굴절교정술 후 백내장 수술 환자에서 인공수정체 도수계산법 비교

• 영문명: Comparison of Intraocular Lens Power Calculation Methods for Cataract Surgery after Refractive Surgery: A Retrospective Surgery
• 발행기관: 대한안과학회
• 저자명: 이명옥 정태영 정의상 기창원,Myoung-Ok Lee, MD, Tae-Young Chung, MD, PhD, Eui-Sang Chung, MD, PhD, Chang Won Kee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number2, 180~187쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.02.15

영문 초록

Purpose: To investigate the predictability of and propose guidelines for intraocular lens (IOL) power calculation in post-cataract surgery patients with prior corneal refractive surgery and suggest the guideline. Methods: Medical records of 18 eyes of 16 patients were retrospectively evaluated for IOL power calculation predictability using three combinations of methods: 1) clinical history method, modified Maloney method, and the Feiz-Mannis method; 2) single-K formula versus double-K formula; and 3) Three IOL formulas (SRK/T, Holladay 1, and Hoffer Q). Results: The clinical history method using the single-K formula with the SRK/T and Holliday 1 formula showed the best predictability, with an absolute error of 0.60±0.63 D and 0.74±0.60 D, respectively. The Feiz-Mannis method showed a tendency of myopic prediction, whereas the modified Maloney method showed a tendency of hyperopic prediction, especially in the patients with myopia more than 7 D prior to the refractive surgery. The double-K formula, when compared to the single-K formula, prevented hyperopic prediction when used with the clinical history method or modified Maloney method. Conclusions: IOL power calculation using the clinical history method with SRK/T or Holliday 1 formula showed the best predictability in patients after corneal refractive surgery. IOL power calculation using the modified Maloney method, however, because of the hyperopic prediction tendency, should be used cautiously, especially for patients with myopia of 7 D or more prior to the refractive surgery. J Korean Ophthalmol Soc 2010;51(2):180-187

키워드

Cataract, Corneal refractive surgery, IOL power calculation