1. The refractive accuracy between topographic keratometry and biometric keratometry for extended depth-of-focus intraocular lens implantation.
- Author
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Lee CY, Yang SF, Chen HC, Lian IB, Huang JY, and Chang CK
- Subjects
- Humans, Male, Female, Retrospective Studies, Aged, Middle Aged, Lenses, Intraocular, Cornea surgery, Cornea pathology, Cornea diagnostic imaging, Corneal Topography methods, Cataract Extraction methods, Aged, 80 and over, Lens Implantation, Intraocular methods, Visual Acuity, Biometry methods, Refraction, Ocular physiology
- Abstract
Purpose: To investigate the influence of different keratometry (K) measurements on the postoperative outcomes of cataract surgery with extended depth-of-focus (EDOF) intraocular lens (IOL) implantation. Methods: A retrospective cohort study was conducted, and patients who received cataract surgery and one type of EDOF IOL implantation were included. The patients were then categorized according to K measurements, and 70 and 30 eyes were included in the biometric-K and topographic-K groups, respectively. The primary outcomes were postoperative uncorrected distance visual acuity (UDVA), spherical equivalent (SE) and cylinder power. A generalized linear model was applied to compare the adjusted odds ratios (aORs) and 95% confidence intervals (CIs) of the outcomes between groups. Results: One month after surgery, the UDVA was 0.15 and 0.07 in the biometric-K group and topographic-K group, respectively. Furthermore, the final SEs were -0.42 D and -0.13 D in the biometric-K group and topographic-K group, respectively, and the final cylinder powers were -0.35 D and -0.13 D in the biometric-K group and topographic-K group, respectively. According to the multivariate analysis, the topographic-K group presented a significantly better UDVA (P = 0.044) and significantly lower cylinder power (P = 0.031) than the biometric-K group. Angle kappa was significantly correlated with high postoperative astigmatism in the topographic-K group (P = 0.033), whereas angle kappa, steep K, and corneal cylinder powers were significantly correlated with high postoperative astigmatism in the biometric-K group (all P < 0.05). Conclusion: Topography-based K measurements yielded better refractive outcomes than biometric-based K measurements did., Competing Interests: Competing Interests: The authors have declared that no competing interest exists., (© The author(s).)
- Published
- 2024
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