This single-center, prospective, cross-sectional study evaluates how accurately eight modern intraocular lens (IOL) power calculation formulas predicted the postoperative refractive result in eyes with extreme axial length after cataract surgery. Patients previously operated at the study center who had a very short (axial length < 22.0 mm) or very long (> 26.0 mm) eye and received a spherical monofocal IOL are invited to a single, non-invasive outcome visit. At this visit, standardized manifest refraction, optical biometry, corneal tomography, slit-lamp examination and, in long eyes, macular OCT are performed. The measured postoperative spherical equivalent is compared with the residual refraction that each of the eight formulas had predicted for the actually implanted IOL power, separately in short and long eyes. The study aims to identify which formula predicts the postoperative outcome most accurately at the extremes of axial length, where formula choice is most consequential and least well studied.
Inclusion Criteria:
Exclusion Criteria:
Note: macular pathology is not an exclusion criterion; macular status is documented on OCT and analyzed as a covariate.
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Pseudophakic eyes with a preoperative axial length below 22.0 mm that received a spherical monofocal IOL. These eyes undergo the standardized postoperative outcome visit; the measured spherical equivalent is compared with each formula's prediction for the implanted IOL power.
Pseudophakic eyes with a preoperative axial length above 26.0 mm that received a spherical monofocal IOL. These eyes undergo the standardized postoperative outcome visit (including obligatory macular OCT); the measured spherical equivalent is compared with each formula's prediction for the implanted IOL power.
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