CAJ | 학술논문

目的评估Galilei Ⅱ、Pentacam和IOLMaster测量近视人群前房深度(ACD)的差异性、相关性和一致性.方法前瞻性系列病例研究.40名近视志愿者(40眼),等效球镜度为-1.00～-8.00 D,平均(-4.40±1.80)D.分别应用Galilei Ⅱ、Pentacam和IOLMaster 3种仪器测量ACD,检查顺序以随机方式确定.采用Bonferroni矫正的重复测量方差分析比较3种仪器测得ACD的差异性,Pearson相关分析3种仪器测得ACD的相关性,Bland-Altman法评估3种仪器测得ACD的一致性.结果 Galilei Ⅱ、Pentacam和IOLMaster测得的ACD均值分别为(3.81±0.20)mm,(3.72±0.20)mm和(3.71±0.20)mm.3种仪器测得的ACD均有密切的相关性(r=0.984、0.970、0.968,P＜0.01).Galilei Ⅱ和Pentacam测得的ACD差异为(0.10±0.04)mm,差异有统计学意义(P＜0.01);Galilei Ⅱ和IOLMaster测得的ACD差异为(0.10±0.05)mm,差异有统计学意义(P＜0.01);Pentacam和IOLMaster测得的ACD差异为(0.00±0.05)mm,差异无统计学意义(P＞0.05).Galilei Ⅱ和Pentacam,Galilei Ⅱ和IOLMaster,Pentacam和IOLMaster测得的ACD的95％一致性界限分别为0.026～0.167 mm、0.004～0.195 mm和-0.096～0.102 mm.结论测量近视人群时,Pentacam跟IOLMaster测得的ACD非常接近,Galilei Ⅱ比Pentaeam和IOLMaster测得的ACD稍深,差异在临床可以接受的范围内,并且具有高度相关性和一致性,因此3种仪器在测量近视人群ACD时可以相互替代使用.
목적 평고Galilei Ⅱ、Pentacam화IOLMaster측량근시인군전방심도(ACD)적차이성、상관성화일치성.방법 전첨성계렬병례연구.40명근시지원자(40안),등효구경도위-1.00～-8.00 D,평균(-4.40±1.80)D.분별응용Galilei Ⅱ、Pentacam화IOLMaster 3충의기측량ACD,검사순서이수궤방식학정.채용Bonferroni교정적중복측량방차분석비교3충의기측득ACD적차이성,Pearson상관분석3충의기측득ACD적상관성,Bland-Altman법평고3충의기측득ACD적일치성.결과 Galilei Ⅱ、Pentacam화IOLMaster측득적ACD균치분별위(3.81±0.20)mm,(3.72±0.20)mm화(3.71±0.20)mm.3충의기측득적ACD균유밀절적상관성(r=0.984、0.970、0.968,P＜0.01).Galilei Ⅱ화Pentacam측득적ACD차이위(0.10±0.04)mm,차이유통계학의의(P＜0.01);Galilei Ⅱ화IOLMaster측득적ACD차이위(0.10±0.05)mm,차이유통계학의의(P＜0.01);Pentacam화IOLMaster측득적ACD차이위(0.00±0.05)mm,차이무통계학의의(P＞0.05).Galilei Ⅱ화Pentacam,Galilei Ⅱ화IOLMaster,Pentacam화IOLMaster측득적ACD적95％일치성계한분별위0.026～0.167 mm、0.004～0.195 mm화-0.096～0.102 mm.결론 측량근시인군시,Pentacam근IOLMaster측득적ACD비상접근,Galilei Ⅱ비Pentaeam화IOLMaster측득적ACD초심,차이재림상가이접수적범위내,병차구유고도상관성화일치성,인차3충의기재측량근시인군ACD시가이상호체대사용.
Objective To assess the agreement of ACD measurements among Galilei Ⅱ,Pentacam and IOLMaster in myopic eyes.Methods Forty eyes of forty healthy myopia volunteers,whose spherical equivalent were-1.00～-8.00 D,with an average of-4.40±1.80 D,were enrolled in this prospective study.ACD were randomly measured by Galilei Ⅱ,Pentacam and IOLMaster.The differences between ACD measurements by the 3 devices were analyzed by Bonferroni-corrected repeated-measures analysis of variance.Pearson correlation and Bland-Altman analysis were used to assess the correlation and agreement among the 3 measurements.Results The ACD (mean±standard deviation) with Galilei Ⅱ,Pentacam and IOLMaster were 3.81±0.20 mm,3.72±0.20 mm and 3.71± 0.20 mm,respectively.Good correlation were found between any two of 3 devices (r=0.984,0.970,0.968,P＜0.01).The difference between Galilei Ⅱ and Pentacam was 0.10±0.04 mm and statistically significant (P＜0.01).The difference between Galilei Ⅱ and IOLMaster was 0.10±0.05 mm and statistically significant (P＜0.01).The difference between Pentacam and IOLMaster was 0.00±0.05 mm without statistically significant difference (P＞0.05).The 95％ limits of agreement between Galilei Ⅱ and Pentacam,Galilei Ⅱ and IOLMaster,Pentacam and IOLMaster were 0.026～0.167 mm,0.004～ 0.195 mm and-0.096～0.102 mm,respectively.Conclusion In myopic eyes,Pentacam measured similar ACD values with IOLMaster.Galilei Ⅱ measured slightly deeper ACD than either Pentacam or IOLMaster,the differences were within clinically acceptable level.Therefore,they can be regarded clinically interchangeable in measuring myopic eyes.