Pterygium size and effect on intraocular lens power calculation.

PURPOSE: To evaluate the effects of pterygium on biometry measurements and the relationship between these effects and pterygium size.

SETTING

Ulucanlar Eye Hospital, Ankara, Turkey.

DESIGN

Prospective comparative study.

METHODS

Patients who had unilateral primary pterygium excision were included in the study group. Anterior segment photographed images were taken of eyes with pterygia to calculate the pterygium length and area using the ImageJ program. Preoperative and 3-month postoperative biometry measurements (Lenstar LS900) were obtained for eyes with pterygium and their healthy fellow eyes (control group).

RESULTS

Thirty-two patients with pterygium (mean age 63.31 years ± 7.18 [SD]) were included. The mean pterygium length was 3.07 ± 0.81 mm, and the mean area was 6.26 ± 2.07 mm2. The preoperative intraocular lens (IOL) power calculation with all formulas were higher than postoperative and control values (P < .001). The mean changes were 0.47 diopter (D) for the SRK II, 0.59 D for SRK/T, 0.47 D for Hoffer Q, 0.39 D for Haigis, and 0.38 D for Holladay 2 formulas after pterygium surgery. Positive, significant, and moderate correlations were found between the pterygium size and the change in IOL power. Pterygia longer than 2.40 mm and larger than 5.45 mm2 created at least equal to or more than 0.5 D deviation in the IOL power calculations.

CONCLUSION

If the pterygium size is larger than 2.40 mm or 5.45 mm2 and simultaneous surgery is planned, the implanted IOL power should be at least 0.50 D smaller than the calculated power.

FINANCIAL DISCLOSURE: None of the authors has a financial or proprietary interest in any material or method mentioned.