The issue of reducing the likelihood of “hyperopic surprise” in eyes with long axial lengths was a main topic discussed during the American Academy of Ophthalmology’s Cataract Original Papers session.
Our own Dr. Nicole R. Fram compared 3 relatively formulas to accurately predict IOL power in long eyes. She found that while all of the options performed well, the Wang-Koch formula proved to be statistically superior, but her takeaway was that the most important piece for success was consolidating information and having the highest possible level of confidence - “Aren’t we fortunate to have multiple formulas to compare and use to make a decision at the time of surgery?”.
The report was selected as “best paper” during the Sunday session of Cataract Original Papers. Dr. Fram’s coauthors were Samuel Masket, MD, Li Wang, MD, PhD, and Douglas D. Koch, MD.