Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2026, Vol. 40 ›› Issue (2): 74-79.doi: 10.6040/j.issn.1673-3770.0.2024.597

• Original Article • Previous Articles     Next Articles

Analysis of refractive prediction accuracy after phacoemulsification combined with goniosynechialysis in acute Angle closure glaucoma

WANG Xinmeng1, JI Junya2, YU Haonan3, FU Hongchen1, WANG Xiang1, ZHENG Zekun1, LI Yan1, ZHONG Yingying1   

  1. 1. Department of Ophthalmology, Affiliated Hospital of Shandong Second Medical University, Weifang 261041, Shandong, China 2. Department of Ophthalmology, Fuyang People's Hospital, Fuyang 236006, Anhui, China3. Department of Ophthalmology, Weifang Eye Hospital, Zhengda Guangming Eye Group, Weifang 261041, Shandong, China
  • Published:2026-03-26

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Abstract: Objective This study aims to investigate the accuracy of five intraocular lens power calculation formulas, namely, Haigis, Hoffer Q, Barrett Universal II, SRK/T and Kane, in acute angle-closure glaucoma(AACG)combined with cataract. Methods This study included 56 eyes with AACG and cataracts, which underwent phacoemulsification combined with intraocular lens implantation and goniosynechialysis. The refractive prediction error(PE), median absolute error(MedARE), mean absolute error(MAE), root mean square error of approximation(RMSEA), and the proportion of eyes with refractive prediction error(PE)within the ranges of(±0.25),(±0.50),(±0.75),(±1.00)D.Factors influencing refractive prediction error in AACG eyes were analyzed. Results The MAE performance of each formula is as follows: Haigis(0.44 D), Barrett Universal ll(0.55D), Kane(0.60D), SRK/T(0.68D), and Hoffer Q(0.69D). The proportions of eyes with prediction errors within ±0.50 diopters for the five formulas were 71.43%(Haigis),57.14%(Barrett Universal II), 55.36%(Kane), 44.64%(Hoffer Q), and 42.56%(SRK/T). Myopic drift was observed postoperatively for all formulas. Conclusion Among the five artificial lens formulas,Haigis performed the best; Barrett Universal ll and Kane also achieved satisfactory results. lt should be noted that myopia drift may occur after AACG cataract extraction combined with lens implantation and goniosynechialysis.

Key words: IOL formula, Acute angle closure glaucoma, Cataract, Phacoemulsification, Goniosynechialysis

CLC Number: 

  • R775.9
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