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pubblicata il 05.10.2013

Savini, Giacomo, et al. "Intraocular lens power calculation by ray-tracing after myopic excimer laser surgery." American journal of ophthalmology 157.1 (2014): 150-153.


Author information: Giovanni Battista Bietti Foundation, Istituto di Ricerca e Cura a Carattere Scientifico, Rome, Italy. Electronic address: giacomo.savini@alice.it. 2 Casa di Cura San Camillo, Forte dei Marmi, Italy. 3 Studio Oculistico d'Azeglio, Bologna, Italy. 4 Giovanni Battista Bietti Foundation, Istituto di Ricerca e Cura a Carattere Scientifico, Rome, Italy. 5 Jules Stein Eye Institute, University of California, Los Angeles, Los Angeles, California, and St. Mary's Eye Center, Santa Monica, California.

PURPOSE:

To investigate the refractive outcomes of intraocular lens (IOL) power calculation by ray-tracing after myopic excimer laser surgery.

DESIGN:

Prospective, interventional case series.

METHODS:

setting: Multicenter study. participants: Twenty-one eyes of 21 patients undergoing phacoemulsification and IOL implantation after myopic laser in situ keratomileusis or photorefractive keratectomy were enrolled. intervention: IOL power calculation was performed using internal software of a Scheimpflug camera combined with a Placido disc corneal topographer (Sirius; CSO). Exact ray-tracing was carried out after the axial length (measured either by immersion ultrasound biometry or partial coherence interferometry), target refraction, and pupil size had been entered. main outcome measures: Median absolute error, mean absolute error, and mean arithmetic error in refraction prediction, that is, the difference between the expected refraction (as calculated by the software) and the actual refraction 1 month after surgery.

RESULTS:

The mean postoperative refraction was -0.43 ± 1.08 diopters (D), with a range between -1.28 and 0.85 D. The mean arithmetic error was -0.13 ± 0.49 D. The median and mean absolute errors were +0.25 D and 0.36 D, respectively. Also, 71.4% of the eyes were within ± 0.50 D of the predicted refraction, 85.7% were within ± 1.00 D, and 100% within ± 1.50 D.

CONCLUSIONS:

Ray-tracing can calculate IOL power accurately in eyes with prior myopic laser in situ keratomileusis and photorefractive keratectomy, with no need for preoperative data.

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