Scientific Reports ( IF 3.8 ) Pub Date : 2021-02-26 , DOI: 10.1038/s41598-021-84238-1 Hun Lee 1 , Jae Lim Chung 2 , Young Jun Kim 2 , Jae Yong Kim 1 , Hungwon Tchah 1
We aimed to compare the refractive outcomes of cataract surgery with diffractive multifocal intraocular lenses (IOLs) using standard keratometry (K) and total keratometry (TK). In this retrospective observational case series study, a total of 302 patients who underwent cataract surgery with multifocal IOL implantation were included. Predicted refractive outcomes were calculated based on the current standard formulas and a new formula developed for TK using K and TK, which were obtained from a swept-source optical biometer. At 2-month postoperatively, median absolute prediction errors (MedAEs) and proportion of eyes within ± 0.50 diopters (D) of predicted postoperative spherical equivalent (SE) refraction were analyzed. There was no significant difference between MedAEs or proportion of eyes within ± 0.50D of predicted refraction from K and TK in each formula. In TFNT00 and 839MP IOL cases, there was no difference between MedAEs from K and TK using any formula. In 829MP IOL cases, MedAE from TK was significantly larger than that from K in Barrett Universal II/Barrett TK Universal II (P = 0.033). In 677MY IOL cases, MedAE from TK was significantly larger than that from K in Haigis (P = 0.020) and Holladay 2 (P = 0.006) formulas. In the subgroup analysis for IOL, there was no difference between the proportion of eyes within ± 0.50 D of predicted refraction from K and TK using any formula. TFNT00 and 839MP IOLs were favorable with TK, with 677MY IOL with K and 829MP IOL being in a neutral position, which necessitates the study that investigates the accuracy of the new TK technology.
中文翻译:
多焦人工晶状体屈光度计算的扫源光学生物计对标准和总角膜曲率的预测精度
我们旨在使用标准角膜曲率测定法 (K) 和总角膜曲率测定法 (TK) 比较白内障手术与衍射多焦点人工晶状体 (IOL) 的屈光结果。在这项回顾性观察性病例系列研究中,共纳入了 302 名接受白内障手术并植入多焦人工晶状体的患者。预测的屈光结果是根据当前的标准公式和使用 K 和 TK 为 TK 开发的新公式计算的,这些公式是从扫源光学生物计获得的。在术后 2 个月,分析了中位绝对预测误差 (MedAE) 和预测术后等效球面 (SE) 屈光度 ± 0.50 屈光度 (D) 内的眼睛比例。MedAEs 或眼睛比例在 ± 0 内没有显着差异。每个公式中 K 和 TK 的预测折射的 50D。在 TFNT00 和 839MP IOL 病例中,使用任何公式的 K 和 TK 的 MedAE 之间没有差异。在829MP IOL病例中,TK的MedAE明显大于Barrett Universal II/Barrett TK Universal II中K的MedAE(P = 0.033)。在677MY IOL病例中,来自TK的MedAE显着大于来自Haigis(P = 0.020)和Holladay 2(P = 0.006)公式的K。在 IOL 的亚组分析中,使用任何公式,K 和 TK 的预测屈光度在 ± 0.50 D 以内的眼睛比例之间没有差异。TFNT00 和 839MP IOL 对 TK 有利,677MY IOL 和 K 和 829MP IOL 处于中立位置,这需要研究新 TK 技术的准确性。