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Accuracy of the Barrett True-K formula for intraocular lens power prediction after laser in situ keratomileusis or photorefractive keratectomy for myopia

2016; Lippincott Williams & Wilkins; Volume: 42; Issue: 3 Linguagem: Inglês

10.1016/j.jcrs.2015.11.039

1873-4502

Adi Abulafia, Warren Hill, Douglas D. Koch, Li Wang, Graham D. Barrett,

Glaucoma and retinal disorders

Purpose To compare the accuracy of the Barrett True-K formula with other methods available on the American Society of Cataract and Refractive Surgery (ASCRS) post-refractive surgery intraocular lens (IOL) power calculator for the prediction of IOL power after previous myopic laser in situ keratomileusis (LASIK) or photorefractive keratectomy (PRK). Setting Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, and private practice, Mesa, Arizona, USA. Design Retrospective case series. Methods The accuracy of the Barrett True-K formula was compared with the Adjusted Atlas (4.0 mm zone), Masket, modified-Masket, Wang-Koch-Maloney, Shammas, and Haigis-L methods to calculate IOL power. A separate analysis of 2 no-history methods (Shammas and Haigis-L) was performed and compared with the Barrett True-K no-history option. Results Eighty-eight eyes were available for analysis. The Barrett True-K formula had a significantly smaller median absolute refraction prediction error than all other formulas except the Masket, smaller variances compared with the Wang-Koch-Maloney, Shammas, and Haigis-L, and a greater percentage of eyes within ±0.50 diopter (D) of predicted error in refraction compared with the Adjusted Atlas, Masket, and modified Masket methods (all P < .05). In eyes with no historical data, the Barrett True-K no-history formula had a significantly smaller median absolute refraction prediction error and a greater percentage of eyes within ±0.50 D of the predicted error in refraction than the Shammas and the Haigis-L formulas (both P < .05). Conclusion The Barrett True-K formula was either equal to or better than alternative methods available on the ASCRS online calculator for predicting IOL power in eyes with previous myopic LASIK or PRK. Financial Disclosures Dr. Barrett has licensed the Barrett True-K formula to Haag-Streit. Dr. Hill is a paid consultant to Haag-Streit and Alcon Surgical, Inc. None of the other authors has a financial or proprietary interest in any material or method mentioned.