Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty
Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Diener, Raphael [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2022 |
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| Übergeordnetes Werk: |
Enthalten in: Graefe's archive for clinical and experimental ophthalmology - Berlin : Springer, 1854, 260(2022), 9 vom: 08. März, Seite 3087-3093 |
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| Übergeordnetes Werk: |
volume:260 ; year:2022 ; number:9 ; day:08 ; month:03 ; pages:3087-3093 |
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| DOI / URN: |
10.1007/s00417-022-05598-6 |
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| Katalog-ID: |
SPR047957026 |
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| 100 | 1 | |a Diener, Raphael |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty |
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| 520 | |a Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. Conclusion IOL power calculation based on adjusted corneal power can be used to reduce the risk of a hyperopic shift after triple DMEK and provides a more accurate refractive outcome than IOL power calculation using conventional K. | ||
| 650 | 4 | |a Hyperopic shift |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Conventional keratometry |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a DMEK |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Triple DMEK |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a IOL power calculation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a PA ratio |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Posterior to anterior corneal curvature radii ratio |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Adjusted keratometry |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Conventional keratometry |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Treder, Maximilian |4 aut | |
| 700 | 1 | |a Lauermann, Jost Lennart |4 aut | |
| 700 | 1 | |a Eter, Nicole |4 aut | |
| 700 | 1 | |a Alnawaiseh, Maged |4 aut | |
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10.1007/s00417-022-05598-6 doi (DE-627)SPR047957026 (SPR)s00417-022-05598-6-e DE-627 ger DE-627 rakwb eng Diener, Raphael verfasserin aut Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. Conclusion IOL power calculation based on adjusted corneal power can be used to reduce the risk of a hyperopic shift after triple DMEK and provides a more accurate refractive outcome than IOL power calculation using conventional K. Hyperopic shift (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 DMEK (dpeaa)DE-He213 Triple DMEK (dpeaa)DE-He213 IOL power calculation (dpeaa)DE-He213 PA ratio (dpeaa)DE-He213 Posterior to anterior corneal curvature radii ratio (dpeaa)DE-He213 Adjusted keratometry (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 Treder, Maximilian aut Lauermann, Jost Lennart aut Eter, Nicole aut Alnawaiseh, Maged aut Enthalten in Graefe's archive for clinical and experimental ophthalmology Berlin : Springer, 1854 260(2022), 9 vom: 08. März, Seite 3087-3093 (DE-627)253723728 (DE-600)1459159-5 1435-702X nnns volume:260 year:2022 number:9 day:08 month:03 pages:3087-3093 https://dx.doi.org/10.1007/s00417-022-05598-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 260 2022 9 08 03 3087-3093 |
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10.1007/s00417-022-05598-6 doi (DE-627)SPR047957026 (SPR)s00417-022-05598-6-e DE-627 ger DE-627 rakwb eng Diener, Raphael verfasserin aut Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. Conclusion IOL power calculation based on adjusted corneal power can be used to reduce the risk of a hyperopic shift after triple DMEK and provides a more accurate refractive outcome than IOL power calculation using conventional K. Hyperopic shift (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 DMEK (dpeaa)DE-He213 Triple DMEK (dpeaa)DE-He213 IOL power calculation (dpeaa)DE-He213 PA ratio (dpeaa)DE-He213 Posterior to anterior corneal curvature radii ratio (dpeaa)DE-He213 Adjusted keratometry (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 Treder, Maximilian aut Lauermann, Jost Lennart aut Eter, Nicole aut Alnawaiseh, Maged aut Enthalten in Graefe's archive for clinical and experimental ophthalmology Berlin : Springer, 1854 260(2022), 9 vom: 08. März, Seite 3087-3093 (DE-627)253723728 (DE-600)1459159-5 1435-702X nnns volume:260 year:2022 number:9 day:08 month:03 pages:3087-3093 https://dx.doi.org/10.1007/s00417-022-05598-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 260 2022 9 08 03 3087-3093 |
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10.1007/s00417-022-05598-6 doi (DE-627)SPR047957026 (SPR)s00417-022-05598-6-e DE-627 ger DE-627 rakwb eng Diener, Raphael verfasserin aut Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. Conclusion IOL power calculation based on adjusted corneal power can be used to reduce the risk of a hyperopic shift after triple DMEK and provides a more accurate refractive outcome than IOL power calculation using conventional K. Hyperopic shift (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 DMEK (dpeaa)DE-He213 Triple DMEK (dpeaa)DE-He213 IOL power calculation (dpeaa)DE-He213 PA ratio (dpeaa)DE-He213 Posterior to anterior corneal curvature radii ratio (dpeaa)DE-He213 Adjusted keratometry (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 Treder, Maximilian aut Lauermann, Jost Lennart aut Eter, Nicole aut Alnawaiseh, Maged aut Enthalten in Graefe's archive for clinical and experimental ophthalmology Berlin : Springer, 1854 260(2022), 9 vom: 08. März, Seite 3087-3093 (DE-627)253723728 (DE-600)1459159-5 1435-702X nnns volume:260 year:2022 number:9 day:08 month:03 pages:3087-3093 https://dx.doi.org/10.1007/s00417-022-05598-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 260 2022 9 08 03 3087-3093 |
| allfieldsGer |
10.1007/s00417-022-05598-6 doi (DE-627)SPR047957026 (SPR)s00417-022-05598-6-e DE-627 ger DE-627 rakwb eng Diener, Raphael verfasserin aut Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. Conclusion IOL power calculation based on adjusted corneal power can be used to reduce the risk of a hyperopic shift after triple DMEK and provides a more accurate refractive outcome than IOL power calculation using conventional K. Hyperopic shift (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 DMEK (dpeaa)DE-He213 Triple DMEK (dpeaa)DE-He213 IOL power calculation (dpeaa)DE-He213 PA ratio (dpeaa)DE-He213 Posterior to anterior corneal curvature radii ratio (dpeaa)DE-He213 Adjusted keratometry (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 Treder, Maximilian aut Lauermann, Jost Lennart aut Eter, Nicole aut Alnawaiseh, Maged aut Enthalten in Graefe's archive for clinical and experimental ophthalmology Berlin : Springer, 1854 260(2022), 9 vom: 08. März, Seite 3087-3093 (DE-627)253723728 (DE-600)1459159-5 1435-702X nnns volume:260 year:2022 number:9 day:08 month:03 pages:3087-3093 https://dx.doi.org/10.1007/s00417-022-05598-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 260 2022 9 08 03 3087-3093 |
| allfieldsSound |
10.1007/s00417-022-05598-6 doi (DE-627)SPR047957026 (SPR)s00417-022-05598-6-e DE-627 ger DE-627 rakwb eng Diener, Raphael verfasserin aut Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. Conclusion IOL power calculation based on adjusted corneal power can be used to reduce the risk of a hyperopic shift after triple DMEK and provides a more accurate refractive outcome than IOL power calculation using conventional K. Hyperopic shift (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 DMEK (dpeaa)DE-He213 Triple DMEK (dpeaa)DE-He213 IOL power calculation (dpeaa)DE-He213 PA ratio (dpeaa)DE-He213 Posterior to anterior corneal curvature radii ratio (dpeaa)DE-He213 Adjusted keratometry (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 Treder, Maximilian aut Lauermann, Jost Lennart aut Eter, Nicole aut Alnawaiseh, Maged aut Enthalten in Graefe's archive for clinical and experimental ophthalmology Berlin : Springer, 1854 260(2022), 9 vom: 08. März, Seite 3087-3093 (DE-627)253723728 (DE-600)1459159-5 1435-702X nnns volume:260 year:2022 number:9 day:08 month:03 pages:3087-3093 https://dx.doi.org/10.1007/s00417-022-05598-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 260 2022 9 08 03 3087-3093 |
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English |
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Enthalten in Graefe's archive for clinical and experimental ophthalmology 260(2022), 9 vom: 08. März, Seite 3087-3093 volume:260 year:2022 number:9 day:08 month:03 pages:3087-3093 |
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Enthalten in Graefe's archive for clinical and experimental ophthalmology 260(2022), 9 vom: 08. März, Seite 3087-3093 volume:260 year:2022 number:9 day:08 month:03 pages:3087-3093 |
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Hyperopic shift Conventional keratometry DMEK Triple DMEK IOL power calculation PA ratio Posterior to anterior corneal curvature radii ratio Adjusted keratometry |
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Diener, Raphael @@aut@@ Treder, Maximilian @@aut@@ Lauermann, Jost Lennart @@aut@@ Eter, Nicole @@aut@@ Alnawaiseh, Maged @@aut@@ |
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2022-03-08T00:00:00Z |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR047957026</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230509110522.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">220827s2022 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00417-022-05598-6</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR047957026</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s00417-022-05598-6-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Diener, Raphael</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s) 2022</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. 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|
| author |
Diener, Raphael |
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Diener, Raphael misc Hyperopic shift misc Conventional keratometry misc DMEK misc Triple DMEK misc IOL power calculation misc PA ratio misc Posterior to anterior corneal curvature radii ratio misc Adjusted keratometry Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty |
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Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty Hyperopic shift (dpeaa)DE-He213 Conventional keratometry (dpeaa)DE-He213 DMEK (dpeaa)DE-He213 Triple DMEK (dpeaa)DE-He213 IOL power calculation (dpeaa)DE-He213 PA ratio (dpeaa)DE-He213 Posterior to anterior corneal curvature radii ratio (dpeaa)DE-He213 Adjusted keratometry (dpeaa)DE-He213 |
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misc Hyperopic shift misc Conventional keratometry misc DMEK misc Triple DMEK misc IOL power calculation misc PA ratio misc Posterior to anterior corneal curvature radii ratio misc Adjusted keratometry |
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misc Hyperopic shift misc Conventional keratometry misc DMEK misc Triple DMEK misc IOL power calculation misc PA ratio misc Posterior to anterior corneal curvature radii ratio misc Adjusted keratometry |
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misc Hyperopic shift misc Conventional keratometry misc DMEK misc Triple DMEK misc IOL power calculation misc PA ratio misc Posterior to anterior corneal curvature radii ratio misc Adjusted keratometry |
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Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty |
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Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty |
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Diener, Raphael |
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Diener, Raphael Treder, Maximilian Lauermann, Jost Lennart Eter, Nicole Alnawaiseh, Maged |
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Elektronische Aufsätze |
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Diener, Raphael |
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10.1007/s00417-022-05598-6 |
| title_sort |
optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with descemet membrane endothelial keratoplasty |
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Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty |
| abstract |
Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. Conclusion IOL power calculation based on adjusted corneal power can be used to reduce the risk of a hyperopic shift after triple DMEK and provides a more accurate refractive outcome than IOL power calculation using conventional K. © The Author(s) 2022 |
| abstractGer |
Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. Conclusion IOL power calculation based on adjusted corneal power can be used to reduce the risk of a hyperopic shift after triple DMEK and provides a more accurate refractive outcome than IOL power calculation using conventional K. © The Author(s) 2022 |
| abstract_unstemmed |
Purpose To evaluate the utility of intraocular lens (IOL) power calculation using adjusted conventional keratometry (K) according to postoperative posterior to preoperative anterior corneal curvature radii (PPPA) ratio for eyes with Fuch’s dystrophy undergoing cataract surgery combined with Descemet membrane endothelial keratoplasty (triple DMEK). Methods A fictitious refractive index (FRI) was determined (Pentacam HR®) based on the PPPA ratio in 50 eyes undergoing triple DMEK. Adjusted corneal power was calculated in every eye using adjusted K values: K values determined by the IOLMaster were converted to adjusted anterior corneal radius using the mean FRI. Posterior corneal radius was calculated using the mean PPPA ratio. Adjusted corneal power was determined based on the calculated corneal radii and thick lens formula. Refractive errors calculated using the Haigis, SRK/T, and HofferQ formulae based on the adjusted corneal power were compared with those based on conventional K measurements. Results Calculated PPPA ratio and FRI were 0.801 and 1.3271. Mean prediction error based on conventional K was in the hyperopic direction (Haigis: 0.84D; SRK/T: 0.74D; HofferQ: 0.74D) and significantly higher (P < 0.001) than that based on adjusted corneal power (0.18D, 0.22D, and 15D, respectively). When calculated according to adjusted corneal power, the percentage of eyes with a hyperopic shift > 0.5D fell significantly from 64 to 30% (Haigis), 62 to 36% (SRK/T), and 58 to 26% (HofferQ), respectively. Conclusion IOL power calculation based on adjusted corneal power can be used to reduce the risk of a hyperopic shift after triple DMEK and provides a more accurate refractive outcome than IOL power calculation using conventional K. © The Author(s) 2022 |
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Optimizing intraocular lens power calculation using adjusted conventional keratometry for cataract surgery combined with Descemet membrane endothelial keratoplasty |
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Treder, Maximilian Lauermann, Jost Lennart Eter, Nicole Alnawaiseh, Maged |
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| score |
7.398587 |