Accuracy of Intraocular Lens Power Calculation Formulas in Primary Angle Closure Glaucoma

Overview

Journal Korean J Ophthalmol

Specialty Ophthalmology

Date 2011 Dec 2

PMID 22131773

Citations 12

Authors

Jongsoo Joo

Woong-Ju Whang

Tae-Hoon Oh

Kyu-Dong Kang

Hyun-Seung Kim

Jung-Il Moon

Affiliations

Soon will be listed here.

Abstract

Purpose: To compare the accuracy of intraocular lens (IOL) power calculation formulas in eyes with primary angle closure glaucoma (ACG).

Methods: This retrospective study compared the refractive outcomes of 63 eyes with primary ACG with the results of 93 eyes with normal open angles undergoing uneventful cataract surgery. Anterior segment biometry including anterior chamber depth, axial length, and anterior chamber depth to axial length ratio were compared by the IOL Master. Third generation formulas (Hoffer Q and SRK/T) and a fourth generation formula (Haigis) were used to predict IOL powers in both groups. The predictive accuracy of the formulas was analyzed by comparison of the mean error and the mean absolute error (MAE).

Results: In ACG patients, anterior chamber depth and the anterior chamber depth to axial length ratio were smaller than normal controls (all p < 0.05). The MAEs from the ACG group were larger than that from the control group in the Haigis formula. The mean absolute error from the Haigis formula was the largest and the mean absolute error from the Hoffer Q formula was the smallest.

Conclusions: IOL power prediction may be inaccurate in ACG patients. The Haigis formula produced more inaccurate results in ACG patients, and it is more appropriate to use the Hoffer Q formula to predict IOL powers in eyes with primary ACG.

Citing Articles

Accuracy of new intraocular lens calculation formulas in primary angle closure glaucoma patients who underwent phacoemulsification combined with goniosynechialysis.

Lin Y, Yin Y, Huang C, Ng T, Qiu K, Ma Y Int Ophthalmol. 2024; 45(1):2.

PMID: 39652241 DOI: 10.1007/s10792-024-03367-4.

Comparison of Different Intraocular Lens Power Calculation Formulas in Eyes With Primary Angle Closure.

Liu J, Wang Y, Huang W, Wang F, Xu Y, Xue Y J Glaucoma. 2024; 33(9):665-670.

PMID: 38767494 PMC: 11361347. DOI: 10.1097/IJG.0000000000002430.

Comparison of intraocular lens power calculation formulas in patients with a history of acute primary angle-closure attack.

Kim N, Gim Y, Choi K, Suh W, Jun R, Han K BMC Ophthalmol. 2023; 23(1):482.

PMID: 38001418 PMC: 10675974. DOI: 10.1186/s12886-023-03232-5.

Refractive outcomes after immediate primary phacoemulsification for acute primary angle closure.

Suzuki T, Ueta Y, Tachi N, Okamoto Y, Fukutome T, Sasajima H Sci Rep. 2023; 13(1):13283.

PMID: 37587217 PMC: 10432382. DOI: 10.1038/s41598-023-40585-9.

A systemic review and network meta-analysis of accuracy of intraocular lens power calculation formulas in primary angle-closure conditions.

Lu W, Hou Y, Yang H, Sun X PLoS One. 2022; 17(10):e0276286.

PMID: 36240196 PMC: 9565378. DOI: 10.1371/journal.pone.0276286.

References

Gavin E, Hammond C . Intraocular lens power calculation in short eyes. Eye (Lond). 2007; 22(7):935-8. DOI: 10.1038/sj.eye.6702774. View

Elder M . Predicting the refractive outcome after cataract surgery: the comparison of different IOLs and SRK-II v SRK-T. Br J Ophthalmol. 2002; 86(6):620-2. PMC: 1771157. DOI: 10.1136/bjo.86.6.620. View

Francis B, Wang M, Lei H, Du L, Minckler D, Green R . Changes in axial length following trabeculectomy and glaucoma drainage device surgery. Br J Ophthalmol. 2004; 89(1):17-20. PMC: 1772469. DOI: 10.1136/bjo.2004.043950. View

Narvaez J, Zimmerman G, Stulting R, Chang D . Accuracy of intraocular lens power prediction using the Hoffer Q, Holladay 1, Holladay 2, and SRK/T formulas. J Cataract Refract Surg. 2006; 32(12):2050-3. DOI: 10.1016/j.jcrs.2006.09.009. View

Santodomingo-Rubido J, Mallen E, Gilmartin B, Wolffsohn J . A new non-contact optical device for ocular biometry. Br J Ophthalmol. 2002; 86(4):458-62. PMC: 1771084. DOI: 10.1136/bjo.86.4.458. View

Drexler W, Findl O, Menapace R, Rainer G, Vass C, Hitzenberger C . Partial coherence interferometry: a novel approach to biometry in cataract surgery. Am J Ophthalmol. 1998; 126(4):524-34. DOI: 10.1016/s0002-9394(98)00113-5. View

Hayashi K, Hayashi H, Nakao F, Hayashi F . Changes in anterior chamber angle width and depth after intraocular lens implantation in eyes with glaucoma. Ophthalmology. 2000; 107(4):698-703. DOI: 10.1016/s0161-6420(00)00007-5. View

Law S, Mansury A, Vasudev D, Caprioli J . Effects of combined cataract surgery and trabeculectomy with mitomycin C on ocular dimensions. Br J Ophthalmol. 2005; 89(8):1021-5. PMC: 1772783. DOI: 10.1136/bjo.2004.060053. View

Marchini G, Pagliarusco A, Toscano A, Tosi R, Brunelli C, Bonomi L . Ultrasound biomicroscopic and conventional ultrasonographic study of ocular dimensions in primary angle-closure glaucoma. Ophthalmology. 1998; 105(11):2091-8. DOI: 10.1016/S0161-6420(98)91132-0. View

10.

Nonaka A, Kondo T, Kikuchi M, Yamashiro K, Fujihara M, Iwawaki T . Angle widening and alteration of ciliary process configuration after cataract surgery for primary angle closure. Ophthalmology. 2006; 113(3):437-41. DOI: 10.1016/j.ophtha.2005.11.018. View

11.

MacLaren R, Natkunarajah M, Riaz Y, Bourne R, Restori M, Allan B . Biometry and formula accuracy with intraocular lenses used for cataract surgery in extreme hyperopia. Am J Ophthalmol. 2007; 143(6):920-931. DOI: 10.1016/j.ajo.2007.02.043. View

12.

Lee A, Qazi M, Pepose J . Biometry and intraocular lens power calculation. Curr Opin Ophthalmol. 2007; 19(1):13-7. DOI: 10.1097/ICU.0b013e3282f1c5ad. View

13.

Haigis W, Lege B, Miller N, Schneider B . Comparison of immersion ultrasound biometry and partial coherence interferometry for intraocular lens calculation according to Haigis. Graefes Arch Clin Exp Ophthalmol. 2000; 238(9):765-73. DOI: 10.1007/s004170000188. View

14.

Ucakhan O, Ozkan M, Kanpolat A . Anterior chamber parameters measured by the Pentacam CES after uneventful phacoemulsification in normotensive eyes. Acta Ophthalmol. 2008; 87(5):544-8. DOI: 10.1111/j.1755-3768.2008.01305.x. View

15.

Findl O, Drexler W, Menapace R, Hitzenberger C, Fercher A . High precision biometry of pseudophakic eyes using partial coherence interferometry. J Cataract Refract Surg. 1998; 24(8):1087-93. DOI: 10.1016/s0886-3350(98)80102-8. View

16.

Haigis W . IOL power calculations. Ophthalmology. 2010; 117(2):400-1. DOI: 10.1016/j.ophtha.2009.10.036. View

17.

Hoffer K . The Hoffer Q formula: a comparison of theoretic and regression formulas. J Cataract Refract Surg. 1993; 19(6):700-12. DOI: 10.1016/s0886-3350(13)80338-0. View

18.

Yang C, Hung P . Intraocular lens position and anterior chamber angle changes after cataract extraction in eyes with primary angle-closure glaucoma. J Cataract Refract Surg. 1997; 23(7):1109-13. DOI: 10.1016/s0886-3350(97)80089-2. View

19.

Lowe R . Causes of shallow anterior chamber in primary angle-closure glaucoma. Ultrasonic biometry of normal and angle-closure glaucoma eyes. Am J Ophthalmol. 1969; 67(1):87-93. DOI: 10.1016/0002-9394(69)90012-9. View

20.

Terzi E, Wang L, Kohnen T . Accuracy of modern intraocular lens power calculation formulas in refractive lens exchange for high myopia and high hyperopia. J Cataract Refract Surg. 2009; 35(7):1181-9. DOI: 10.1016/j.jcrs.2009.02.026. View