Format

Send to

Choose Destination
J Cataract Refract Surg. 2012 Apr;38(4):589-94. doi: 10.1016/j.jcrs.2011.11.025.

Intraocular lens power calculation after previous myopic laser vision correction based on corneal power measured by Fourier-domain optical coherence tomography.

Author information

1
Center for Ophthalmic Optics and Lasers, Doheny Eye Institute, University of Southern California, Los Angeles, California, USA.

Abstract

PURPOSE:

To use Fourier-domain optical coherence tomography (OCT) to measure corneal power and calculate intraocular lens (IOL) power in cataract surgeries after laser vision correction.

SETTING:

Doheny Eye Institute, Los Angeles, California, and Cullen Eye Institute, Houston, Texas, USA.

DESIGN:

Prospective comparative case series.

METHODS:

Patients with previous myopic laser vision correction who had monofocal IOL implantation were enrolled. A Fourier-domain OCT system was used to measure corneal power and pachymetry. Axial length and anterior chamber depth were measured with partial coherence biometry. An OCT-based IOL formula was developed, and the mean absolution error (MAE) of postoperative refraction was compared with that for the Haigis-L formula. At Doheny, corneal power was also measured using the clinical history method, the contact lens overrefraction method, and slit-scanning tomography total optical power.

RESULTS:

Sixteen eyes of 16 patients were enrolled at the 2 sites. Previous laser vision correction ranged from -9.81 to -0.88 diopter (D). The MAE was 0.50 D for OCT-based IOL calculation and 0.76 D for the Haigis-L formula (P=.14). In the 6 eyes enrolled at Doheny, the MAE of OCT-based IOL calculation was 0.60 D. In comparison, the contact lens overrefraction (MAE = 1.46 D, P<.05) and clinical history (MAE = 1.78 D, P<.05) methods were worse. Slit-scanning tomography gave an MAE of 1.28 D (P>.05).

CONCLUSION:

The predictive accuracy of OCT-based IOL power calculation was equal to or better than current standards in post-laser vision correction eyes.

PMID:
22440433
PMCID:
PMC3311993
DOI:
10.1016/j.jcrs.2011.11.025
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center