中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
5期
567-569
,共3页
张磊%苑晓勇%宋慧%汤欣
張磊%苑曉勇%宋慧%湯訢
장뢰%원효용%송혜%탕흔
眼轴长度%IOL Master%接触式A超
眼軸長度%IOL Master%接觸式A超
안축장도%IOL Master%접촉식A초
Axial length%IOL Master%Contact ultrasonic axial scan
目的 比较光学相干生物测量仪(IOL Master)与接触式A超测量眼轴长度(AL)的精确性,为不同屈光状态的白内障患者IOL度数的测算提供参考.方法 临床病例对照研究.对2013年1～3月在天津市眼科医院就诊的准备行超声乳化白内障吸除联合后房型IOL植入术的年龄相关性白内障患眼300只眼,将其分为4组:高度远视组(AL≤22 mm) 60只眼;相对正常眼组(22 mm＜AL≤26 mm) 120只眼;高度近视A组(AL＞26 mm,不伴后巩膜葡萄肿)60只眼;高度近视B组(AL＞26 mm,伴后巩膜葡萄肿)60只眼.分别应用IOL Master和接触式A超测量AL.结果IOL Master和接触式A超所测AL高度远视眼组,分别是(20.58±0.43) mm、(20.51±0.52) mm,两者之间差异无统计学意义P＞0.05(t=1.36,P=0.18);相对正常眼组分别是(23.85±0.75) mm、(23.81±0.73) mm,两者对比差异无统计学意义P ＞0.05(t=1.70,P=0.09);高度近视眼A组,分别是(28.27±1.11) mm、(28.25±1.00) mm,两者之间差异无统计学意义P＞0.05(t=0.40,P=0.70);高度近视眼B组,分别是(29.44±2.28) mm、(29.19±2.20) mm,两者之间的差异具有统计学意义P＜0.05(t=3.93,P=0.00),IOL Master测量AL较接触式A超长.结论 对于高度远视和近视眼白内障(A组)患者,IOLMaster与接触式A超测量眼轴长无明显差异,而伴有后巩膜葡萄肿的高度近视眼的眼轴测量结果应结合IOL Master和接触式A超的测量结果.
目的 比較光學相榦生物測量儀(IOL Master)與接觸式A超測量眼軸長度(AL)的精確性,為不同屈光狀態的白內障患者IOL度數的測算提供參攷.方法 臨床病例對照研究.對2013年1～3月在天津市眼科醫院就診的準備行超聲乳化白內障吸除聯閤後房型IOL植入術的年齡相關性白內障患眼300隻眼,將其分為4組:高度遠視組(AL≤22 mm) 60隻眼;相對正常眼組(22 mm＜AL≤26 mm) 120隻眼;高度近視A組(AL＞26 mm,不伴後鞏膜葡萄腫)60隻眼;高度近視B組(AL＞26 mm,伴後鞏膜葡萄腫)60隻眼.分彆應用IOL Master和接觸式A超測量AL.結果IOL Master和接觸式A超所測AL高度遠視眼組,分彆是(20.58±0.43) mm、(20.51±0.52) mm,兩者之間差異無統計學意義P＞0.05(t=1.36,P=0.18);相對正常眼組分彆是(23.85±0.75) mm、(23.81±0.73) mm,兩者對比差異無統計學意義P ＞0.05(t=1.70,P=0.09);高度近視眼A組,分彆是(28.27±1.11) mm、(28.25±1.00) mm,兩者之間差異無統計學意義P＞0.05(t=0.40,P=0.70);高度近視眼B組,分彆是(29.44±2.28) mm、(29.19±2.20) mm,兩者之間的差異具有統計學意義P＜0.05(t=3.93,P=0.00),IOL Master測量AL較接觸式A超長.結論 對于高度遠視和近視眼白內障(A組)患者,IOLMaster與接觸式A超測量眼軸長無明顯差異,而伴有後鞏膜葡萄腫的高度近視眼的眼軸測量結果應結閤IOL Master和接觸式A超的測量結果.
목적 비교광학상간생물측량의(IOL Master)여접촉식A초측량안축장도(AL)적정학성,위불동굴광상태적백내장환자IOL도수적측산제공삼고.방법 림상병례대조연구.대2013년1～3월재천진시안과의원취진적준비행초성유화백내장흡제연합후방형IOL식입술적년령상관성백내장환안300지안,장기분위4조:고도원시조(AL≤22 mm) 60지안;상대정상안조(22 mm＜AL≤26 mm) 120지안;고도근시A조(AL＞26 mm,불반후공막포도종)60지안;고도근시B조(AL＞26 mm,반후공막포도종)60지안.분별응용IOL Master화접촉식A초측량AL.결과IOL Master화접촉식A초소측AL고도원시안조,분별시(20.58±0.43) mm、(20.51±0.52) mm,량자지간차이무통계학의의P＞0.05(t=1.36,P=0.18);상대정상안조분별시(23.85±0.75) mm、(23.81±0.73) mm,량자대비차이무통계학의의P ＞0.05(t=1.70,P=0.09);고도근시안A조,분별시(28.27±1.11) mm、(28.25±1.00) mm,량자지간차이무통계학의의P＞0.05(t=0.40,P=0.70);고도근시안B조,분별시(29.44±2.28) mm、(29.19±2.20) mm,량자지간적차이구유통계학의의P＜0.05(t=3.93,P=0.00),IOL Master측량AL교접촉식A초장.결론 대우고도원시화근시안백내장(A조)환자,IOLMaster여접촉식A초측량안축장무명현차이,이반유후공막포도종적고도근시안적안축측량결과응결합IOL Master화접촉식A초적측량결과.
Objective To compare the measurement of axial length (AL) for routine cataract eyes by Optical coherence biometry (IOL Master) and contact ultrasonic axial scan (CUSAS).Methods Measurements of AL were prospectively obtained in 300 eyes of 286 subjects with the IOL Master compared with that from the CUSAS.Results The mean values of AL measured by IOL Master and CUSAS were(20.58±0.43) mm and (20.51±0.52) mm in the hyperopia group (AL≤ 22mm),(23.85±0.75) mm and (23.81±0.73) mm in the normal group (22 mm＜AL≤26mm),(28.27± 1.11) mm and (28.25±1.00) mm in the high myopia group A (AL＞26 mm without posterior scleral staphyloma),(29.44±2.28) mm and (29.19±2.20) mm in the high myopia group B (AL＞26mm with posterior scleral staphyloma).There was a statistically significant difference between IOL Master and CUSAS measurements for AL in the high myopia group B (t=3.93,P=0.00) while there was no statically significant difference in other groups (P＞0.05).Conclusions As a non-contact biometry,IOL Master provides accurate values.A high degree of agreement between IOL Master and CUSAS is noted.Further studies are needed to assess the interchangeability of measurements.
