To evaluate the accuracy of various variations of new-generation multivariate intraocular lens (IOL) power calculation using the Barrett Universal II, Castrop, EVO 2.0, Hill-RBF 3.0, Kane, and PEARL-DGS formulae with and without optional biometric parameters. Tertiary care academic medical center. retrospective case series. ology: Single-center study. Inclusion of patients after uneventful cataract surgery implanting AU00T0 IOLs. Data from one single eye per patient were randomly included. Eyes with a best-corrected visual acuity worse than 0.1 logMAR were excluded. IOLCON-optimized constants were used for all formulae other than the Castrop formula. The outcome measures were prediction error (PE) and absolute prediction error (absPE) for the 6 study formulae. 251 eyes from 251 patients were assessed. Excluding lens thickness (LT) led to statistically significant differences in absPE in several formulae. Leaving out horizontal corneal diameter impacted absPE in several formulae . Differences in PE offset were observed between the various formula variations. When using multivariable formulae with an A-constant, including certain optional parameters is vital for optimal refractive results. Formula variations excluding certain biometric parameters need specifically optimized constants and do not perform similarly when using the constant of the respective formula using all parameters.
Read full abstract