Comparison of refractive outcomes using Scheimpflug Holladay equivalent keratometry or IOLMaster 700 keratometry for IOL power calculation.

Abstract

This study aims to compare postoperative refractive error results using Pentacam (Oculus Optikgeräte GmbH) Holladay equivalent keratometry readings (EKR) or IOLMaster 700 (Carl Zeiss Meditec AG) keratometry (K) values in IOL power calculation. This retrospective study included 54 eyes of 31 patients who underwent cataract surgery. Preoperative biometric measurements of all patients were obtained using IOLMaster 700 followed by Pentacam measurements. IOLMaster 700K measurements on horizontal (K1) and vertical (K2) axes and EKR measurements on 2mm (EKR2mm), 3mm (EKR3mm) and 4.5mm (EKR4.5mm) corneal zones were recorded. EKR4.5mm value and IOLMaster 700K values were used in Holladay-II, SRK/T, Haigis, and Hoffer-Q formulas to calculate predictive refractive error (PRE). Absolute refractive error (ARE) was calculated as the absolute difference between actual postoperative refractive error (APRE) and PRE values. Mean age was 72.2 ± 8.3 (51-87) years and mean IOL power was 21.5 ± 2.9 D (18-23 D). There was no significant difference between PRE values when IOLMaster 700K measurements and EKR4.5mmK measurements were used in Holladay-II, SRK/T, Haigis, and Hoffer-Q formulas (p = 0.571, p = 0.833, p = 0.165, p = 0.347, respectively). There was no significant difference between APRE and ARE values (p = 0.124). According to mean ARE results, the closest estimate was achieved when the IOLMaster 700K values were used in the Holladay-II formula (p = 0.271). IOLMaster 700K measurement and Pentacam EKR4.5mm measurements can be used interchangeably. IOLMaster 700K values yielded the most predictive measurement of the refractive result using the Holladay-II formula.