PURPOSE. To evaluate the accuracy of IOL power calculation using adjusted corneal power according to the posterior/anterior corneal curvature radii ratio. METHODS. Nine hundred twenty-eight eyes from 928 reference subjects and 158 eyes from 158 cataract patients who underwent phacoemulsification surgery were enrolled. Adjusted corneal power of cataract patients was calculated using the fictitious refractive index that was obtained from the geometric mean posterior/anterior corneal curvature radii ratio of reference subjects and adjusted anterior and predicted posterior corneal curvature radii from conventional keratometry (K) using the posterior/anterior corneal curvature radii ratio. The median absolute error (MedAE) based on the adjusted corneal power was compared with that based on conventional K in the Haigis and SRK/T formulae. RESULTS. The geometric mean posterior/anterior corneal curvature radii ratio was 0.808, and the fictitious refractive index of the cornea for a single Scheimpflug camera was 1.3275. The mean difference between adjusted corneal power and conventional K was 0.05 diopter (D). The MedAE based on adjusted corneal power (0.31 D in the Haigis formula and 0.32 D in the SRK/T formula) was significantly smaller than that based on conventional K (0.41 D and 0.40 D, respectively; P < 0.001 and P < 0.001, respectively). The percentage of eyes with refractive prediction error within ± 0.50 D calculated using adjusted corneal power (74.7%) was significantly greater than that obtained using conventional K (62.7%) in the Haigis formula (P = 0.029). CONCLUSIONS. IOL power calculation using adjusted corneal power according to the posterior/ anterior corneal curvature radii ratio provided more accurate refractive outcomes than calculation using conventional K.
Bibliographical noteFunding Information:
Supported by the Bumsuk Academic Research Fund in 2017. The funding source had no role in the design or conduct of this research.
This work was presented in part at the annual meeting of the Association for Research in Vision and Ophthalmology (ARVO), Baltimore, MD, USA, May 7-11, 2017. Supported by the Bumsuk Academic Research Fund in 2017. The funding source had no role in the design or conduct of this research.
© 2018 The Authors.
- Corneal power
- Intraocular lens
- Posterior corneal radius
ASJC Scopus subject areas
- Sensory Systems
- Cellular and Molecular Neuroscience