AI Article Synopsis

  • This study compares two methods of calculating intraocular lens (IOL) power for three types of presbyopia-correcting lenses, specifically the Barrett TK Universal II and Barrett Universal II TCRP.
  • It involved 64 patients who had their eye measurements taken using two different devices, the IOLMaster 700 and Pentacam HR, to assess the accuracy of their readings.
  • Results indicated small but significant differences in eye measurements and recommended IOL powers from the two calculation methods, showing that the Barrett TK Universal II is just as effective as the TCRP-based version and highlights the need for measurement consistency across devices.

Article Abstract

Purpose: To compare Barrett TK Universal II and Barrett Universal II TCRP calculations in the power calculations for 3 presbyopia-correcting intraocular lenses (PC-IOL).

Methods: This observational study involved 64 eyes from 64 patients who prepared to undergo extraction of crystalline lenses combined with PC-IOL (Symfony ZXR00, PanOptix TFNT00, or AT LISA tri 839MP) implantation. All eyes underwent ocular biometric measurements with IOLMaster 700 and Pentacam HR, and the interdevice agreement of measurements including total keratometry (TK, IOLMaster 700) and total corneal refractive power (TCRP, Pentacam HR) was evaluated. IOL power calculations were performed using TK-based Barrett TK Universal II and TCRP-based Barrett Universal II calculations, respectively.

Results: Paired -tests showed that the differences in white-to-white diameter, central corneal thickness, anterior chamber depth, and mean TK between IOLMaster 700 and Pentacam HR were slight but significant (all P<0.05), and the differences in recommended IOL power for emmetropia between two Barrett calculations were also significant in 3 PC-IOLs (all P<0.05). The ROC curve showed that the AUC was 0.917 (95% CI, 0.820-0.971) for the absolute value of the difference between TK and TCRP in discriminating the difference of ≥ ±0.5 D in predicted IOL power with best cutoff values of 0.4 D.

Conclusion: The novel Barrett TK Universal II formula built in IOLMaster 700 is comparable to TCRP-based Barrett Universal II calculation for IOL power calculation of PC-IOLs, and the convenience of using the Barrett TK Universal II formula should be founded on measurement consistency between devices.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11137930PMC
http://dx.doi.org/10.2147/OPTH.S461195DOI Listing

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