Holladay J T, Long S A, Lewis J W, Prager T C, Koester C J, Bourgeois K A, Winn T L
J Am Intraocul Implant Soc. 1985 Jul;11(4):353-63. doi: 10.1016/s0146-2776(85)80060-4.
A method is described for determining the power of an intraocular lens (IOL) within the eye by measuring the horizontal dimension of the corneal reflected image (Purkinje-Sanson I) and the anterior IOL reflected image (Purkinje-Sanson III) as seen through a standard slitlamp with a target positioned 68 mm anterior to the focal plane of the biomicroscope. The horizontal K-reading (at 180 degrees) and the anterior chamber depth are the two other parameters necessary to calculate the exact power of the IOL. Seven tables that use these four measurements have been provided, eliminating the need for complex calculations. To determine the accuracy of this technique, ten implanted IOLs ranging from 9 diopters (D) to 27 D were chosen and their powers calculated; these calculated values were then compared to the actual IOL powers. The largest error was 0.5 D and the average error was 0.17 D.
