Intraocular lens power calculation in eyes with previous corneal refractive surgery  

作　　者：Giacomo Savini Kenneth J.Hoffer 

机构地区：[1]G.B.Bietti Eye Foundation,Rome,Italy. [2]Stein Eye Institute,University of California,Los Angeles,CA,USA.3 St.Mary’s Eye Center,Santa Monica,CA,USA

出　　处：《Eye and Vision》2018年第1期172-181,共10页眼视光学杂志（英文）

基　　金：The contribution of G.B.Fondazione Bietti IRCCS was supported by the Italian Ministry of Health and Fondazione Roma.

摘　　要：Background:This review aims to explain the reasons why intraocular lens(IOL)power calculation is challenging in eyes with previous corneal refractive surgery and what solutions are currently available to obtain more accurate results.Review:After IOL implantation in eyes with previous LASIK,PRK or RK,a refractive surprise can occur because (i)the altered ratio between the anterior and posterior corneal surface makes the keratometric index invalid;(ii)the corneal curvature radius is measured out of the optical zone;and (iii)the effective lens position is erroneously predicted if such a prediction is based on the post-refractive surgery corneal curvature.Different methods are currently available to obtain the best refractive outcomes in these eyes,even when the perioperative data(i.e.preoperative corneal power and surgically induced refractive change)are not known.In this review,we describe the most accurate methods based on our clinical studies.Conclusions:IOL power calculation after myopic corneal refractive surgery can be calculated with a variety of methods that lead to relatively accurate outcomes,with 60 to 70%of eyes showing a prediction error within 0.50 diopters.

关 键 词：CATARACT Intraocular lens power LASIK PRK Excimer laser Corneal surgery KERATOMETRY 

分 类 号：R73[医药卫生—肿瘤]