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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2007, Number 6

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Rev Mex Oftalmol 2007; 81 (6)

Análisis del error en el cálculo de lente intraocular en cirugía de facoemulsificación no complicada

García-Aguirre JG, Amparo-Pulido F
Full text How to cite this article

Language: Spanish
References: 7
Page: 317-320
PDF size: 92.58 Kb.


Key words:

Lens implantation, intraocular, cataract extraction.

ABSTRACT

Purpose: To determine the intraocular lens (IOL) calculation error in uncomplicated phacoemulsification procedures, and to determine if there are variables that influence such error.
Methods: Retrospective revision of data of patients, who underwent uncomplicated phacoemulsification and IOL implant between January and April, 2004. The differences between planned and achieved refraction, and the percentage of patients falling within ±0.50 D, ±1.00 D and ±2.00 D of the planned refraction were calculated. The relation between IOL calculation error and axial length, the method to measure such length, the experience of the technician and the formula used was also analyzed.
Results: Data from 885 procedures was reviewed; 471 eyes (362 patients) were included. Average IOL calculation error was -0.305 ±0.825 D. The percentage of patients falling within ±0.50 D, ±1.00 D and ±2.00 D was 48.83%, 77.91% and 97.66%, respectively. There was no relation between IOL calculation error and axial length, the method to measure such length, the experience of the technician and the formula used.
Conclusions: These data provide reference information that can be used to monitor clinical practice.


REFERENCES

  1. McEwan JR, Massengill RK, Friedel SD. Effect of keratometer and axial length measurement errors on primary implant power calculations. J Cataract Refract Surg 1990; 16:61–70.

  2. Courtright P, Paton K, McCarthy JM y cols. An epidemiologic investigation of unexpected refractive errors following cataract surgery. Can J Ophthalmol 1998; 33:210–215.

  3. Olsen T, Olesen H. IOL power mislabelling. Acta Ophthalmol Scand 1993; 71:99–102.

  4. Olsen T. Sources of error in intraocular lens power calculation. J Cataract Refract Surg 1992; 18:125–129.

  5. Brandser R, Haaskjold E, Drolsum L. Accuracy of IOL calculation in cataract surgery. Acta Ophthalmol Scand 1997; 75:162–165.

  6. Stenevi U, Lundström M, Thorburn W. An outcome study of cataract surgery based on a national register. Acta Ophthalmol Scand 1997; 75:688–691.

  7. Murphy C, Tuft SJ, Minassian DC. Refractive error and visual outcome after cataract extraction. J Cataract Refract Surg 2002; 28:62–66.




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Rev Mex Oftalmol. 2007;81