VIDEO: Choose the right calculator, IOL for post-refractive complex corneas

ByMitchell A. Jackson, MD

ByAnthony DeFino

Fact checked byChristine Klimanskis, ELS

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WAILEA, Hawaii — In this Healio Video Perspective from Hawaiian Eye 2024, Mitchell A. Jackson, MD, shares pearls for IOL calculations in patients with post-refractive complex corneas.

Jackson recommended the Barrett True-K formula or the ASCRS calculator for especially complex corneas. For IOL selection, the IC-8 Apthera IOL (Bausch + Lomb) is a good option for more irregular corneas while the Light Adjustable Lens (LAL, RxSight) offers more customizability, he said.

“Reserve the LAL for post-refractive corneas,” he said.

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Jackson MA. Tricky IOL calculations post refractive corneas. Presented at: Hawaiian Eye 2024; Jan. 13-19, 2024; Wailea, Hawaii.

Disclosures: Jackson reports being a consultant and shareholder for RxSight and a consultant for Bausch + Lomb.

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