IOL calculation using the SRK II formula

The SRK II formula is based on the SRK I formula:

SRK I: P = A - 0.9 K - 2.5 L (1)

where:
P : IOL power for emmetropia
K : corneal refractive power (K-reading)
L : axial length
A : A-constant


Adjusting the A-constant to different axial length ranges, the SRK II formula is obtained:

SRK II: P = A1 - 0.9 K - 2.5 L (2)

The difference between SRK I and SRK II is given by the A1 constant. A1 is related to the A-constant A according to

A1 = A + 3 for L < 20
A1 = A + 2 for 20 < = L < 21
A1 = A + 1 for 21 < = L < 22
A1 = A for 22 < = L < 24.5
A1 = A - 0.5 for 24.5 < = L


Whereas SRK I and II only give the IOL power for emmetropia, another SRK formula has to be used to derive the power I necessary to produce a desired postop refraction R :

I = P - cr R (3)

P is again given by SRK II (2), and cr is another empirical constant defined as

cr = 1 für P < = 14
cr = 1.25 für P > 14


References

HAIGIS W: Biometrie, in: Augenärztliche Untersuchungsmethoden, Straub W, Kroll P, Küchle HJ (Hrsg), F.Enke Verlag Stuttgart, 255-304, 1995

RETZLAFF J: A new intraocular lens calculation formula, Am Intra-Ocular Implant Soc J 6:148-152, 1980

RETZLAFF J, SANDERS DR, KRAFF MC: Development of the SRK/T intraocular lens implant power calculation formula. J Cataract Refract Surg 16 (3):333-340, 1990

RETZLAFF J, SANDERS DR, KRAFF MC: Lens Implant Power Calculation - A manual for ophthalmologists & biometrists, 3rd edition, Slack Inc, Thorofare NJ, USA, 1990

SANDERS DR, KRAFF MC: Improvement of intraocular lens power calculation using empirical data, Am Intra-Ocular Implant Soc J 6: 263-267, 1980

SANDERS DR, RETZLAFF J, KRAFF MC: Comparison of the SRK II formula and other second generation formulas. J Cataract Refract Surg 14: 136-141, 1988

(C) W.Haigis. Last revision: Feb.12, 1998


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