Evidence map›Paper›PMID 33154622›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2020

Predictability of Residual Postoperative Astigmatism After Implantation of a Toric Intraocular Lens Using Two Different Calculators.

Seth M Pantanelli, Neal Kansara, Gerard Smits

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Seth M PantanelliDepartment of Ophthalmology, Penn State College of Medicine, Hershey, PA, USA.ORCID 0000-0003-4992-9606
Neal KansaraDepartment of Ophthalmology, Penn State College of Medicine, Hershey, PA, USA.ORCID 0000-0001-9379-6164
Gerard SmitsComputer and Statistical Consultants Incorporated, Santa Barbara, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare predictability of postoperative refractive astigmatism (RA) using the Emmetropic Verifying Optical (EVO) Toric Formula v2.0 to one that accounts only for anterior corneal astigmatism.

methodsThis is a secondary analysis of de-identified data from a clinical trial including 9 sites across the United States. Preoperative biometry was used to predict postoperative RA with the implanted toric IOL using legacy enVista and EVO online calculators. The RA prediction error was computed between back-calculated postoperative RA and predicted residual RA. Outcome measures included vector (centroid) and arithmetic mean RA prediction error.

resultsComparison of calculators was based on 109 eyes, 97 (89%) of which were implanted with a toric IOL with an effective astigmatism power of 1.4 D or less. Centroid of the RA prediction errors was 0.37 D @ 178 and 0.17 D @ 090 for the legacy and EVO calculators, respectively (p < 0.0001). The proportion of eyes with an absolute RA prediction error ≤0.5 was 47.3% and 49.1% (p = 0.78), while the proportion of eyes ≤1.0 D was 82.7% and 89.1% (p = 0.03). Differences in the proportions ≤0.5 D existed for WTR (p = 0.015) but not ATR (p = 0.75) eyes. The proportion in which orientation of the predicted RA (ATR, WTR, or oblique) matched the actual RA was 62% and 78% for legacy and EVO calculators, respectively (p = 0.0029).

conclusionThe EVO Toric Formula v2.0 out-performed the legacy calculator with regards to predictions in eyes with low astigmatism.

Indexed as

astigmatismcalculatorscataractEVOintraocular lens powertoric

Identifiers

PMID33154622
PMCPMC7605955

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