First Experience of Using Segmental Optical Biometry for IOL Power Calculation in the Russian Federation

Purpose . To evaluate the results of segmented optical biometry for IOL power calculation in a short-term follow-up period. Patients and methods . 68 patients (90 eyes) after implantation of various IOL models were included in the study. The mean age was 70.43 ± 9.55 years (44–89 years). Women predominated in the sample ( n = 49; 72 %). Optical biometry was performed with the Argos device (Alcon, USA) and IOLMaster 700 (Zeiss, Germany). IOL calculation was performed based on Argos data using the formulas: Barrett Universal II, Cooke K6, EVO, Hill-RBF, Hoffer QST, Kane, Pearl DGS. Phacoemulsification with IOL implantation was performed using the standard technique. The observation period was 1 month. Results . One month after the operation there was a significant increase in the distance UCVA (from 0.1 (0.04; 0.20) before the operation to 0.7 (0.188; 1.00)), distance BCVA (from 0.5 (0.3; 0.8) to 1.0 (0.9; 1.0)), and a decrease in IOP from 15 (13; 16.25) to 13 (11; 15) mmHg. The absolute error was significantly lower for the Cooke K6 formula compared with Kane (0.230 (0.130; 0.389) and 0.268 (0.143; 0.405) D, respectively, p = 0.0005) and for the Hill-RBF formula compared with Hoffer QST (0.190 (0.086; 0.399) and 0.248 (0.133; 0.478) D, respectively, p = 0.0007). The share of eyes with refraction within ±0.25 D of the predicted value was significantly higher for the Hill-RBF formula compared with Kane (62.22% and 45.56%, respectively, p = 0.002). The proportion of eyes with refraction within ±0.5, ±1.0, and ±1.5 D of the predicted value did not differ significantly between the formulas. Axial length (AL) measured with Argos, was significantly longer in “short” eyes (AL≤ 22.0 mm) and shorter in “average” and “long” eyes (AL≥ 26.0 mm) compared to IOLMaster 700. Conclusion . This work presents an analysis of the first experience of using segmented optical biometry for calculation of various types of IOLs in the Russian Federation. A favorable clinical and functional effect and a high frequency of achieving target refraction values were noted. The Hill-RBF formula demonstrates some advantage over the Kane and Hoffer QST formulas, and the Cooke K6 formula over Kane.