中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2009年
11期
1246-1248
,共3页
动态轮廓眼压计%Goldmann压平眼压计%准分子激光原位角膜磨镶术
動態輪廓眼壓計%Goldmann壓平眼壓計%準分子激光原位角膜磨鑲術
동태륜곽안압계%Goldmann압평안압계%준분자격광원위각막마양술
Goldmann applanation tonometry%Dynamic contour tonometer%laser in situ keratomileusis
目的 评价动态轮廓眼压计(DCT)和Goldmann压平眼压计(GAT)对在准分子激光原位角膜磨镶术(LASIK)手术前后眼压测量值的变化.方法 取71例141只眼近视患者在LASIK术前和术后一周分别进行角膜厚度(CCT)、GAT、DCT测量.结果 ①LASIK手术前后DCT测得值尤显著性差异(P=0.062),GAT测得值有显著性差异(P＜0.001),CCT测得值有显著性差异(P＜0001).②Bland-Altman分析示LASIK手术前后DCT与GAT两种测量方法均呈现高度一致性.术前DCT测量值高于GAT测量值1.1mmHg,95%可信区间为(-0.6,2.8)mmHg;术后DCT测量值高于GAT测量值8.2mmHg,95%可信区间为(5.3,11.1)mmhg.③△GAT与△CCT呈正相关,△DCT与△CCT无统计相关性.结论 DCT测量值不受LASIK手术切削的影响,更适合于LASIK手术前后眼压的测量.
目的 評價動態輪廓眼壓計(DCT)和Goldmann壓平眼壓計(GAT)對在準分子激光原位角膜磨鑲術(LASIK)手術前後眼壓測量值的變化.方法 取71例141隻眼近視患者在LASIK術前和術後一週分彆進行角膜厚度(CCT)、GAT、DCT測量.結果 ①LASIK手術前後DCT測得值尤顯著性差異(P=0.062),GAT測得值有顯著性差異(P＜0.001),CCT測得值有顯著性差異(P＜0001).②Bland-Altman分析示LASIK手術前後DCT與GAT兩種測量方法均呈現高度一緻性.術前DCT測量值高于GAT測量值1.1mmHg,95%可信區間為(-0.6,2.8)mmHg;術後DCT測量值高于GAT測量值8.2mmHg,95%可信區間為(5.3,11.1)mmhg.③△GAT與△CCT呈正相關,△DCT與△CCT無統計相關性.結論 DCT測量值不受LASIK手術切削的影響,更適閤于LASIK手術前後眼壓的測量.
목적 평개동태륜곽안압계(DCT)화Goldmann압평안압계(GAT)대재준분자격광원위각막마양술(LASIK)수술전후안압측량치적변화.방법 취71례141지안근시환자재LASIK술전화술후일주분별진행각막후도(CCT)、GAT、DCT측량.결과 ①LASIK수술전후DCT측득치우현저성차이(P=0.062),GAT측득치유현저성차이(P＜0.001),CCT측득치유현저성차이(P＜0001).②Bland-Altman분석시LASIK수술전후DCT여GAT량충측량방법균정현고도일치성.술전DCT측량치고우GAT측량치1.1mmHg,95%가신구간위(-0.6,2.8)mmHg;술후DCT측량치고우GAT측량치8.2mmHg,95%가신구간위(5.3,11.1)mmhg.③△GAT여△CCT정정상관,△DCT여△CCT무통계상관성.결론 DCT측량치불수LASIK수술절삭적영향,경괄합우LASIK수술전후안압적측량.
Objective To compare IOP measurements using Goldmann applanation tonometry (GAT) and Dynamic contour tonometer (DCT) in eyes undergoing LASIK for correction of myopia.Methods In prospective,71 patients (141 eyes) were treated by LASIK for myopia,central corneal thickness (CCT) 141 normal eyes before and aider LASIK.Bland-Altman analysis of individual pairs of DCT and GAT measurements before and after LASIK revealed a bias of 1.1 mmHg,[95% confidence interval from -0.6 mmHg to tion reduced IOP readings as measured by GAT.In contrast,no significant change in IOP readings was recorded by DCT.Conclusions IOP readings recorded by DCT were not be affected by LASIK for myopia.Thus,DCT is more suitable to measure IOP before and after surgery.
