Monday, January 21, 2008
IOL Calculation Web Links
http://www.lricalculator.com - helpful LRI calculator online
http://www.acrysoftoriccalculator.com/ - toric IOL T3,T4,T5 calculator for sn60wf IOL
http://doctor-hill.com/physicians/physician_main.htm Dr. Hills collection of formulas
http://www.ocularmd.com includes 10 IOL formulas and contributions to database an option
societies
http://www.ascrs.com/
http://one.aao.org/CE/MOC/MOCStudyResourcesDetail.aspx?Topic=1 MOC Exam Study
http://www.aao.org/isrs/ AAO refractive society
http://www.ophthalmologytimes.com/
http://www.eyecounselor.com
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Sunday, January 20, 2008
IOL lens Calculation after LASIK/refractive surgery
Post-LASIK IOL calculation Formulas
Rough Rule: add 1 D of IOL power for every
Masket Regression Formula:
--Adjustment to IOL Master determined power by
= (Diopters of LASIK Tx) *(0.326)+0.101
Latkeny Regression Formula
--use flattest K found now for IOL Master
--target emmetropia or Rx chosen
--adjust by Latkany formula: -(0.47x+0.85) where x = preLASIK spherical equivalent
--example: for -6 myope post tx = -(-3+0.85) = +1.97, or add 2D to IOL power for
Corneal Bypass Method (Keith Walter, JCRS Mar 2006)
--IOL Master with original K values, current axial length
--set target on IOL Master to preLASIK RX to obtain
Topographic Central Corneal Power Adjustment (Koch & Wang)
--Take central power of apical point on Atlas Topographer
--adjust this K power by (0.19)*(Diopters of LASIK treatment)
--use this adjusted K to in Holladay II formula to target IOL power today
Feiz Mannis Nomogram (Ophthalmology vol. 112, N.8, Aug 2005)
--Post Myopic LASIK IOL Power adjustment
-- probably least likely for hyperopic surprise, may overcorrect
D Tx: Increase IOL Power by
1 0.36
1.5 0.66
2 0.96
2.5 1.25
3 1.55
3.5 1.85
4 2.15
4.5 2.45
5 2.74
5.5 3.03
6 3.34
6.5 3.64
7 3.93
7.5 4.23
8 4.53
8.5 4.83
9 5.12
9.5 5.42
10 5.72
10.5 6.02
11 6.31
11.5 6.61
12 6.91
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