Intraocular Lens Power Calculation after Myopic Refractive Surgery

When prerefractive surgery data are available, IOL power should be calculated using the double-K clinical history method. Alternative choices may be represented by the Feiz-Mannis' formula, Latkany's regression formulas based on average and flattest postrefractive surgery keratometry, and the double-K method based on separate consideration of anterior and posterior corneal curvatures. A variant of the latter can be used to calculate IOL power when prerefractive surgery data are not available. Further prospective studies based on patients undergoing phacoemulsification after refractive surgery are needed to validate the results of this theoretical comparison.