Accuracy of 12 IOL power calculation formulas in highly myopic eyes

Purpose: To assess and compare the accuracy of 12 intraocular lens (IOL) power calculation formulas after cataract phacoemulsification surgery in eyes with an axial length (AL) greater than or equal to 26.00 mm (≥ 26.00 mm). Methods: A retrospective case series study including 72 eyes with an AL ≥ 2...

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Autores: Vilaltella Ortiz, Magí, Cid-Bertomeu, Pau, Serés-Noriega, Tonet, Huerva, Valentín
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:repositori.udl.cat:10459.1/468995
Acceso en línea:https://doi.org/10.1007/s10792-025-03608-0
https://hdl.handle.net/10459.1/468995
Access Level:acceso abierto
Palabra clave:Cataract surgery
Highly myopic eyes
Intraocular lens power calculation formulas
Long eyes
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spelling Accuracy of 12 IOL power calculation formulas in highly myopic eyesVilaltella Ortiz, MagíCid-Bertomeu, PauSerés-Noriega, TonetHuerva, ValentínCataract surgeryHighly myopic eyesIntraocular lens power calculation formulasLong eyesPurpose: To assess and compare the accuracy of 12 intraocular lens (IOL) power calculation formulas after cataract phacoemulsification surgery in eyes with an axial length (AL) greater than or equal to 26.00 mm (≥ 26.00 mm). Methods: A retrospective case series study including 72 eyes with an AL ≥ 26.00 mm that underwent uneventful cataract surgery. Twelve IOL power calculation formulas were evaluated: SRK/T, Holladay 1, Haigis, Holladay 2, Barrett Universal II, Kane, EVO, Pearl-DGS, Hill RBF 3.0, SRK/T and Holladay 1 with the modified W-K AL adjustment, and Holladay 2 with the non-linear W-K AL adjustment. The median absolute error (MedAE), mean absolute error (MAE) and the percentage of eyes within specific prediction error thresholds were calculated and compared across formulas after adjusting the mean error to zero. Results: Holladay 1modified W-K obtained the lowest MedAE (0.215 DP), followed by Kane (0.233 DP), Barrett (0.246 DP), Pearl and EVO (0.252 DP). Barrett, Kane and EVO yielded significantly lower MedAEs compared to SRK/T (p < 0.05); and Holladay 1modified W-K yielded significantly lower MedAEs compared to SRK/Tmodified W-K (p < 0.05). Holladay 1modified W-K achieved the lowest MAE (0.314 DP), followed very closely by Barrett (0.317 DP), and subsequently by Pearl (0.324 DP), Kane (0.329 DP) and EVO (0.331 DP). Conclusion: Our study reflects a superior accuracy of the Holladay 1modified W-K formula, along with the Kane, Barrett, EVO and Pearl-DGS formulas in predicting refractive outcomes for eyes with an AL greater than 26.00 mm undergoing cataract phacoemulsification surgery.Springer2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://doi.org/10.1007/s10792-025-03608-0https://hdl.handle.net/10459.1/468995reponame:Repositori Obert UdL instname:Universitat de Lleida (UdL)InglésReproducció del document publicat a: https://doi.org/10.1007/s10792-025-03608-0International Ophthalmology, 2025, vol. 45, núm. 1cc-by (c)The Authors, 2025Attribution 4.0 Internationalinfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/oai:repositori.udl.cat:10459.1/4689952026-06-24T12:42:17Z
dc.title.none.fl_str_mv Accuracy of 12 IOL power calculation formulas in highly myopic eyes
title Accuracy of 12 IOL power calculation formulas in highly myopic eyes
spellingShingle Accuracy of 12 IOL power calculation formulas in highly myopic eyes
Vilaltella Ortiz, Magí
Cataract surgery
Highly myopic eyes
Intraocular lens power calculation formulas
Long eyes
title_short Accuracy of 12 IOL power calculation formulas in highly myopic eyes
title_full Accuracy of 12 IOL power calculation formulas in highly myopic eyes
title_fullStr Accuracy of 12 IOL power calculation formulas in highly myopic eyes
title_full_unstemmed Accuracy of 12 IOL power calculation formulas in highly myopic eyes
title_sort Accuracy of 12 IOL power calculation formulas in highly myopic eyes
dc.creator.none.fl_str_mv Vilaltella Ortiz, Magí
Cid-Bertomeu, Pau
Serés-Noriega, Tonet
Huerva, Valentín
author Vilaltella Ortiz, Magí
author_facet Vilaltella Ortiz, Magí
Cid-Bertomeu, Pau
Serés-Noriega, Tonet
Huerva, Valentín
author_role author
author2 Cid-Bertomeu, Pau
Serés-Noriega, Tonet
Huerva, Valentín
author2_role author
author
author
dc.subject.none.fl_str_mv Cataract surgery
Highly myopic eyes
Intraocular lens power calculation formulas
Long eyes
topic Cataract surgery
Highly myopic eyes
Intraocular lens power calculation formulas
Long eyes
description Purpose: To assess and compare the accuracy of 12 intraocular lens (IOL) power calculation formulas after cataract phacoemulsification surgery in eyes with an axial length (AL) greater than or equal to 26.00 mm (≥ 26.00 mm). Methods: A retrospective case series study including 72 eyes with an AL ≥ 26.00 mm that underwent uneventful cataract surgery. Twelve IOL power calculation formulas were evaluated: SRK/T, Holladay 1, Haigis, Holladay 2, Barrett Universal II, Kane, EVO, Pearl-DGS, Hill RBF 3.0, SRK/T and Holladay 1 with the modified W-K AL adjustment, and Holladay 2 with the non-linear W-K AL adjustment. The median absolute error (MedAE), mean absolute error (MAE) and the percentage of eyes within specific prediction error thresholds were calculated and compared across formulas after adjusting the mean error to zero. Results: Holladay 1modified W-K obtained the lowest MedAE (0.215 DP), followed by Kane (0.233 DP), Barrett (0.246 DP), Pearl and EVO (0.252 DP). Barrett, Kane and EVO yielded significantly lower MedAEs compared to SRK/T (p < 0.05); and Holladay 1modified W-K yielded significantly lower MedAEs compared to SRK/Tmodified W-K (p < 0.05). Holladay 1modified W-K achieved the lowest MAE (0.314 DP), followed very closely by Barrett (0.317 DP), and subsequently by Pearl (0.324 DP), Kane (0.329 DP) and EVO (0.331 DP). Conclusion: Our study reflects a superior accuracy of the Holladay 1modified W-K formula, along with the Kane, Barrett, EVO and Pearl-DGS formulas in predicting refractive outcomes for eyes with an AL greater than 26.00 mm undergoing cataract phacoemulsification surgery.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1007/s10792-025-03608-0
https://hdl.handle.net/10459.1/468995
url https://doi.org/10.1007/s10792-025-03608-0
https://hdl.handle.net/10459.1/468995
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1007/s10792-025-03608-0
International Ophthalmology, 2025, vol. 45, núm. 1
dc.rights.none.fl_str_mv cc-by (c)The Authors, 2025
Attribution 4.0 International
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
rights_invalid_str_mv cc-by (c)The Authors, 2025
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Repositori Obert UdL
instname:Universitat de Lleida (UdL)
instname_str Universitat de Lleida (UdL)
reponame_str Repositori Obert UdL
collection Repositori Obert UdL
repository.name.fl_str_mv
repository.mail.fl_str_mv
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