Postoperative Refractive Outcomes of Biometric Formulas in Phacovitrectomy with Gas Tamponade
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Purpose: To investigate the refractive accuracy of intraocular lens (IOL) power calculation for biometric formulas in phacovitrectomy. Methods: This retrospective study included 357 eyes of 357 patients who underwent phacovitrectomy using four commonly available IOL power formulas: Hoffer Q (87 eyes), Holladay 1 (78 eyes), Holladay 2 (91 eyes), and SRK/T (101 eyes). The mean refractive error (ME) and the mean absolute refractive error (MAE) were calculated based on the predicted postoperative refraction error, and they were compared using analysis of variance test. Subjects were divided into high myopic eyes (axial length, ≥26 mm) and nonhigh myopic eyes (axial length, <26 mm). Results: The ME and the MAE after phacovitrectomy did not show a significant difference among the four IOL power formulas (p = 0.546 and p = 0.495, respectively). There was no significant statistical difference in formulas when the eyes were grouped into high myopia and nonhigh myopia (ME: p = 0.526 and p = 0.482, respectively; MAE: p = 0.715 and p = 0.627, respectively). The ME showed myopic shift in all formulas regardless of IOL formula used. The ME showed greater myopic shift in high myopia group than nonhigh myopia group in all formulas. Conclusions: Our study did not find evidence for superiority of any formula in phacovitrectomy. However, in phacovitrectomy, possible myopic shift should be considered for IOL power calculation. Especially, in phacovitrecotmy in patients with high myopia, more myopic shift should be considered when selecting IOL.
Abstract
Purpose: To investigate the refractive accuracy of intraocular lens (IOL) power calculation for biometric formulas in phacovitrectomy. Methods: This retrospective study included 357 eyes of 357 patients who underwent phacovitrectomy using four commonly available IOL power formulas: Hoffer Q (87 eyes), Holladay 1 (78 eyes), Holladay 2 (91 eyes), and SRK/T (101 eyes). The mean refractive error (ME) and the mean absolute refractive error (MAE) were calculated based on the predicted postoperative refraction error, and they were compared using analysis of variance test. Subjects were divided into high myopic eyes (axial length, ≥26 mm) and nonhigh myopic eyes (axial length, <26 mm). Results: The ME and the MAE after phacovitrectomy did not show a significant difference among the four IOL power formulas (p = 0.546 and p = 0.495, respectively). There was no significant statistical difference in formulas when the eyes were grouped into high myopia and nonhigh myopia (ME: p = 0.526 and p = 0.482, respectively; MAE: p = 0.715 and p = 0.627, respectively). The ME showed myopic shift in all formulas regardless of IOL formula used. The ME showed greater myopic shift in high myopia group than nonhigh myopia group in all formulas. Conclusions: Our study did not find evidence for superiority of any formula in phacovitrectomy. However, in phacovitrectomy, possible myopic shift should be considered for IOL power calculation. Especially, in phacovitrecotmy in patients with high myopia, more myopic shift should be considered when selecting IOL.
참고문헌 (26)
- Sood V, "Phacoemulsification and foldable intraocular lens implantation combined with 23-gauge transconjunctival sutureless vitrectomy", J Cataract Refract Surg, 35, pp.1380~1384 (2009)
- Dong F, "One-year follow-up evaluation of combined phacovitrectomy for idiopathic epiretinal membrane", Int J Ophthalmol, 13, pp.952~959 (2020)
- Gottlieb CC, "Phacovitrectomy with internal limiting membrane peeling for idiopathic macular hole", Can J Ophthalmol, 37, pp.277~282 (2002)
- Li W, "Longterm results after phacovitrectomy and foldable intraocular lens implantation", Acta Ophthalmol, 87, pp.896~900 (2009)
- Mayer-Xanthaki CF, "Influence of combined phacovitrectomy without tamponade on intraocular lens displacement and postoperative refraction", Acta Ophthalmol, 100, pp.e1518~21 (2022)
- Hamoudi H, "Refractive changes after vitrectomy and phacovitrectomy for macular hole and epiretinal membrane", J Cataract Refract Surg, 39, pp.942~947 (2013)
- Hwang HS, "Effects of the intraocular lens type on refractive error following phacovitrectomy with gas tamponade", Curr Eye Res, 36, pp.1148~1152 (2011)
- Choi SK, "Comparison of refractive deviations after phacovitrectomy according to the intraocular lens insertion method", Jpn J Ophthalmol, 64, pp.462~467 (2020)
- Tsang CS, "Intraocular lens power calculation formulas in Chinese eyes with high axial myopia", J Cataract Refract Surg, 29, pp.1358~1364 (2003)
- Narvaez J, "Accuracy of intraocular lens power prediction using the Hoffer Q, Holladay 1, Holladay 2, and SRK", T formulas, 2006, pp.32, 2050~2053
- Jeong J, "The effect of ocular biometric factors on the accuracy of various IOL power calculation formulas", BMC Ophthalmol, 17, pp.62~ (2017)
- Teshigawara T, "Influence of pupil dilation on predicted postoperative refraction and recommended IOL to obtain target postoperative refraction calculated by using third-and fourth-generation calculation formulas", Clin Ophthalmol, 12, pp.1913~1919 (2018)
- Melles RB, "Accuracy of intraocular lens calculation formulas", Ophthalmology, 125, pp.169~178 (2018)
- Karabela Y, "Predicting the refractive outcome and accuracy of IOL power calculation after phacoemulsification using the SRK", T formula with ultrasound biometry in medium axial lengths, 2017, pp.11, 1143~1149
- Li Z, "Accuracy of intraocular lens calculation formulas for eyes with insufficient capsular support", Ann Transl Med, 9, pp.324~ (2021)
- Ohr MP, "Refractive outcomes and accuracy of IOL power calculation with the SRK", T formula for sutured, scleral-fixated Akreos AO60 intraocular lenses, 2020, pp.258, 2125~2129
- Miele A, "Biometric refractive error after cataract and retina surgery: a systematic review and a benchmark proposal", Eye(Lond), 35, pp.3049~3055 (2021)
- Sato T, "Prospective comparison of intraocular lens dynamics and refractive error between phacovitrectomy and phacoemulsification alone", Ophthalmol Retina, 4, pp.700~707 (2020)
- Ercan ZE, "Refractive outcome comparison between vitreomacular interface disorders after phacovitrectomy", J Cataract Refract Surg, 43, pp.1068~1071 (2017)
- McBrien NA, "Role of the sclera in the development and pathological complications of myopia", Prog Retin Eye Res, 22, pp.307~338 (2003)
- McBrien NA, "Biomechanics of the sclera in myopia : extracellular and cellular factors", Optom Vis Sci, 86, pp.E23~30 (2009)
- Hoffer KJ, "Clinical results using the Holladay 2 intraocular lens power formula", J Cataract Refract Surg, 26, pp.1233~1237 (2000)
- Shiraki N, "Effect of gas tamponade on the intraocular lens position and refractive error after phacovitrectomy : a swept-source anterior segment OCT analysis", Ophthalmology, 127, pp.511~515 (2020)
- Katz G, "The role of anterior chamber depth on post-operative refractive error after phacovitrectomy", Clin Ophthalmol, 15, pp.2111~2115 (2021)
- Hotte GJ, "Post-operative refractive prediction error after phacovitrectomy : a retrospective study", Ophthalmol Ther, 7, pp.83~94 (2018)
- Kang TS, "Two-year reproducibility of axial length measurements after combined phacovitrectomy for epiretinal membrane, and refractive outcomes", J Clin Med, 9, pp.3493~ (2020)