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41
REFRACTION DERIVED
This method is useful when the pre
-
operative K values are unknown, but the pre
-
operative
spectacle refraction is known.
Required Inputs:
Pre Refractive Surgery Spectacle Refraction (S.E.)
Post Refractive Surgery K measurements
Post Refractive Surgery Spectacle Refraction (S.E.)
CONTACT LENS OVER
-
CORRECTION (CL Over
-
Corr)
This method requires the doctor to place a plano hard contact lens of a known curvature on the
patient
’
s eye. If the refraction remains the same, the corneal curvature is equal to that of the
contact lens. If the over
-
refraction results in a higher myopic error, the difference in refraction is
added to the base curve value. This method can be used with 3rd generation formulas (SRK/T,
Hoffer Q or Holladay 1).
Required Inputs:
Contact Lens Base Curve
Contact Lens Power
Contact Lens Over
-
Refraction (S.E.)
Post Refractive Surgery Spectacle Refraction (S.E.)
DOUBLE
-
K (SRK
-
T)
This method uses the pre
-
refractive corneal power to estimate the post
-
refractive anterior
chamber depth (also known as effective lens position). The post
-
refractive corneal power is
estimated using the History Derived Method. This method can be used with the SRK/T formula.
The Double K method modifies the SRK
-
T formula to use both pre
-
and post
-
refractive surgery K
values. The pre
-
refractive surgery K value is used to calculate the effective lens position, and the
post
-
refractive surgery K value is used for IOL power calculations. This method have been
implemented as described by Aramberri, J.
“
Intraocular Len Power Calculation After Corneal
Refractive Surgery: Double
-
K Method.
”
Journal of Cataract and Refractive Surgery
29:11 (Nov
2003): 2063
-
2068.
Required Inputs:
Pre Refractive Surgery K measurements
Pre Refractive Surgery Spectacle Refraction (S.E.)
Post Refractive Surgery Spectacle Refraction (S.E.)
(
) (
)
−
−
−
−
=
pre
pre
post
post
ave
corr
S.E.
1
S.E.
S.E.
1
S.E.
x
0.23
K
-
post
K
power
post
post
over
over
curve
base
corr
CL
S.E.
1
S.E.
CL
x
0.012m
1
CL
CL
K
+
−
−
−
+
=