Accuracy of 8 intraocular lens power calculation formulas in pediatric cataract patients.

To compare the accuracy of the eight formulas for intraocular lens (IOL) power calculation in pediatric cataract patients. A retrospective study. A total of 68 eyes (68 patients) that underwent uneventful cataract surgery and posterior chamber IOL implantation in the capsular bag were enrolled. We compared the calculation accuracy of the 8 formulas at 1 month postoperatively and performed subgroup analysis according to age or axial length (AL). The mean age at surgery was 34.07 ± 24.60 months and mean AL was 21.12 ± 1.42 mm. The mean prediction errors (PE) of eight formulas for all patients were as follows: SRK II (− 0.66), SRK/T (− 0.44), Holladay 1 (− 0.36), Hoffer Q (− 0.09), Olsen (0.71), Barrett (0.37), Holladay 2 (− 0.70), and Haigis (0.50). There was significant difference among the 8 formulas (p   21 mm, Barrett and Haigis formulas were better (58% and 47% for Barrett, 52% and 53% for Haigis). Overall, in patients younger than 2 years old or with AL ≤ 21 mm, SRK/T formulas were relatively accurate, while Barrett and Haigis formulas were better in patients older than 2 or with AL > 21 mm.