Analysis of intraocular lens power calculation for eyes with previous myopic LASIK.
OBJECTIVE
To evaluate the effectiveness of a manual keratometry (K) adjusted value for intraocular lens (IOL) power calculation in patients who underwent cataract surgery following previous myopic LASIK.


METHODS
Sixteen eyes of 14 consecutive patients who underwent cataract surgery after previous LASIK were evaluated retrospectively. All IOL powers were calculated using an adjusted K value (K minus 1.0 diopter [D]) with the Binkhorst II formula aiming for -0.75 to -1.00 D final refraction. Additionally, the IOL power for each eye was retrospectively calculated using K, refractive-derived K, and adjusted K with the Binkhorst II, Holladay I, and SRK/T formulas. The final refraction was used as a criterion of accuracy of each approach.


RESULTS
Uncorrected visual acuity > or = 20/40 was achieved in 14 (87.5%) of 16 eyes. The mean postoperative spherical equivalent refraction was -0.41 +/- 0.57 D (range: +0.50 to -2.00 D). Twelve (75%) of 16 eyes were within +/- 0.50 D of emmetropia and 15 (94%) of 16 eyes were within +/- 1.00 D. No eye was > +1.00 D.


CONCLUSIONS
Using an adjusted K with the Binkhorst II formula, aiming for -0.75 to -1.00 D, and with the Holladay I formula, aiming for -0.50 to -1.00 D, measuring K with a regular manual keratometer permits determination of an IOL power after myopic LASIK without the need of preoperative LASIK refractive data.
Jin
George J C
GJ
The Eye Institute of Utah, 755 E 3900 South, Salt Lake City, UT 84107, USA. georgejin@hotmail.com
Crandall
Alan S
AS
Jin
Yian
Y
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D055095:Optics and Photonics; D012029:Refraction, Ocular; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity