Development of a program for toric intraocular lens calculation considering posterior corneal astigmatism, incision-induced posterior corneal astigmatism, and effective lens position

Youngsub Eom, Dongok Ryu, Dae Wook Kim, Seul Ki Yang, Jong Suk Song, Sug Whan Kim, Hyo Myung Kim

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

Background: To evaluate the toric intraocular lens (IOL) calculation considering posterior corneal astigmatism, incision-induced posterior corneal astigmatism, and effective lens position (ELP). Methods: Two thousand samples of corneal parameters with keratometric astigmatism ≥ 1.0 D were obtained using bootstrap methods. The probability distributions for incision-induced keratometric and posterior corneal astigmatisms, as well as ELP were estimated from the literature review. The predicted residual astigmatism error using method D with an IOL add power calculator (IAPC) was compared with those derived using methods A, B, and C through Monte-Carlo simulation. Method A considered the keratometric astigmatism and incision-induced keratometric astigmatism, method B considered posterior corneal astigmatism in addition to the A method, method C considered incision-induced posterior corneal astigmatism in addition to the B method, and method D considered ELP in addition to the C method. To verify the IAPC used in this study, the predicted toric IOL cylinder power and its axis using the IAPC were compared with ray-tracing simulation results. Results: The median magnitude of the predicted residual astigmatism error using method D (0.25 diopters [D]) was smaller than that derived using methods A (0.42 D), B (0.38 D), and C (0.28 D) respectively. Linear regression analysis indicated that the predicted toric IOL cylinder power and its axis had excellent goodness-of-fit between the IAPC and ray-tracing simulation. Conclusions: The IAPC is a simple but accurate method for predicting the toric IOL cylinder power and its axis considering posterior corneal astigmatism, incision-induced posterior corneal astigmatism, and ELP.

Original languageEnglish
Pages (from-to)1977-1986
Number of pages10
JournalGraefe's Archive for Clinical and Experimental Ophthalmology
Volume254
Issue number10
DOIs
Publication statusPublished - 2016 Oct 1

Bibliographical note

Funding Information:
This study was supported in part by the SRC program (2010-0027910) of the Center for Galaxy Evolution Research (CGER), by the Korea Astronomy and Space Science Institute under the R&D program (Project No. 2014-9-710-03) supervised by the Ministry of Science, ICT and Future Planning, South Korea, and by the Busan Sungmo Eye Hospital Sodam Scholarship Committee, Busan, South Korea. The sponsor had no role in the design or conduct of this research.

Publisher Copyright:
© 2016, Springer-Verlag Berlin Heidelberg.

All Science Journal Classification (ASJC) codes

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

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