Objective:

To explore the advancements of AI-based intraocular lens (IOL) calculation formulas, focusing on their ability to enhance the accuracy of refractive outcomes in cataract surgery, especially for complex ocular conditions.

Key Findings:

• AI formulas demonstrate significantly lower overall prediction error compared to traditional formulas, as evidenced by multiple studies.
• The Kane formula outperformed traditional methods in a study of 10,930 eyes, showcasing its effectiveness.
• AI formulas show superior predictive performance in extreme axial lengths and post-corneal refractive surgery cases, supported by clinical data.
• AI models exhibit more concentrated prediction error distributions, effectively reducing large refractive errors.

Interpretation:

AI-based IOL calculation formulas enhance the precision of cataract surgery, allowing for personalized postoperative refractive targets and improving decision-making processes for surgeons.

Limitations:

• Challenges remain in the continuous optimization of algorithms and the expansion of datasets, which are crucial for improving AI performance.

Conclusion:

AI-based IOL power calculation formulas are becoming essential for precise cataract surgery, with expectations for further improvements in predictive accuracy as technology advances.