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• W3024442780 abstract "We thank Dr. Goggin for his interest in our article and his observations. We agree that the back-calculation method has some limitations, namely that it is intrinsically retrospective in nature, as we highlighted in the Discussion section of our paper. We compared 11 methods to improve toric IOL calculation. Although the gold standard in science is the prospective randomized trial, such trials would only be possible in studies similar to ours after reducing the number of groups by knowing the methods with a smaller prediction error. To compare the 11 methods in a prospective trial, in a power-sample calculation (analysis of variance model with a significance level 5% and a power of 80%) to detect differences as small as 0.01 D in the centroid prediction error as we found in our study, 47 536 eyes would be required, rendering the study very difficult in clinical practice. We encourage future prospective randomized trials comparing methods with a lower prediction error given that scientific knowledge is a continuous process. Although we referred to Goggin’s method as the “Goggin coefficient,” we applied the 2 different coefficients for with-the-rule and against-the-rule (ATR) eyes exactly as published in the article by Goggin et al.1 We apologize for not being clear about this. We acknowledge the importance of the controlled trial Goggin et al. recently published,2 showing the advantage of the method he initially described, as a valuable addition to the literature. We did not include this study in the Discussion and References sections of our article because it had not been published at the time of the initial submission of our study. As we state in the Discussion section, the reduction in sample size resulting from the low number of eyes requiring less than 2.0 D of cylindrical power and the lower number of eyes with ATR astigmatism in our study, in which Goggin’s coefficients performed better, might have limited our results with these coefficients. We agree that the original Alcon calculator has numerous limitations, which we point out in our article. However, it has been used for many years and it is still available online to this date, hence the importance of thinking about strategies for reducing all its sources of error and ultimately improve clinical results with toric IOLs. Finally, we would like to thank Dr. Goggin for his important contributions on this subject. We encourage future studies on this important topic, namely answering the questions we left open in our study." @default.
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• W3024442780 date "2017-06-01" @default.
• W3024442780 modified "2023-10-16" @default.
• W3024442780 title "Reply" @default.
• W3024442780 cites W2040251852 @default.
• W3024442780 doi "https://doi.org/10.1016/j.jcrs.2017.05.023" @default.
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