EyeSuite IOL

Efficient planning - intuitive transfer to surgery

EyeSuite IOL offers latest generation IOL calculations like Barrett and Olsen for standard IOL, enabling improved results with any patient. It further includes a comprehensive set of premium post-refractive formulas, including Barret’s True-K and the Masket formula which are regarded as best in class. For torics it optionally offers a complete planning suite to calculate the implant, considering the front and back of the cornea and create intuitive surgery sketchs, enabling excellent transfer of the plan to surgery.

IOL calculation for any patient

Stay on target

Standard IOL calculation provide good result in average eyes, in short and long eyes as well as eyes with special anatomic features they fail. EyeSuite IOL features the Barrett and Olsen formula enabling excellent refractive results with any patient anatomy. 

IOL calculation for any patient

Lens thickness - improved results

Standard formulas use axial length and K measurements to calculate IOL power, limiting their performance with unusual eyes. Barrett and Olsen use more parameters, including anterior chamber depth and lens thickness to estimate implant power. This improves the prediction of the implant positon and enables better results, independent of the patient anatomy.

Prediction of the implant position is the proverbial Achilles Heel of any standard IOL calculation formula. Hoffer Q, SRK/T and Holladay 1 calculate the ELP based on axial length measurement and K reading and assume that a long eye leads to deeper anterior chamber as well as steep K and vice versa. Many studies on eye anatomy did show that short eyes often have pretty standard anterior chamber depths; this explains why these formulas tend to misestimate IOL power in non-average eyes.

Barrett as well as Olsen use more and directly related parameters to calculate the implant positon. The most important parameters in that respect are anterior chamber depth (ACD) and lens thickness (LT). Modern IOL are implanted in the capsular bag of the crystalline lens and therefore ACD and LT are directly related to the implant position post operatively.

IOL calculation for any patient

Barrett Universal II - a formula for all seasons

Unlikely most standard formulas, the Universal II formula is a thick lens formula, taking into account the changes in optics design of IOLs at different powers. In addition to AL and Ks, it uses ACD, lens thickness and WtW measurement to predict the lens position and IOL power, leading to excellent refractive outcomes in all patients. 

The lens factor (LF) used to calculate the implant position is similar to the A-constant, surgeon factor, or C-constant of other formulas. However the Universal II formula recognized that this component of the estimated lens position (ELP) is also influenced by anatomic factors such as AL, K, ACD, lens thickness (LT), and white-to-white. In a recent study In a recent retrospective study on pooled data of more than 5’900 eyes, it was shown that the Barrett Universal II formula performed significantly better than the standard formulas Haigis, Hoffer Q, Holladay 1 and SRK/T in average, short (AL ≤ 22.5mm) and long (AL ≥ 25.5mm) eyes. On the pooled data Unversal II achieved 81% of the eyes within 0.5 D of intended refractive result.

IOL calculation for any patient

Olsen - the C-constant a new concept

The Olsen formula uses Ray Tracing, a method well known from optics design, to calculate lens power and the concept of the C-constant to predict implant location. As input parameter apart from AL and Ks, Olsen uses ACD and LT measurement enabling excellent implant position prediction in all eyes.

The advantage of the C-constant is that it is directly associated with the relevant anatomy of the anterior segment and not depending on the k readings or other factors. Therefore the C-constant works in short as well as long eyes and would even work in other species if an IOL is implanted in the capsular bag using similar technique.

In a clinical series on more than 1700 eyes, Dr. Olsen assessed the performance of the Olsen formula as compared to standard formulas like Holladay 1 and SRK/T. All measurements were taken with the Lenstar and independently of the eye length, the Olsen formula using the concept of the C-constant and paraxial and exact ray-tracing outperformed that standard formulas.

Post-refractive solutions

The right tools for post-refractive patients

IOL calculation in post refractive patients is one of the most demanding tasks in cataract surgery. To support the surgeon with this challenge, EyeSuite IOL features a comprehensive set of cutting-edge formulas for post refractive patients with or without clinical history.

Post-refractive solutions

Best in class formulas for premium results

IOL power calculation in patients with prior RK, LASIK or PRK, presenting with no history, is easily achieved with the on-board Barrett True-K and Shammas No-History method. If the change in refraction caused by the refractive procedure is known, then the Barrett True-K with history, Masket and modified Masket formulas may also be used.

The challenge with post refractive corneas is that the Gullstard-Ratio of the anterior to the posterior corneal curvature is no longer given. This leads to two main issues. First, the K-readings are reported too flat with cornea after an intervention to correct myopia and too steep for a prior hyperopic patient. Second, in standard calculation formulas, the lens position is calculated based on AL and K-readings. Since the Ks don’t represent the initial cornea no longer, the lens position calculation is wrong as well. Post refractive formulas overcome both issues by correcting either the formula or the result for the issues mentioned.

Excellent toric results

Match axis & cylinder

Getting the cylinder value and axis location right is key with toric IOL. The optional EyeSuite IOL Toric Planner features the Barrett Toric Calculator for excellent IOL prediction and a intuitive graphical planning interface to create sketches to transfer the plan to surgery.

Excellent toric results

Excellent calculation, intuitive planning

The EyeSuite IOL Toric Planner provides the user with an intuitive tool to plan the toric intervention on high resolution eye images. Using the incision optimisation tool enables the surgeon to put his incision in the exact right location to achieve minimum anticipated residual astigmatism, with the lowest toric power IOL implanted.  

Lectures