Accuracy of Intraocular Lens Power Estimation in Aphakic Eyes Filled with Silicone Oil

Abstract

Purpose: To compare preoperative refractive power estimation and actual postoperative refraction after combined silicone oil removal and intraocular lens (IOL) sulcus implantation in silicone oil-filled aphakic eyes.Methods: Records of patients with silicone oil-filled aphakic eyes who received simultaneous silicone oil-removal and IOL sulcus implantation (Group1) and aphakic patients who received vitrectomy combined with IOL implantation (Group 2) were reviewed. Optical biometry including axial length measurements were obtained using IOL master^® 700 and predicted refractive errors, actual postoperative refractive errors were examined retrospectively.Results: Predicted refractive errors, calculated by subtracting 1 diopter (D) from myopic lens power closest to plano based on sulcus implantation, were 0.50 ± 0.12 D in Group 1, 0.45 ± 0.20 D in Group 2. Six months after operation, mean refractive errors measured -0.76 ± 0.49 D in Group 1, -0.23 ± 0.49 D in Group 2, showing significant myopic shift (<i>p</i> < 0.001, <i>p</i> <0.001). Group 1 showed larger significant myopic shift compared to Group 2 (<i>p</i> = 0.001), especially in 3 eyes with insufficient filling of intravitreal silicone oil showing -1.5 D myopic shift.Conclusions: Ocular biometry of silicone oil-filled aphakic eyes undergoing simultaneous silicone oil removal and IOL sulcus implantation are difficult to measure, showing postoperative myopic shift compared to control. Incomplete intravitreal silicone oil filling showed larger refractive errors needing additional compensations.