Calculation of Unknown Preoperative K Readings in Postrefractive Surgery Patients

Purpose. To determine the unknown preoperative K readings (Kpre) to be used in history-based methods, for intraocular lens (IOL) power calculation in patients who have undergone myopic photorefractive keratectomy (PRK). Methods. A regression formula generated from the left eyes of 174 patients who h...

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Main Authors: Nicola Rosa, Maddalena De Bernardo, Maria Borrelli
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/3120941
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author Nicola Rosa
Maddalena De Bernardo
Maria Borrelli
author_facet Nicola Rosa
Maddalena De Bernardo
Maria Borrelli
author_sort Nicola Rosa
collection DOAJ
description Purpose. To determine the unknown preoperative K readings (Kpre) to be used in history-based methods, for intraocular lens (IOL) power calculation in patients who have undergone myopic photorefractive keratectomy (PRK). Methods. A regression formula generated from the left eyes of 174 patients who had undergone PRK for myopia or for myopic astigmatism was compared with other methods in 168 right eyes. The Pearson index and paired t-test were utilized for statistical analysis. Results. The differences between Kpre and those obtained with the other methods were as follows: 0.61 ± 0.94 D (range: −3.94 to 2.05 D, p<0.01) subtracting the effective treatment, 0.01 ± 0.86 D (range: −2.61 to 2.34 D, p=0.82) with Rosa’s formula, −0.02 ± 1.31 D (range: −3.43 to 3.68 D, p=0.82) with the current study formula, and −0.43 ± 1.40 D (range: −3.98 to 3.12 D, p<0.01) utilizing a mean K (Km) of 43.5 D. Conclusions. These formulas may permit the utilization of history-based methods, that is, the double-K method in calculating the IOL power following PRK when Kpre are unknown.
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issn 2090-004X
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spelling doaj-art-49bf0c4b497b43aca3e879238fb981162025-02-03T01:21:15ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/31209413120941Calculation of Unknown Preoperative K Readings in Postrefractive Surgery PatientsNicola Rosa0Maddalena De Bernardo1Maria Borrelli2Department of Medicine and Surgery, University of Salerno, Salerno, ItalyDepartment of Medicine and Surgery, University of Salerno, Salerno, ItalyDepartment of Ophthalmology, Heinrich Heine University Düsseldorf, Düsseldorf, GermanyPurpose. To determine the unknown preoperative K readings (Kpre) to be used in history-based methods, for intraocular lens (IOL) power calculation in patients who have undergone myopic photorefractive keratectomy (PRK). Methods. A regression formula generated from the left eyes of 174 patients who had undergone PRK for myopia or for myopic astigmatism was compared with other methods in 168 right eyes. The Pearson index and paired t-test were utilized for statistical analysis. Results. The differences between Kpre and those obtained with the other methods were as follows: 0.61 ± 0.94 D (range: −3.94 to 2.05 D, p<0.01) subtracting the effective treatment, 0.01 ± 0.86 D (range: −2.61 to 2.34 D, p=0.82) with Rosa’s formula, −0.02 ± 1.31 D (range: −3.43 to 3.68 D, p=0.82) with the current study formula, and −0.43 ± 1.40 D (range: −3.98 to 3.12 D, p<0.01) utilizing a mean K (Km) of 43.5 D. Conclusions. These formulas may permit the utilization of history-based methods, that is, the double-K method in calculating the IOL power following PRK when Kpre are unknown.http://dx.doi.org/10.1155/2018/3120941
spellingShingle Nicola Rosa
Maddalena De Bernardo
Maria Borrelli
Calculation of Unknown Preoperative K Readings in Postrefractive Surgery Patients
Journal of Ophthalmology
title Calculation of Unknown Preoperative K Readings in Postrefractive Surgery Patients
title_full Calculation of Unknown Preoperative K Readings in Postrefractive Surgery Patients
title_fullStr Calculation of Unknown Preoperative K Readings in Postrefractive Surgery Patients
title_full_unstemmed Calculation of Unknown Preoperative K Readings in Postrefractive Surgery Patients
title_short Calculation of Unknown Preoperative K Readings in Postrefractive Surgery Patients
title_sort calculation of unknown preoperative k readings in postrefractive surgery patients
url http://dx.doi.org/10.1155/2018/3120941
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