title: Prediction of mean corneal power change after pterygium excision.
abstract: OBJECTIVE
  The aim of this study was to predict the mean corneal power change preoperatively for simultaneous pterygium excision and cataract extraction.
  
  
  METHODS
  This study was performed in 2 stages. First, 66 eyes undergoing pterygium excision were recruited, and the subjects were divided into 2 groups based on a pterygium length of 2.0 mm (group 1: <2.0 mm, group 2: ≥2.0 mm). Keratometric values (K) were measured before, 1 month after, and 3 months after surgery. Multiple regression analyses were used to predict the postoperative mean K using preoperative K and morphological factors that significantly affect corneal power change. In the second stage, the regression equation was applied to 50 eyes (23 with pterygium <2.0 mm and 27 with pterygium ≥2.0 mm) in several clinics. Prediction accuracy was graded based on the difference between the calculated mean K and the postoperative mean K.
  
  
  RESULTS
  In group 1, the mean Ks did not change significantly after the surgery, and therefore, the predicted mean K was not statistically different from the preoperative mean K. In group 2, the horizontal and mean Ks steepened significantly, and the regression analysis predicted the mean K within the range of 0.5 diopter difference in 22 of 31 eyes, showing a better approximation compared with the preoperative mean K (P < 0.001). The prediction accuracy was verified similarly in other clinics, and the regression analysis was useful for pterygium exceeding a length of 2.0 mm.
  
  
  CONCLUSIONS
  Pterygium exceeding a length of 2.0 mm induced a significant corneal power change after surgery. The mean K predicted from the regression analysis could be used as an approximation for a simultaneous pterygium and cataract surgery.
authors: *Department of Ophthalmology, Hando Hospital, Ansan, Korea; †Department of Ophthalmology, Soonchunhyang University Hospital, Bucheon, Korea; ‡Ian Eye Center, Seoul, Korea; §Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea; and ¶Corneal Dystrophy Research Institute, Severance Biomedical Science Institute, Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.
authors: Sun Woong
authors: SW
authors: Kim
authors: Saemi
authors: S
authors: Park
authors: Chan Young
authors: CY
authors: Im
authors: Kyoung Yul
authors: KY
authors: Seo
authors: Eung Kweon
authors: EK
authors: Kim
mesh_terms: D002387:Cataract Extraction; D003315:Cornea / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D011625:Pterygium / Q000473:pathology / Q000601:surgery*; D012029:Refraction, Ocular / Q000502:physiology; D012030:Refractive Errors / Q000503:physiopathology*; D014792:Visual Acuity / Q000502:physiology