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As a result, shallowing of the ACD resulted in an approximately 0.4-D myopic shift of SE in eyes with the three-piece IOL.
In one eye there was a myopic shift of 1D.
A myopic shift of maximal -0.75 D was measured with autorefractometry.
Sixty-one of the 87 70%) eyes experienced a myopic shift and 45 52%) eyes had a myopic shift of -0.5 dioptres or more.
In the report by Carones, patients had a hyperopic shift of +0.5D by the sixth month; this is while our patients had a myopic shift of 0.43D.
The degree of refractive change was variable ranging from +0.75 to -2.13 dioptres but 52% of eyes experienced a clinically noticeable myopic shift of -0.5 dioptres or more.
Similar(50)
15 16 Long-term pseudophakic myopic shifts of 6.6 D, 16 3.26 D (congenital) and 0.96 D (developmental), 17 and 6D 18 have been published.
However, we must bear in our mind that this formula does not consider myopic shift, one of the important element in calculating intraocular lens power in pediatric age group.
We noticed a small myopic shift in refraction of -0.45 dioptres four months following vitrectomy in this series of pseudophakic patients.
Even though McClatchey et al [ 13, 14] with their Pediatric IOL Calculator tried to consider myopic shift as one of important element in the intraocular lens power calculation, still we were unable to obtain a favourable and significant result of predictability in our study.
The model used in this program is based on analysis of the refractive changes in aphakic children who underwent surgery before the age of 10 years (with documented refractions for more than 7 years) and it is collaborated with the predictions of a logarithmic model of myopic shift [ 13, 14].
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