2025, Volume 18, Issue 6, pp 557 – 562

Does gender affect intraocular lens power calculations? A comparative analysis of formula accuracy

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Authors and Affiliations

Corresponding author Mihnea Munteanu, Department IX–Surgery I, Victor Babes University of Medicine and Pharmacy Timisoara, Romania; E-mail: mihnea.munteanu@umft.ro

Abstract

Intraocular lens (IOL) power calculation is a crucial aspect of modern cataract surgery, directly affecting postoperative refractive outcomes. Due to anatomical and physiological differences between male and female eyes, neglecting gender-specific variations may lead to systematic refractive errors in IOL power selection. This research aimed to determine the necessity of incorporating gender as a variable in future IOL calculation algorithms to improve postoperative precision. This retrospective observational study analyzed data from 210 eyes that met predefined inclusion criteria. Biometric measurements for assessing intraocular lens power were obtained using the ARGOS optical biometer. The refractive power of the intraocular lenses was calculated using several established formulas, and these values were systematically compared to evaluate their predictive accuracy. A parametric statistical approach was employed, using repeated measures ANOVA to assess differences among multiple calculations. The homogeneity of covariances was examined to validate the design of the repeated measures. Pairwise comparisons of the outcomes from different formulas were performed using the Bonferroni correction to identify statistically significant differences. Additionally, paired-sample t-tests were conducted to compare the spherical equivalent values recorded during the initial and final follow-up examinations. Significant differences were observed between genders regarding descriptive features such as age, axial length, keratometry, and white-to-white measurements. Although notable biometric differences exist between genders, they do not seem to affect the discrepancies in intraocular lens power calculations using the tested formulas. However, intra-group differences in intraocular power values suggest that the choice of formula may impact predicted intraocular power differently for men and women.

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About this article

PMC ID: 12314841
PubMed ID: 
DOI: 10.25122/jml-2025-0091

Article Publishing Date (print): 6 2025
Available Online: 

Journal information

ISSN Printing: 1844-122X
ISSN Online: 1844-3117
Journal Title: Journal of Medicine and Life

Copyright License: Open Access

This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use and redistribution provided that the original author and source are credited.


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