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Accuracy of the SRK/T Formula in Pediatric Cataract Surgery
PURPOSE: Determining IOL power is an important step in achieving the desired postoperative refractive target, but this determination remains challenging, as currently the used formulas were developed using IOL power calculations derived from adults. PATIENTS AND METHODS: This is a retrospective anal...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826636/ https://www.ncbi.nlm.nih.gov/pubmed/36628129 http://dx.doi.org/10.2147/OPTO.S390994 |
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author | Irfani, Irawati Wahyu, Tri Oktarima, Primawita Caesarya, Sesy Sari, Maya Karfiati, Feti |
author_facet | Irfani, Irawati Wahyu, Tri Oktarima, Primawita Caesarya, Sesy Sari, Maya Karfiati, Feti |
author_sort | Irfani, Irawati |
collection | PubMed |
description | PURPOSE: Determining IOL power is an important step in achieving the desired postoperative refractive target, but this determination remains challenging, as currently the used formulas were developed using IOL power calculations derived from adults. PATIENTS AND METHODS: This is a retrospective analytical study with the period of June 2018 to May 2019. All of the data were taken from medical records in referral tertiary eye hospital in Indonesia. All type of cataracts underwent uncomplicated surgeries and in-the-bag IOL implantation were included in this study, while aphakia, secondary IOL implantation, primary sulcus implantation, and history of ocular disorders were excluded. The data were analyzed using Wilcoxon sign-rank, paired t, and Kruskal–Wallis tests. RESULTS: Sixty-seven patients (106 eyes) were found to meet the inclusion criteria, average age was 7.35 ± 4.61 years (1.00 to 17.00 years). Average targeted refraction was 1.69 ± 2.06 D (−0.38–+6.99 D), and spherical equivalent (actual postoperative refraction) was −0.90 ± 1.45 D (−4.38 to +2.75 D). There was statistically significant difference between preoperative targeted refraction and actual postoperative refraction (p < 0.001). Mean absolute prediction error (APE) in general was 1.34 ± 1.18 D, 1.22 ± 0.88 D (in short eyes), 1.52 ± 1.37 D (in moderate eyes), and 0.69 ± 0.52 D (in long eyes) (p = 0.202). Mean APE in age group <7 years old was 1.27 ± 1.18 D and ≥7 years-old was 1.42 ± 1.19 D (p = 0.429). CONCLUSION: SRK/T formula is fairly accurate in calculating IOL power in pediatric cataract surgery. Mean APE in this study was within the range of accurate mean APE in pediatric patients despite differentiated axial length and age. |
format | Online Article Text |
id | pubmed-9826636 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-98266362023-01-09 Accuracy of the SRK/T Formula in Pediatric Cataract Surgery Irfani, Irawati Wahyu, Tri Oktarima, Primawita Caesarya, Sesy Sari, Maya Karfiati, Feti Clin Optom (Auckl) Original Research PURPOSE: Determining IOL power is an important step in achieving the desired postoperative refractive target, but this determination remains challenging, as currently the used formulas were developed using IOL power calculations derived from adults. PATIENTS AND METHODS: This is a retrospective analytical study with the period of June 2018 to May 2019. All of the data were taken from medical records in referral tertiary eye hospital in Indonesia. All type of cataracts underwent uncomplicated surgeries and in-the-bag IOL implantation were included in this study, while aphakia, secondary IOL implantation, primary sulcus implantation, and history of ocular disorders were excluded. The data were analyzed using Wilcoxon sign-rank, paired t, and Kruskal–Wallis tests. RESULTS: Sixty-seven patients (106 eyes) were found to meet the inclusion criteria, average age was 7.35 ± 4.61 years (1.00 to 17.00 years). Average targeted refraction was 1.69 ± 2.06 D (−0.38–+6.99 D), and spherical equivalent (actual postoperative refraction) was −0.90 ± 1.45 D (−4.38 to +2.75 D). There was statistically significant difference between preoperative targeted refraction and actual postoperative refraction (p < 0.001). Mean absolute prediction error (APE) in general was 1.34 ± 1.18 D, 1.22 ± 0.88 D (in short eyes), 1.52 ± 1.37 D (in moderate eyes), and 0.69 ± 0.52 D (in long eyes) (p = 0.202). Mean APE in age group <7 years old was 1.27 ± 1.18 D and ≥7 years-old was 1.42 ± 1.19 D (p = 0.429). CONCLUSION: SRK/T formula is fairly accurate in calculating IOL power in pediatric cataract surgery. Mean APE in this study was within the range of accurate mean APE in pediatric patients despite differentiated axial length and age. Dove 2023-01-04 /pmc/articles/PMC9826636/ /pubmed/36628129 http://dx.doi.org/10.2147/OPTO.S390994 Text en © 2023 Irfani et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Irfani, Irawati Wahyu, Tri Oktarima, Primawita Caesarya, Sesy Sari, Maya Karfiati, Feti Accuracy of the SRK/T Formula in Pediatric Cataract Surgery |
title | Accuracy of the SRK/T Formula in Pediatric Cataract Surgery |
title_full | Accuracy of the SRK/T Formula in Pediatric Cataract Surgery |
title_fullStr | Accuracy of the SRK/T Formula in Pediatric Cataract Surgery |
title_full_unstemmed | Accuracy of the SRK/T Formula in Pediatric Cataract Surgery |
title_short | Accuracy of the SRK/T Formula in Pediatric Cataract Surgery |
title_sort | accuracy of the srk/t formula in pediatric cataract surgery |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826636/ https://www.ncbi.nlm.nih.gov/pubmed/36628129 http://dx.doi.org/10.2147/OPTO.S390994 |
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