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Intraocular Lens Power Calculation Formulas Accuracy in Combined Phacovitrectomy: an 8-Formulas Comparison Study

dc.contributor.authorHipólito-Fernandes, D
dc.contributor.authorLuís, ME
dc.contributor.authorMaleita, D
dc.contributor.authorGil, P
dc.contributor.authorMaduro, V
dc.contributor.authorCosta, L
dc.contributor.authorMarques, N
dc.contributor.authorBranco, J
dc.contributor.authorAlves, N
dc.date.accessioned2021-10-18T14:50:13Z
dc.date.available2021-10-18T14:50:13Z
dc.date.issued2021
dc.description.abstractBackground: Our study aimed to assess and compare the accuracy of 8 intraocular lens (IOL) power calculation formulas (Barrett Universal II, EVO 2.0, Haigis, Hoffer Q, Holladay 1, Kane and PEARL-DGS) in patients submitted to combined phacovitrectomy for vitreomacular (VM) interface disorders. Methods: Retrospective chart review study including axial-length matched patients submitted to phacoemulsification alone (Group 1) and combined phacovitrectomy (Group 2). Using optimized constants in both groups, refraction prediction error of each formula was calculated for each eye. The optimised constants from Group 1 were also applied to patients of Group 2 - Group 3. Outcome measures included the mean prediction error (ME) and its standard deviation (SD), mean (MAE) and median (MedAE) absolute errors, in diopters (D), and the percentage of eyes within ± 0.25D, ± 0.50D and ± 1.00D. Results: A total of 220 eyes were included (Group 1: 100; Group 2: 120). In Group 1, the difference in formulas absolute error was significative (p = 0.005). The Kane Formula had the lowest MAE (0.306) and MedAE (0.264). In Group 2, Kane had the overall best performance, followed by PEARL-DGS, EVO 2.0 and Barrett Universal II. The ME of all formulas in both Groups 1 and 2 were 0.000 (p = 0.934; p = 0.971, respectively). In Group 3, a statistically significant myopic shift was observed for each formula (p < 0.001). Conclusion: Surgeons must be careful regarding IOL power selection in phacovitrectomy considering the systematic myopic shift evidenced-constant optimization may help eliminating such error. Moreover, newly introduced formulas and calculation methods may help us achieving increasingly better refractive outcomes both in cataract surgery alone and phacovitrectomy.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Retina Vitreous. 2021 Aug 18;7(1):47.pt_PT
dc.identifier.doi10.1186/s40942-021-00315-7.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3883
dc.language.isoengpt_PT
dc.publisherBMCpt_PT
dc.subjectHSAC OFTpt_PT
dc.subjectVitreomacular Interface Disorderspt_PT
dc.subjectPhavocitrectomypt_PT
dc.subjectIntraocular Lens Powerpt_PT
dc.subjectFormulas Accuracypt_PT
dc.titleIntraocular Lens Power Calculation Formulas Accuracy in Combined Phacovitrectomy: an 8-Formulas Comparison Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage47pt_PT
oaire.citation.titleInternational Journal of Retina and Vitreouspt_PT
oaire.citation.volume7pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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