The Development of a Thick-Lens Post-Myopic Laser Vision Correction Intraocular Lens Calculation Formula

Am J Ophthalmol. 2024 Jun:262:40-47. doi: 10.1016/j.ajo.2023.09.023. Epub 2023 Oct 19.

Abstract

Purpose: To describe the development of the post-myopic laser vision correction (LVC) version of the PEARL-DGS intraocular lens (IOL) calculation formula and to evaluate its outcomes on an independent test set.

Design: Retrospective, single-center case series.

Methods: A modified lens position prediction algorithm was designed along with methods to predict the posterior corneal curvature radius and correct the corneal power measurement error. A different set of previously operated eyes that underwent LVC was used to evaluate the prediction precision of the post-LVC formula.

Results: Post-LVC PEARL-DGS formula significantly reduced mean absolute error of prediction in comparison to Haigis-L, Shammas, and American Society of Cataract and Refractive Surgery (ASCRS) average formulas (P < .001). It exhibited similar postoperative refractive precision as the Barrett True-K No History formula (P = .61).

Conclusion: The post-LVC formula development process described in this article performed as well as the state-of-the-art post-LVC formula on the present test set. Further studies are required to assess its efficacy in other independent sets.

MeSH terms

  • Adult
  • Aged
  • Algorithms*
  • Biometry*
  • Female
  • Humans
  • Keratomileusis, Laser In Situ / methods
  • Lens Implantation, Intraocular*
  • Lenses, Intraocular*
  • Male
  • Middle Aged
  • Myopia* / physiopathology
  • Myopia* / surgery
  • Optics and Photonics*
  • Phacoemulsification
  • Refraction, Ocular* / physiology
  • Retrospective Studies
  • Visual Acuity* / physiology