Journal Search Engine
Search Advanced Search Adode Reader(link)
Download PDF Export Citaion korean bibliography PMC previewer
ISSN : 1229-6457(Print)
ISSN : 2466-040X(Online)
The Korean Journal of Vision Science Vol.27 No.4 pp.311-319
DOI : https://doi.org/10.17337/JMBI.2025.27.4.311

Previously Applied Axial Length–Based Correction Factor for Intraocular Lens Power After Cataract Surgery and Effect of Newly Calculated Formula

Yong-Jun Choe, Yee-Rin Jung, Inn-Jee Park, Byoung-Sun Chu

Abstract

Purpose : To investigate the accuracy of the previously applied axial length based correction factor after cataract surgery for refractive error prediction and to study the effect of new formula for prediction. Methods : A retrospective analysis was performed on 80 eyes that underwent cataract surgery between March 2022 and July 2025. Axial length was measured using the IOL-Master 700 (Carl Zeiss, Germany) preoperatively and at postoperative days 1 and 7, and months 1 and 3. The change in axial length between the preoperative and 3-month measurements was evaluated using a paired t-test, and the difference between the target refraction and the actual refraction at 3 months was assessed using a one-sample test. A correction factor was additionally applied to the standard IOL power calculation formula, and the modified predictions were compared with the actual postoperative refractive outcomes. Results : The mean axial length decreased from 23.86±1.61 mm preoperatively to 23.76±1.60 mm at 3 months postoperatively, showing an average shortening of 0.10 mm (p>0.050). The mean refractive prediction error was +0.25±0.28 D, indicating a hyperopic shift corresponding to the degree of axial shortening. When the correction factor was applied to the SRK/T formula, the predicted IOL power increased by +0.62 D, resulting in an estimated refractive shift of approximately −0.41 D toward myopia. Conclusion : A significant reduction in axial length was observed after cataract surgery, accompanied by a hyperopic shift proportional to the magnitude of axial length change. The proposed correction factor may be useful as a reference for refining intraocular lens power calculation formulas to improve refractive prediction accuracy.

백내장 수술 후 안축장 길이 변화에 따른 기존 인공수정체 보정계수와 수정 공식의 적용 효과

    Figure

    Table

    Reference