2020
DOI: 10.1186/s12886-020-01571-1
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Influence of pupil dilation on the Barrett universal II (new generation), Haigis (4th generation), and SRK/T (3rd generation) intraocular lens calculation formulas: a retrospective study

Abstract: Background: Despite the surge in the number of cataract surgeries, there is limited information available regarding the influence of pupil dilation on predicted postoperative refraction and its comparison with recommended various intraocular lens power calculated using the different parameters. We used three different IOL power calculation formulas: Barrett Universal II (Barrett) (5-variable formula), Haigis (3-variable formula), and SRK/T (2-variable formula), in order to investigate the potential effect of p… Show more

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Cited by 12 publications
(11 citation statements)
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References 20 publications
(53 reference statements)
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“…Some of the newer generation formulas, such as the Holladay 2, 2,28 Hill-RBF 2.0, 3 Olsen, 4 and Barrett Universal II formulas, which demonstrate better predictability, recommend use of WTW distance as an input variable. 5,29 In a recent study by Darcy et al, 30 a good outcome was also achieved among a large population with a mean AL of 23.65 ± 1.34 mm using the Barrett formula without WTW distance as an input variable. However, for highly myopic cases with relatively unsatisfactory calculation accuracy, especially for extremely long eyes (AL > 30 mm), inputting more anterior segment variables might help to improve accuracy.…”
Section: Discussionmentioning
confidence: 94%
See 1 more Smart Citation
“…Some of the newer generation formulas, such as the Holladay 2, 2,28 Hill-RBF 2.0, 3 Olsen, 4 and Barrett Universal II formulas, which demonstrate better predictability, recommend use of WTW distance as an input variable. 5,29 In a recent study by Darcy et al, 30 a good outcome was also achieved among a large population with a mean AL of 23.65 ± 1.34 mm using the Barrett formula without WTW distance as an input variable. However, for highly myopic cases with relatively unsatisfactory calculation accuracy, especially for extremely long eyes (AL > 30 mm), inputting more anterior segment variables might help to improve accuracy.…”
Section: Discussionmentioning
confidence: 94%
“…1 Currently, the WTW distance is also frequently considered during cataract surgeries. It is a variable used in intraocular lens (IOL) power calculation formulas, especially new generation formulas such as the Holladay 2, 2 Hill-RBF 2.0, 3 Olsen, 4 and Barrett Universal II formulas, 5 and is also considered to be a factor influencing corneal astigmatism after cataract surgery. 6 More importantly, it is now also included in surgical planning for refractive cataract procedures.…”
mentioning
confidence: 99%
“…According to a linear extrapolation of the earlier analysis by Teshigawara et al, the offset of 0.07 mm corresponds to a change in predictive refraction <0.2 D and would partially compensate for the effect of deeper ACD measurement. 28 In our data, the LoAs and the CCCs are worse for the formulas that involve ACD or LT in IOL power calculation compared with the Hoffer Q, Holladay 1, and SRK/T formulas that do not involve these parameters. This finding indicates that the ACD and LT measurements of Biometer A and B should not be used interchangeably but influence the IOL power calculation of modern formulas.…”
Section: Accuracy Of Iol Power Calculationmentioning
confidence: 49%
“…According to the analysis by Teshigawara, a change in CD of 0.2 mm would affect the PE by <0.1 D, which is a strong indication that the significant mean difference has little clinical relevance for the IOL power calculation. 28 Biometric formulas have evolved steadily, increasing the accuracy of refractive outcomes. In our study, which was powered to detect differences of 0.25 D in PE, there was a tendency toward higher MedAE, MAE, and SD of PE for Biometer B compared with Biometer A, but none of these results were statistically significant.…”
Section: Accuracy Of Iol Power Calculationmentioning
confidence: 99%
“…There are reports on the influence of pupil dilation on the accuracy of IOL power calculation formulas. 24 …”
Section: Discussionmentioning
confidence: 99%