Published online Nov 12, 2014. doi: 10.5318/wjo.v4.i4.140
Revised: July 24, 2014
Accepted: September 23, 2014
Published online: November 12, 2014
Processing time: 199 Days and 7.5 Hours
This review summarises the current evidence base and provides guidelines for obtaining good refractive outcomes following cataract surgery. Important background information is also provided. In summary, the requirements are: (1) standardisation of biometry equipment used for axial length and keratometry measurement and the use of optical or immersion ultrasound biometry; (2) sutureless cataract surgery with “in the bag” intraocular lens (IOL) placement; (3) an appropriate 3rd, 4th or 5th Generation IOL power formula should be used; (4) IOL formula constants must be optimized; (5) under certain conditions, the refractive outcome of the 2nd eye can be improved based on the refractive error of the first eye; and (6) results should be audited for refinement and to ensure that standards are met.
Core tip: The requirements for good refractive outcomes in cataract surgery are: (1) standardisation of biometry equipment used for axial length and keratometry measurement and the use of optical or immersion ultrasound biometry; (2) sutureless cataract surgery with “in the bag” intraocular lens placement; (3) an appropriate 3rd, 4th or 5th Generation intraocular lens (IOL) power formula should be used; (4) IOL formula constants must be optimized; (5) under certain conditions, the refractive outcome of the 2nd eye can be improved based on the prediction error of the cataract surgery for the first eye; and (6) results should be audited for refinement and to ensure that standards are met.