Intraocular lens power calculation in eyes with previous hyperopic laser in situ keratomileusis

PURPOSE: To establish a corneal correction equation for the Shammas post-hyperopic laser in situ keratomileusis (LASIK) (Shammas-PHL) formula and to evaluate its accuracy in cases with and without available pre-LASIK data. SETTING: Private practices, Lynwood, California, and Mesa, Arizona, USA. DESIGN: Retrospective comparative observational study. METHODS: The corrected corneal power (Kc) was calculated in each eye by adding the refractive change at the corneal level to the pre-LASIK keratometric (K) readings. By comparing Kc with the measured post-LASIK K readings (Kpost), the following equation was derived: Kc = 1.0457 Kpost-1.9538. This equation was combined with the Shammas original formula to obtain the Shammas-PHL formula. RESULTS: The new formula was evaluated in 18 eyes with previous LASIK data and in 24 eyes with no previous LASIK data. Using the Shammas-PHL formula, the mean arithmetic prediction error was -0.03 diopter (D) +/- 0.72 (SD) (range -1.57 to +1.54 D) and the median absolute error was 0.38 D in 18 eyes with available pre-LASIK data and 0.05 +/- 0.58 D (range -0.56 to +1.40 D) and 0.43 D, respectively, in the 24 eyes with no pre-LASIK data. CONCLUSION: The Shammas-PHL formula can be used in post-hyperopic LASIK cases whether or not the pre-LASIK data are available. (C) 2013 ASCRS and ESCRS