American Journal of Ophthalmology Case Reports (Jun 2024)

Intraocular lens power calculation using total keratometry and ray tracing in eyes with previous small incision lenticule extraction – A case series

  • Roman Lischke,
  • Rainer Wiltfang,
  • Martin Bechmann,
  • Thomas C. Kreutzer,
  • Siegfried G. Priglinger,
  • M. Dirisamer,
  • Nikolaus Luft

Journal volume & issue
Vol. 34
p. 102037

Abstract

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Purpose: To assess the IOL power calculation accuracy in post-SMILE eyes using ray tracing and a range of total keratometry based IOL calculation formulae. Observations: Ray tracing showed excellent predictability in IOL power calculation after SMILE and its accuracy was clinically comparable with the Barrett TK Universal II and Haigis TK formula. Conclusions and importance: Incorporating posterior corneal curvature measurements into IOL power calculation after SMILE seems prudent. The ray tracing method as well as selected TK-based formulae yielded excellent accuracy and should be favored in post-SMILE eyes.

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