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Twelve IOL power calculation formulas were evaluated: SRK\/T, Holladay 1, Haigis, Holladay 2, Barrett Universal II, Kane, EVO, Pearl-DGS, Hill RBF 3.0, SRK\/T and Holladay 1 with the modified W-K AL adjustment, and Holladay 2 with the non-linear W-K AL adjustment. The median absolute error (MedAE), mean absolute error (MAE) and the percentage of eyes within specific prediction error thresholds were calculated and compared across formulas after adjusting the mean error to zero.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Holladay 1\n                      <jats:sub>modified W-K<\/jats:sub>\n                      obtained the lowest MedAE (0.215 DP), followed by Kane (0.233 DP), Barrett (0.246 DP), Pearl and EVO (0.252 DP). Barrett, Kane and EVO yielded significantly lower MedAEs compared to SRK\/T (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05); and Holladay 1\n                      <jats:sub>modified W-K<\/jats:sub>\n                      yielded significantly lower MedAEs compared to SRK\/T\n                      <jats:sub>modified W-K<\/jats:sub>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Holladay 1\n                      <jats:sub>modified W-K<\/jats:sub>\n                      achieved the lowest MAE (0.314 DP), followed very closely by Barrett (0.317 DP), and subsequently by Pearl (0.324 DP), Kane (0.329 DP) and EVO (0.331 DP).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Our study reflects a superior accuracy of the Holladay 1\n                      <jats:sub>modified W-K<\/jats:sub>\n                      formula, along with the Kane, Barrett, EVO and Pearl-DGS formulas in predicting refractive outcomes for eyes with an AL greater than 26.00\u00a0mm undergoing cataract phacoemulsification surgery.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10792-025-03608-0","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:21:16Z","timestamp":1750810876000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Accuracy of 12 IOL power calculation formulas in highly myopic eyes"],"prefix":"10.1007","volume":"45","author":[{"given":"Mag\u00ed","family":"Vilaltella","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pau","family":"Cid-Bertomeu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonet","family":"Ser\u00e9s-Noriega","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valent\u00edn","family":"Huerva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"issue":"9","key":"3608_CR1","doi-asserted-by":"publisher","first-page":"1236","DOI":"10.1097\/j.jcrs.0000000000000235","volume":"46","author":"JX Kane","year":"2020","unstructured":"Kane JX, Melles RB (2020) Intraocular lens formula comparison in axial hyperopia with a high-power intraocular lens of 30 or more diopters. 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All procedures were carried out in accordance with established ethical standards and the principles outlined in the Declaration of Helsinki.Due to the retrospective nature of the study, the Ethics Committee of Hospital Universitari Arnau de Vilanova (Comit\u00e9 de \u00c9tica de Investigaci\u00f3n del Hospital Universitari Arnau de Vilanova de Lleida de la Ger\u00e8ncia Territorial de Lleida-GSS) waived the requirement for informed consent. Many of the individuals included had passed away or could not be contacted during the data collection phase. Moreover, the manuscript does not contain any personal or identifiable information about the participants. For these reasons, informed consent was not deemed necessary by the Ethics Committee.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable. The paper includes no data that could be used to identify individual participants.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"264"}}