Accuracy of IOL power calculation formulas in Marfan lens subluxation patients with in-the-bag IOLs and implantation of scleral-sutured single-eyelet modified capsular tension rings. Issue 11 (November 2021)

• Record Type: Journal Article
• Authors: Zhang, Min; Chen, Tianhui; Deng, Michael; Chen, Zexu; Jiang, Yongxiang
• Is Part Of: Journal of cataract and refractive surgery. Volume 47:Issue 11(2021)
• Page Start: 1423
• Page End: 1429
• Publication Date: 2021-11
• Subjects: 617.7
• DOI: 10.1097/j.jcrs.0000000000000649
• Languages: English
• ISSNs: 0886-3350

Abstract

Abstract : The Haigis formula is recommended for Marfan lens subluxation patients with in-the-bag IOL and scleral-sutured single-eyelet MCTR implantation. Wang-Koch adjustment works for those with axial length longer than 25.0 mm. Abstract : Purpose: To investigate the accuracy of intraocular lens (IOL) formulas for the prediction of postoperative refraction in lens subluxation in Marfan syndrome. Setting: Eye and ENT Hospital of Fudan University, Shanghai, China. Design: Consecutive retrospective clinical observational case series. Methods: 60 eligible eyes with lens subluxation from 39 young patients with Marfan syndrome (8.53 ± 4.38 years) underwent phacoemulsification combined with single-eyelet modified capsular tension ring (MCTR) and IOL implantation. The prediction error values with mean zero out (relative prediction error) and their absolute values (AE) were calculated. Results: Generally, the SRK/T formula with Wang-Koch (WK) adjustment had the lowest median AE at 0.418 diopters (D), and the Holladay 1 with WK adjustment had the lowest mean AE at 0.499 D. The median AE of the other 10 formulas, in order from lowest to highest, were Haigis with WK (0.494 D), Holladay 1 with WK (0.495 D), Hoffer Q with WK (0.508 D), Haigis (0.525 D), T2 (0.542 D), Hoffer Q (0.624 D), SRK/T and Holladay 1 (0.660 D), Super (0.680 D), and Barrett Universal II (0.714 D) formulas. Haigis formula was found to be statistically significantly different from SRK/T, Holladay 1, and Barrett Universal II (all 3 P < .001) but not Hoffer Q ( P = .236) formula. Conclusions: The Haigis formula was recommended for young Marfan lens subluxation patients with in-the-bag IOLs and scleral-sutured single-eyelet MCTR implantation. WK adjustments were successful in those cases where the axial length was longer than 25.0 mm.