Prospective evaluation of the ESCRS online calculator for calculation of a multifocal intraocular lens.

Abstract

To evaluate a recently introduced ESCRS online calculator for intraocular lens (IOL) calculation of a multifocal IOL in refractive lens exchange and cataract surgery in a prospective setting. Department of Ophthalmology, Goethe University Frankfurt, Germany. Prospective, consecutive case series. We included eyes that received lens extraction and multifocal IOL implantation. We compared the mean prediction error (MPE), mean and median absolute prediction error (MAE, MedAE) of the online calculator provided by the European Society of Cataract and Refractive Surgeons (ESCRS), and number of eyes within ±0.5, ±1.0, ±2.0 diopters (D) of target refraction. Additionally, the SRK/T formula was included for comparison as well. Postoperative spherical equivalent was measured at 3 months. Only one eye per patient was included. Eighty-eight eyes from 88 patients with mean age of 62 years ± 9.5 were included. The MedAE was low for all formulas and ranged from 0.26D (Kane), Hill-RBF (0.27D), Hoffer QST (0.27D), Barrett (0.28D), EVO (0.29D), Cooke K6 (0.27D), 0.30D (Pearl DGS) to 0.31D (SRK/T). No statistically significant difference was found (p = 0.627). Considering the number of eyes within ±0.5D of the calculated refraction the best performing was again the Hill-RBF (84%, 74 eyes), again followed by Kane (71, 81%), EVO, Pearl DGS, Hoffer QST, Barrett (each 80%, 70 eyes),Cooke K6 (78%, 69 eyes), and SRK/T (74%). Again, no statistically significant difference was found (p = 0.39). Using recently introduced ESCRS online IOL calculator in multifocal intraocular lenses leads to a high number of eyes reaching target refraction and low prediction errors. All formulas performed similar well. However, Hill-RBF showed the highest number of eyes within ±0.5D, but no significance was found regarding this.