Development of a new intraocular lens power calculation method based on lens position estimated with optical coherence tomography.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
16 04 2020
Historique:
received: 06 09 2019
accepted: 01 04 2020
entrez: 18 4 2020
pubmed: 18 4 2020
medline: 18 4 2020
Statut: epublish

Résumé

A new method is developed and validated for intraocular lens (IOL) power calculation based on paraxial ray tracing of the postoperative IOL positions, which are obtained with the use of anterior segment optical coherence tomography. Of the 474 eyes studied, 137 and 337 were grouped into training and validation sets, respectively. The positions of the implanted IOLs of the training datasets were characterized with multiple linear regression analyses one month after the operations. A new regression formula was developed to predict the postoperative anterior chamber depth with the use of the stepwise analysis results. In the validation dataset, postoperative refractive values were calculated according to the paraxial ray tracing of the cornea and lens based on the assumption of finite structural thicknesses with separate surface curvatures. The predicted refraction error was calculated as the difference of the expected postoperative refraction from the spherical-equivalent objective refraction values. The percentage error (within ±0.50 diopters) of the new formula was 84.3%. This was not significantly correlated to the axial length or keratometry. The developed formula yielded excellent postoperative refraction predictions and could be applicable to eyes with abnormal proportions, such as steep or flat corneal curvatures and short and long axial lengths.

Identifiants

pubmed: 32300162
doi: 10.1038/s41598-020-63546-y
pii: 10.1038/s41598-020-63546-y
pmc: PMC7162886
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

6501

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Auteurs

Tsukasa Satou (T)

Department of Orthoptics and Visual Sciences, School of Health Sciences, International University of Health and Welfare, Tochigi, Japan. tsukasa@iuhw.ac.jp.
Sanno Hospital, Tokyo, Japan. tsukasa@iuhw.ac.jp.
International University of Health and Welfare, Tochigi, Japan. tsukasa@iuhw.ac.jp.

Kimiya Shimizu (K)

Sanno Hospital, Tokyo, Japan.
International University of Health and Welfare, Tochigi, Japan.

Shuntaro Tsunehiro (S)

Sanno Hospital, Tokyo, Japan.
International University of Health and Welfare, Tochigi, Japan.

Akihito Igarashi (A)

Sanno Hospital, Tokyo, Japan.
International University of Health and Welfare, Tochigi, Japan.

Sayaka Kato (S)

Sanno Hospital, Tokyo, Japan.

Manabu Koshimizu (M)

Sanno Hospital, Tokyo, Japan.
International University of Health and Welfare, Tochigi, Japan.

Takahiro Niida (T)

Department of Orthoptics and Visual Sciences, School of Health Sciences, International University of Health and Welfare, Tochigi, Japan.
International University of Health and Welfare, Tochigi, Japan.

Classifications MeSH