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Accuracy of 8 intraocular lens power calculation formulas in pediatric cataract patients.
Graefe's Archive for Clinical and Experimental Ophthalmology ( IF 2.7 ) Pub Date : 2020-02-17 , DOI: 10.1007/s00417-020-04617-8
Pingjun Chang 1, 2 , Lei Lin 1, 2 , Zhangliang Li 1, 2 , Li Wang 3 , Jinhai Huang 1, 2 , Yun-E Zhao 1, 2
Affiliation  

PURPOSE To compare the accuracy of the eight formulas for intraocular lens (IOL) power calculation in pediatric cataract patients. METHODS A retrospective study. A total of 68 eyes (68 patients) that underwent uneventful cataract surgery and posterior chamber IOL implantation in the capsular bag were enrolled. We compared the calculation accuracy of the 8 formulas at 1 month postoperatively and performed subgroup analysis according to age or axial length (AL). RESULTS The mean age at surgery was 34.07 ± 24.60 months and mean AL was 21.12 ± 1.42 mm. The mean prediction errors (PE) of eight formulas for all patients were as follows: SRK II (- 0.66), SRK/T (- 0.44), Holladay 1 (- 0.36), Hoffer Q (- 0.09), Olsen (0.71), Barrett (0.37), Holladay 2 (- 0.70), and Haigis (0.50). There was significant difference among the 8 formulas (p < 0.0001), while no significant difference of absolute PE was found among the 8 formulas in all patients (p = 0.053). Moreover, in patients younger than 2 years old or with AL ≤ 21 mm, SRK/T formula was relatively accurate in 34% and 39% of eyes, respectively. While in patients older than 2 or with AL > 21 mm, Barrett and Haigis formulas were better (58% and 47% for Barrett, 52% and 53% for Haigis). CONCLUSION Overall, in patients younger than 2 years old or with AL ≤ 21 mm, SRK/T formulas were relatively accurate, while Barrett and Haigis formulas were better in patients older than 2 or with AL > 21 mm.

中文翻译:

小儿白内障患者8个人工晶状体屈光力计算公式的准确性。

目的比较儿童白内障患者人工晶状体(IOL)屈光度计算八个公式的准确性。方法回顾性研究。总共纳入了68眼(68例患者),他们接受了无畸形白内障手术并在囊袋中植入了后房IOL。我们比较了术后1个​​月这8个公式的计算准确性,并根据年龄或轴向长度(AL)进行了亚组分析。结果手术的平均年龄为34.07±24.60个月,平均AL为21.12±1.42 mm。所有患者的八个公式的平均预测误差(PE)如下:SRK II(-0.66),SRK / T(-0.44),Holladay 1(-0.36),Hoffer Q(-0.09),Olsen(0.71) ,巴雷特(0.37),霍拉迪2(-0.70)和海吉斯(0.50)。8个公式之间存在显着差异(p <0.0001),而在所有患者的8种配方中,绝对PE均未发现显着差异(p = 0.053)。此外,对于年龄小于2岁或AL≤21 mm的患者,SRK / T公式分别在34%和39%的眼睛中相对准确。在2岁以上或AL> 21 mm的患者中,Barrett和Haigis配方更好(Barrett为58%和47%,Haigis为52%和53%)。结论总体而言,对于2岁以下或AL≤21 mm的患者,SRK / T公式相对准确,而Barrett和Haigis公式在2岁以上或AL> 21 mm的患者中较好。在2岁以上或AL> 21 mm的患者中,Barrett和Haigis配方更好(Barrett为58%和47%,Haigis为52%和53%)。结论总体而言,对于2岁以下或AL≤21 mm的患者,SRK / T公式相对准确,而Barrett和Haigis公式在2岁以上或AL> 21 mm的患者中较好。在2岁以上或AL> 21 mm的患者中,Barrett和Haigis配方更好(Barrett为58%和47%,Haigis为52%和53%)。结论总体而言,对于2岁以下或AL≤21 mm的患者,SRK / T公式相对准确,而Barrett和Haigis公式在2岁以上或AL> 21 mm的患者中较好。
更新日期:2020-04-21
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