不同型号IOL Master对硅油眼的生物测量比较
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摘要
目的比较IOL master 500及IOL master 700测量硅油眼患者眼轴长度、角膜曲率、前房深度等参数的差异。设计前瞻性病例系列。研究对象选取2017年9月于北京同仁医院眼科住院的硅油填充术后患者34例(38眼)。方法对患眼先后应用IOL master 500及IOL master 700测量眼轴长度(AL)、角膜曲率(K)及前房深度(ACD),应用SPSS22.0对两组测量结果进行配对t检验及一致性检验,并应用MedCalc软件对两组数据进行Bland-Altman分析。主要指标AL、平均角膜曲率(Km)及ACD。结果 34例(38眼)硅油眼,眼轴检出率IOL master 500为89.5%(34/38),IOL master 700为97.4%(37/38);两仪器检出的AL、Km、ACD均无显著差异,AL分别为(25.05±3.37)mm、(25.03±3.35)mm(t=1.351,P=0.186),Km分别为(43.42±3.10)D、(43.45±2.99)D(t=-0.393,P=0.697),ACD分别为(3.42±0.80)mm、(3.56±1.01)mm(t=-1.184,P=0.247)。一致性检验,AL(ICC=1.000),Km(ICC=0.996),ACD(ICC=0.857)。Bland-Altman分析95%一致性界限AL(-0.1514 mm,0.1920 mm),Km(-0.7723 D,0.7205D),ACD(-1.4057 mm,1.1222 mm),分别有2.94%(1/34)、8.82%(3/34)及3.45%(1/29)的点在95%一致性界限以外。结论 IOL master 500及IOL master 700两种光学生物测量仪对硅油眼进行生物测量,眼轴长度及平均角膜曲率测量结果一致性较高,IOL master 700具有比IOL master 500更高的硅油眼眼轴检出率。
Objective To compare two optical biometric instruments IOL master 500 and IOL master 700 for measuring the axial length(AL), keratometry(K) and anterior chamber depth(ACD) in silicone oil filled eyes. Design Prospective case series. Participants 34 cases(38 eyes) of silicone oil filled eyes were selected in September 2017 in Beijing Tongren Hospital Ophthalmology Inpatient Department. Methods The AL, K and ACD were measured using IOL master 500 and IOL master 700 successively. The results of two groups were compared using paired t test, reliability analysis, and MedCalc software was used to do the Bland-Altman analysis. Main Outcome Measures AL, mean keratometry(Km) and ACD. Results The AL detection rate of IOL master 500 and IOL master 700 were89.5%(34/38) and 97.4%(37/38), respectively. There was no significant differences in AL, Km and ACD between IOL master 500 and IOL master 700. The AL was(25.05±3.37)mm and(25.03±3.35)mm(t=1.351, P=0.186) respectively. The Km was(43.42 ±3.10)D and(43.45±2.99)D(t=-0.393, P=0.697), and the ACD was(3.42±0.80)mm and(3.56±1.01)mm(t=-1.184, P=0.247), respectively. Reliability analysis of the two groups demonstrated AL(ICC=1.000), Km(ICC=0.996) and ACD(ICC=0.857). The 95% consistency limits of BlandAltman analysis showed AL(-0.1514 mm, 0.1920 mm), Km(-0.7723 D, 0.7205 D), ACD(-1.4057 mm, 1.1222 mm) and there were2.94%(1/34), 8.82%(3/34) and 3.45%(1/29) of the points outside 95% consistency limit respectively. Conclusion There were no statistically significant differences in the axial length and mean keratometry of silicone oil filled eyes measured with IOL master 500 and IOL master 700. IOL master 700 had a higher detection rate of axial length in silicone oil filled eyes than IOL master 500 did.
Objective To compare two optical biometric instruments IOL master 500 and IOL master 700 for measuring the axial length(AL), keratometry(K) and anterior chamber depth(ACD) in silicone oil filled eyes. Design Prospective case series. Participants 34 cases(38 eyes) of silicone oil filled eyes were selected in September 2017 in Beijing Tongren Hospital Ophthalmology Inpatient Department. Methods The AL, K and ACD were measured using IOL master 500 and IOL master 700 successively. The results of two groups were compared using paired t test, reliability analysis, and MedCalc software was used to do the Bland-Altman analysis. Main Outcome Measures AL, mean keratometry(Km) and ACD. Results The AL detection rate of IOL master 500 and IOL master 700 were89.5%(34/38) and 97.4%(37/38), respectively. There was no significant differences in AL, Km and ACD between IOL master 500 and IOL master 700. The AL was(25.05±3.37)mm and(25.03±3.35)mm(t=1.351, P=0.186) respectively. The Km was(43.42 ±3.10)D and(43.45±2.99)D(t=-0.393, P=0.697), and the ACD was(3.42±0.80)mm and(3.56±1.01)mm(t=-1.184, P=0.247), respectively. Reliability analysis of the two groups demonstrated AL(ICC=1.000), Km(ICC=0.996) and ACD(ICC=0.857). The 95% consistency limits of BlandAltman analysis showed AL(-0.1514 mm, 0.1920 mm), Km(-0.7723 D, 0.7205 D), ACD(-1.4057 mm, 1.1222 mm) and there were2.94%(1/34), 8.82%(3/34) and 3.45%(1/29) of the points outside 95% consistency limit respectively. Conclusion There were no statistically significant differences in the axial length and mean keratometry of silicone oil filled eyes measured with IOL master 500 and IOL master 700. IOL master 700 had a higher detection rate of axial length in silicone oil filled eyes than IOL master 500 did.
引文
[1] Vogel A, Dick HB, Krummenauer F. Reproducibility of optical biometry using partial coherence interferometry:intraobserver and interobserver reliability. J Cataract Refract Surg, 2001, 27(12):1961-1968.
[2] Kunavisarut P, Poopattanakul P, Intarated C, et al. Accuracy and reliability of IOL master and A-scan immersion biometry in silicone oil-filled eyes. Eye(lond), 2012, 26(10):1344-1348.
[3] Srivannaboon S, Chirapapaisan C, Chonpimai P, et al. Clinical comparison of a new swept-source optical coherence tomography-based optical biometer and a time-domain optical coherence tomography-based optical biometer. J Cataract Refract Surg, 2015, 41(10):2224-2232.
[4] Akman A, Asena L, Güngr SG. Evaluation and comparison of the new swept source OCT-based IOLMaster 700 with the IOLMaster500. Br J Ophthalmol, 2016, 100(9):1201-1205.
[5] Shajari M, Cremonese C, Petermann K, et al. Comparison of axial length, corneal curvature, and anterior chamber depth measurements of 2 recently introduced devices to a known biometer. Am J Ophthalmol, 2017, 178:58-64.
[6] Takei K, Sekine Y, Okamoto F, et al. Measurement of axial length of eyes with incomplete filling of silicone oil in the vireous cavity using x ray computed tomography. Br J Ophthalmol, 2002, 86(1):47-50.
[7] Dietlein TS, Roessler G, Lüke C, et al. Signal quality of biometry in silicone oil-filled eyes using partial coherence laser interferometry.J Cataract Refract Surg, 2005, 31(5):1006-1010.
[8]刘勇,王一,刘波,等.硅油填充眼的超声检查.中华眼底病杂志,2004, 20(6):349-351.
[9] Olsen T. Sources of error in intraocular lens power calculation. J Cataract Refract Surg, 1992, 18(2):125-129.
[10] Olsen T. Calculation of intraocular lens power:a review. Acta Ophthalmol Scand, 2007, 85(5):472-485.
[11] Sun HJ, Choi KS. Improving intraocular lens power prediction in combined phacoemulsification and vitrectomy in eyes with macular oedema. Acta Ophthalmol, 2011, 89(6):575-578.
[12] Wang K, Yuan MK, Jiang YR, et al. Axial length measurements before and after removal of silicone oil:a new method to correct the axial length of silicone-filled eyes for optical biometry. Ophthalmic Physiol Opt, 2009, 29(4):449-457.
[13]孙靖,梁四妥,田芳,等.硅油眼眼轴长度的测量研究.眼科新进展, 2012, 32(11):1079-1082.
[14]王铀,龚凌,姜德咏. IOLMaster与A超测量硅油眼眼轴德对比研究.国际眼科杂志, 2013, 13(11):2343-2345.
[15]武斌,陈松,刘洋辰,等.硅油填充眼眼轴长度浸润式B型超声引导下分段声速测量与光学激光生物仪测量结果比较.中华眼底病杂志, 2017, 33(6):605-608.
[16] Kunert KS, Peter M, Blum M, et al. Repeatability and agreement in optical biometry of a new swept-source optical coherence tomography-based biometer versus partial coherence interferometry and optical low-coherence reflectometry. J Cataract Refract Surg,2016, 42(1):76-83.
[2] Kunavisarut P, Poopattanakul P, Intarated C, et al. Accuracy and reliability of IOL master and A-scan immersion biometry in silicone oil-filled eyes. Eye(lond), 2012, 26(10):1344-1348.
[3] Srivannaboon S, Chirapapaisan C, Chonpimai P, et al. Clinical comparison of a new swept-source optical coherence tomography-based optical biometer and a time-domain optical coherence tomography-based optical biometer. J Cataract Refract Surg, 2015, 41(10):2224-2232.
[4] Akman A, Asena L, Güngr SG. Evaluation and comparison of the new swept source OCT-based IOLMaster 700 with the IOLMaster500. Br J Ophthalmol, 2016, 100(9):1201-1205.
[5] Shajari M, Cremonese C, Petermann K, et al. Comparison of axial length, corneal curvature, and anterior chamber depth measurements of 2 recently introduced devices to a known biometer. Am J Ophthalmol, 2017, 178:58-64.
[6] Takei K, Sekine Y, Okamoto F, et al. Measurement of axial length of eyes with incomplete filling of silicone oil in the vireous cavity using x ray computed tomography. Br J Ophthalmol, 2002, 86(1):47-50.
[7] Dietlein TS, Roessler G, Lüke C, et al. Signal quality of biometry in silicone oil-filled eyes using partial coherence laser interferometry.J Cataract Refract Surg, 2005, 31(5):1006-1010.
[8]刘勇,王一,刘波,等.硅油填充眼的超声检查.中华眼底病杂志,2004, 20(6):349-351.
[9] Olsen T. Sources of error in intraocular lens power calculation. J Cataract Refract Surg, 1992, 18(2):125-129.
[10] Olsen T. Calculation of intraocular lens power:a review. Acta Ophthalmol Scand, 2007, 85(5):472-485.
[11] Sun HJ, Choi KS. Improving intraocular lens power prediction in combined phacoemulsification and vitrectomy in eyes with macular oedema. Acta Ophthalmol, 2011, 89(6):575-578.
[12] Wang K, Yuan MK, Jiang YR, et al. Axial length measurements before and after removal of silicone oil:a new method to correct the axial length of silicone-filled eyes for optical biometry. Ophthalmic Physiol Opt, 2009, 29(4):449-457.
[13]孙靖,梁四妥,田芳,等.硅油眼眼轴长度的测量研究.眼科新进展, 2012, 32(11):1079-1082.
[14]王铀,龚凌,姜德咏. IOLMaster与A超测量硅油眼眼轴德对比研究.国际眼科杂志, 2013, 13(11):2343-2345.
[15]武斌,陈松,刘洋辰,等.硅油填充眼眼轴长度浸润式B型超声引导下分段声速测量与光学激光生物仪测量结果比较.中华眼底病杂志, 2017, 33(6):605-608.
[16] Kunert KS, Peter M, Blum M, et al. Repeatability and agreement in optical biometry of a new swept-source optical coherence tomography-based biometer versus partial coherence interferometry and optical low-coherence reflectometry. J Cataract Refract Surg,2016, 42(1):76-83.