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IOL power calculation in combined phacovitrectomy

iOL refractive error calculator

The idea

Currently used formulas for IOL power calculation are conceived for cataract surgery performed as a single procedure. As a consequence, changes in shape and internal structure of the vitreous chamber during vitrectomy occurring in combined procedures are often associated to unexpected refractive results. We present a new formula that takes into account the consequences of vitrectomy on IOL power calculation, providing both the suggested IOL in case of combined surgery and the refractive error that is to be expected if standard formulas are used instead. This information will be automatically calculated with the presented tool starting from two elements: IOL power chosen for your patient with cataract surgery formulas and the type of formula used for calculation.

The authors of the formula are Stanislao Rizzo1, Emanuele Crincoli1, Raphael Kilian2, Francesco Faraldi3
1. Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Sacro Cuore Catholic University, Rome - Italy
2. Department of Translational Medicine, University of Ferrara, Ferrara, Italy
3. Department of Ophthalmology, A.O. Ordine Mauriziano di Torino, Italy

Terms of Use

This tool is meant to serve as a support for the selection of appropriate IOL power during combined cataract and vitrectomy surgery. It is intended to be used in conjunction with a comprehensive ophthalmic examination and the appropriate diagnostic tests and measurements necessary for cataract surgery. The results obtained by the calculator are not intended to serve as medical or surgical instruction from FLORetina, or be definitive; nor can FLORetina guarantee that the results will be accurate in every case. Physicians who use the Tool must arrive at their own independent determinations regarding the proper treatment for their patients and are solely responsible for the refractive outcome. By using the Tool, you agree to indemnify and hold FLORetina (together with our Key Opinion Leaders, Chairmen and third party providers) harmless from any liabilities, costs, claims, damages and losses which may arise directly or indirectly as a result of your use of the Tool whether in accordance with these Terms or otherwise. To the maximum extent permitted by law, we disclaim any and all implied conditions, warranties and representations that the Tool and the results or data obtained through it are of satisfactory quality, accurate, fit for a particular purpose, or non-infringing.

FLORetina does NOT store or collect any data inputted into these forms (either individually or in aggregate).

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Calculate

The best IOL power

Select from the drop-down menu the formula used for IOL power calculation and enter in the "IOL power" field the IOL power calculated (number only).

The calculator will return the suggested IOL power adjusted for combined surgery (for some specific values, suggested IOL power could remain unchanged). It will also provide the additional refractive error to be expected when performing combined surgery for each specific combination of formula - power of the IOL.