Clinical Science
Accuracy of different intraocular lens power calculation formulas in cataract patients with shallow anterior chamber: a meta-analysis
Li Xiaoyu, Yang Li, Hai Yue, Tan Qingqing, Lan Changjun, Liao Xuan
Published 2023-06-10
Cite as Chin J Exp Ophthalmol, 2023, 41(6): 576-581. DOI: 10.3760/cma.j.cn115989-20200701-00472
Abstract
ObjectiveTo systematically compare the accuracy of intraocular lens (IOL) power calculation formulas in cataract patients with shallow anterior chamber.
MethodsA comprehensive literature search was conducted in MEDLINE, EMBASE, Cochrane Library, and the Chinese databases including CNKI, Wanfang, and VIP databases.The peer-reviewed literature on the accuracy of IOL power calculation formulas in cataract patients with shallow anterior chamber was searched from the establishment of the database until August 2020.Literature screening, data extraction and quality assessment were performed according to inclusion and exclusion criteria.The mean difference (MD) of mean absolute error (MAE) among different formulas was analyzed.Meta-analysis was performed using Revman 5.3 software.
ResultsSeven studies involving 499 eyes were included.The accuracy of six formulas, Barrett Universal Ⅱ, Haigis, SRK/T, Hoffer Q, Holladay 1 and Holladay 2, was evaluated.The MAE of Barrett Universal Ⅱ was significantly lower than that of Hoffer Q (MD=0.11 D; 95%CI: 0.05-0.17 D; P<0.001), Haigis (MD=0.08 D; 95%CI: 0.03-0.13 D; P=0.002), and Holladay 2 (MD=-0.06 D; 95%CI: -0.11--0.01 D; P=0.020). No significant difference was found in the remaining pairwise comparisons (all at P>0.05).
ConclusionsThe Barrett Universal Ⅱ formula is more accurate than Hoffer Q, Haigis, and Holladay 2 formulas in predicting IOL power in cataract patients with shallow anterior chamber.
Key words:
Cataract; Lenses, intraocular; Refractive errors; Anterior chamber; Meta-analysis
Contributor Information
Li Xiaoyu
Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, Medical School of Ophthalmology &
Optometry, North Sichuan Medical College, Nanchong 637000, China
Yang Li
Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, Medical School of Ophthalmology &
Optometry, North Sichuan Medical College, Nanchong 637000, China
Hai Yue
Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, Medical School of Ophthalmology &
Optometry, North Sichuan Medical College, Nanchong 637000, China
Tan Qingqing
Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, Medical School of Ophthalmology &
Optometry, North Sichuan Medical College, Nanchong 637000, China
Lan Changjun
Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, Medical School of Ophthalmology &
Optometry, North Sichuan Medical College, Nanchong 637000, China
Liao Xuan
Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, Medical School of Ophthalmology &
Optometry, North Sichuan Medical College, Nanchong 637000, China