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Power prediction for one‐piece and three‐piece intraocular lens implantation after cataract surgery in patients with chronic angle‐closure glaucoma: a prospective, randomized clinical trial
Author(s) -
Rhiu Soolienah,
Lee Eun Suk,
Kim Taeim,
Lee Hye Sun,
Kim Chan Yun
Publication year - 2012
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2012.02499.x
Subject(s) - medicine , ophthalmology , intraocular lens , glaucoma , cataract surgery , mean difference , significant difference , surgery , confidence interval
. Purpose: To assess the accuracy of intraocular lens (IOL) power prediction for cataract surgery in chronic angle‐closure glaucoma (CACG) patients with different IOLs’ implantation. Methods: This prospective randomized clinical trial included 45 eyes with CACG and 48 eyes with normal controls undergoing cataract surgery. In the CACG group, 23 eyes (51%) had three‐piece IOL implantation and 22 eyes (49%) had one‐piece IOL implantation. In the normal control group, 25 eyes (52%) had three‐piece IOL implantation and 23 eyes (48%) had one‐piece IOL implantation. Using the SRK/T formula, the mean difference between the predicted and actual postoperative spherical equivalent [mean absolute error (MAE)] was obtained and converted to natural logarithm (ln) for statistical analysis. The power of the implanted IOL was calculated to predict postoperative SE using three formulas: SRK II, Holladay II and Hoffer Q by post hoc analysis in each group. The predictive accuracy of each formula was analysed by comparing the lnMAE. Results: In the one‐piece IOL group, there was no difference in lnMAE between the CACG and normal control group (p = 0.314). In the three‐piece IOL group, the lnMAE of the CACG group was larger than that of the normal control group (p < 0.001). The lnMAEs calculated by the SRK/T formula were more accurate than the Holladay II (p = 0.045) and Hoffer Q (p = 0.042) formula in the CACG one‐piece IOL group. Conclusions: Implantation of one‐piece IOLs provides similar power prediction accuracy comparable to normal cataract patients; this result may be explained by the IOL haptic configuration or design.