiko; Negishi, Kazuno; Yamazaki, Shigenori; Shimizu, Satomi; Kurosaka, Daijiro; Yamada, Masakazu; Mashima, Yukihiko.

In: Folia Ophthalmologica Japonica, Vol. 55, No. 9, 09.2004, p. 706-710.

Research output: Contribution to journalArticle

Kaneda, Eiko ; Negishi, Kazuno ; Yamazaki, Shigenori ; Shimizu, Satomi ; Kurosaka, Daijiro ; Yamada, Masakazu ; Mashima, Yukihiko. / Accuracy of intraocular lens power calculation after phototherapeutic keratectomy using different methods of determining corneal refractive power. In: Folia Ophthalmologica Japonica. 2004 ; Vol. 55, No. 9. pp. 706-710.
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abstract = "Purpose: To evaluate the predictability of intraocular lens (IOL) power calculation after phototherapeutic keratectomy (PTK). Methods: In this study, 12 eyes of 8 patients who underwent cataract surgery after PTK (PTK group), and 63 eyes of 55 patients who underwent only cataract surgery (control group) were compared. The main outcome measure was the difference between the target and actual refraction achieved 1 month after cataract surgery. IOL power was determined using 4 measurements for the PTK group: standard keratometric power, total optical power and total axial power (central 3mm) analyzed using a slit-scan corneal topographic analysis system, and pre-PTK measurements of keratometric power. Results: Measurements of corneal power by the 4 different methods in the PTK group did not differ significantly, nor did errors in postoperative refractive power differ for the different methods. The refractive errors after cataract surgery were within ±1.0 D of the targeted value in about 50{\%} of the PTK groups using any measurement method, and all of the predicted values were lower than values in the control group. There was no significant difference in predictability of achieving the target refraction as a function of the 4 different keratometric values used to calculate IOL power. Conclusions: The predictability of IOL power needed to achieve postoperative refraction within a target range is lower for eyes undergoing both PTK and cataract surgery than for eyes undergoing cataract surgery alone, which suggests that informed consent to cataract surgery with IOL implantation should include the information that the range of possible refractive error after cataract surgery is greater in eyes that have undergone PTK.",
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