New formula for calculating intraocular lens power after laser in situ keratomileusis.

摘要

Purpose: To assess the validity and accuracy of a proposed formula for keratometry (K) readings after laser in situ keratomileusis (LASIK). Setting: The Eye Center and the Eye Foundation for Research, Riyadh, Saudi Arabia. Method: This studied comprised 34 eyes that had LASIK surgery. Refraction and an automated K-reading (auto-K) were performed preoperatively. Refraction, auto-K, and K-reading assessment by the clinical history method and the proposed formula were performed 4 to 12 weeks postoperatively. The proposed formula is K(postop) = K(preop) - [(N(c) - 1) x (R(a-postop) - R(a-preop))/(R(a-postop) x R(a-preop))], where K(postop) is the K-reading after LASIK, K(preop) is the K-reading before LASIK, N(c) is the index of refraction of the cornea (1.376), R(a-postop) is the radius of curvature of the anterior corneal surface after LASIK, and R(a-preop) is the radius of curvature of the anterior corneal surface before LASIK. Results: Twenty patients (10 men, 10 women) were included in the study. The mean age of the patients was 30.58 years +/- 17.68 (SD) (range 18 to 44 years). Preoperatively, the mean spherical equivalent (SE) was -4.99 +/- 2.82 diopters (D) (range -1.12 to -15.00 D), the mean R(a) was 7.76 +/- 0.32 mm (range 7.33 to 8.50 mm), and the mean auto-K reading was 43.45 +/- 1.73 D (range 39.62 to 46.00 D). Postoperatively, the mean SE was +0.02 +/- 0.63 D (range -2.75 to +1.00 D), the mean R(a) was 8.63 +/- 0.53 mm (range 7.80 to 9.92 mm), and the mean K-reading assessed by auto-K, clinical history method, and the proposed formula was 39.17 +/- 2.35 D (range 34.00 to 43.25 D), 38.79 +/- 2.52 D (range 33.1 to 42.78 D), and 38.69 +/- 2.51 D (range 33.1 to 43.0 D), respectively. The results obtained by the proposed formula were similar to those obtained by the clinical history method (P =.098). Auto-K readings significantly overestimated the K-values (P<.0001) when compared to the proposed formula and clinical history method. Conclusion: The proposed formula was simple, objective, not dependent on refraction, and as accurate as the clinical history method in determining K-readings after LASIK.