Evidence map›Paper›PMID 39365199›Full record

ReviewOphthalmology2025

Intraoperative Aberrometry versus Preoperative Biometry for Intraocular Lens Power Calculations: A Report by the American Academy of Ophthalmology.

Seth M Pantanelli, Kathryn Hatch, Charles C Lin, W Allan Steigleman, Zaina Al-Mohtaseb, Jennifer R Rose-Nussbaumer, Marcony R Santhiago, Tiarnán D L Keenan, Stephen J Kim, Deborah S Jacobs and 1 more

Abstract readReviewComparative Study
In one paragraph

Review in Ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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

11 authors.

Seth M PantanelliDepartment of Ophthalmology, Penn State College of Medicine, Hershey, Pennsylvania.
Kathryn HatchCornea and Refractive Surgery Service, Massachusetts Eye and Ear, Boston, Massachusetts.
Charles C LinStanford Eye Institute, Palo Alto, California.
W Allan SteiglemanUniversity of Florida College of Medicine, Gainesville, Florida.
Zaina Al-MohtasebWhitsett Vision Group, Houston, Texas; Baylor College of Medicine, Houston, Texas.
Jennifer R Rose-NussbaumerStanford University, Palo Alto, California; Francis I. Proctor Foundation, University of California, San Francisco, San Francisco, California.
Marcony R SanthiagoUniversity of Sao Paulo, Sao Paulo, Brazil.
Tiarnán D L KeenanDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Stephen J KimDepartment of Ophthalmology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Deborah S JacobsCornea and Refractive Surgery Service, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
Julie M SchallhornFrancis I. Proctor Foundation, University of California, San Francisco, San Francisco, California; Department of Ophthalmology, University of California, San Francisco, California.

Funding

Intramural NIH HHS Z99 EY999999
6 · The paper itself

Abstract

purposeTo evaluate the published literature to compare intraoperative aberrometry (IA) with preoperative biometry-based formulas with respect to intraocular lens (IOL) power calculation accuracy for various clinical scenarios.

methodsLiterature searches in the PubMed database conducted in August 2022, July 2023, and February 2024 identified 157, 18, and 6 citations, respectively. These were reviewed in abstract form, and 61 articles were selected for full-text review. Of these, 29 met the criteria for inclusion in this assessment. The panel methodologists assigned a level of evidence rating to each of the articles; 4 were rated level I, 19 were rated level II, and 6 were rated level III.

resultsIntraoperative aberrometry performed better than traditional vergence formulas, including the Haigis, HofferQ, Holladay, and SRK/T, and similarly to the Barrett Universal II and Hill-RBF with respect to minimization of spherical equivalent (SE) refractive error. For toric IOLs, IA outperformed formulas that only considered anterior corneal astigmatism and was similar to formulas like the Barrett Toric Calculator (BTC), which empirically account for the contribution from the posterior cornea. In eyes with a history of corneal refractive surgery, IA performed similarly to the Barrett True-K and slightly better than other tested methods, including the Haigis-L, Shammas, and Wang-Koch-Maloney formulas.

conclusionsIntraoperative aberrometry corresponds well with modern vergence formulas, including the Barrett Universal II, Hill-RBF, BTC, and Barrett True-K. It has greater accuracy than traditional vergence-based IOL power calculation formulas in eyes with and without a history of corneal refractive surgery. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references.

Indexed as

AberrometryBiometryLenses, IntraocularLens Implantation, IntraocularOphthalmologyOptics and PhotonicsRefraction, OcularAcademies and InstitutesHumansIntraoperative PeriodUnited StatesVisual Acuitycataract surgeryCorneal refractive surgeryIntraoperative aberrometryLaser vision correctionoptical biometry

Identifiers

PMID39365199
PMCPMC13499356

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.