眼轴长度测量方法及进展研究
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摘要
为配合临床实现人工晶体屈光度数计算,以及为日常眼病预防提供依据,眼生物参数测量特别是眼轴长度测量逐渐被人们所重视。以眼轴长度为目标,论述了现有的眼轴长度测量方法,包括超声测量方法和光学测量方法。重点概述了光学部分相干原理,低相干原理和光学相干层析(OCT)技术在眼轴长度测量方面的研究进展,分别介绍了各方法及典型仪器的测量原理、测量精度及范围,论述了眼轴长度测量的发展方向。光学测量方法以其无损伤、快速、高精度等优点逐渐替代了超声测量方法,但对于晶体混浊眼还需依靠超声测量方法。
In order to coordinate with the clinical implementation of intraocular lens diopter calculation, and to provide basis for the prevention of eye diseases, the measurement of ocular biological parameters, especially the axial eye length, has attracted more and more attention. This paper mainly discusses the existing measurement methods of axial eye length, which includes traditional ultrasonic measurement method and optical measurement method. This mainly summarizes progress of the measurements of the axial eye length in the partial coherence interferometry, optical low coherence reflectometry and optical coherence tomography. The measurement principle, measurement precision and range of each method and typical instrument are introduced. The development direction of axial eye length measurement is discussed. The ultrasonic measurement method has been gradually replaced by the optical measurement method with the advantages of no damage, rapid and high precision. However, it is necessary to rely on ultrasonic measurement for eyes which lens is opacity.
In order to coordinate with the clinical implementation of intraocular lens diopter calculation, and to provide basis for the prevention of eye diseases, the measurement of ocular biological parameters, especially the axial eye length, has attracted more and more attention. This paper mainly discusses the existing measurement methods of axial eye length, which includes traditional ultrasonic measurement method and optical measurement method. This mainly summarizes progress of the measurements of the axial eye length in the partial coherence interferometry, optical low coherence reflectometry and optical coherence tomography. The measurement principle, measurement precision and range of each method and typical instrument are introduced. The development direction of axial eye length measurement is discussed. The ultrasonic measurement method has been gradually replaced by the optical measurement method with the advantages of no damage, rapid and high precision. However, it is necessary to rely on ultrasonic measurement for eyes which lens is opacity.
引文
[1]李宁,陈子林.眼轴的临床意义及测量方法新进展[J].医学综述,2014,20(10):1812-1814.
[2]DOLGIN E.The myopia boom[J].Nature,2015,519(7543):276-278.
[3]MENG W,BUTTERWORTH J,MALECAZE F,et al.Axial length of myopia:a review of current research[J].Ophthalmologica,2011,225(3):127-134.
[4]SAW S M,CHUA W H,GAZZARD G,et al.Eye growth changes in myopic children in Singapore[J].British Journal of Ophthalmology,2005,89(11):1489-1494.
[5]LLORENTE L,BARBERO S,CANO D,et al.Myopic versus hyperopic eyes:axial length,corneal shape and optical aberrations[J].Journal of Vision,2004,4(4):288-298.
[6]沈洁,孙慧华.儿童眼轴与角膜曲率在单纯性近视初期的变化[J].上海第二医科大学学报,2003,23(6):533-534,537.
[7]ZHAO L,CHEN X J,ZHU J,et al.Lanosterol reverses protein aggregation in cataracts[J].Nature,2015,523(7562):607-611.
[8]NGO C,SINGH M,SNG C,et al.Visual acuity outcomes with SA60D3,SN60D3,and ZM900multifocal IOL implantation after phacoemulsification[J].Journal of Refractive Surgery,2010,26(3):177-182.
[9]JENDRITZA B B,KNORZ M C,MORTON S.Wavefront-guided excimer laser vision correction after multifocal IOL implantation[J].Journal of Refractive Surgery,2008,24(3):274-279.
[10]ALBERDI T,MACíAS-MURELAGA B,BASCARáN L,et al.Rotational stability and visual quality in eyes with Rayner toric intraocular lens implantation[J].Journal of Refractive Surgery,2012,28(10):696-700.
[11]TRIVEDI R H,WILSON M E.Prediction error after pediatric cataract surgery with intraocular lens implantation:contact versus immersion a-scan biometry[J].Journal of Cataract&Refractive Surgery,2011,37(3):501-505.
[12]SCHMID G F.Axial and peripheral eye length measured with optical low coherence reflectometry[J].Journal of Biomedical Optics,2003,8(4):655-662.
[13]孙靖,梁四妥,张红.光相干生物测量仪与接触式A型超声测量黄斑水肿患者眼轴长度比较[J].中华眼底病杂志,2012,28(4):359-362.
[14]罗廷浩.IOL Master和A超眼轴测量比较研究[J].国际眼科杂志,2012,12(6):1213-1213.
[15]HOLZER M P,MAMUSA M,AUFFARTH G U.Accuracy of a new partial coherence interferometry analyser for biometric measurements[J].British Journal of Ophthalmology,2009,93(6):807-810.
[16]杨青华,陈兵,彭广华,等.水浴法B超在高度近视眼白内障患者生物测量中的准确性研究[J].中华眼科杂志,2014,50(1):32-36.
[17]GOEBELS S C,SEITZ B,LANGENBUCHER A.Comparison of the new biometer OA-1000 with IOLMaster and Tomey AL-3000[J].Current Eye Research,2013,38(9):910-916.
[18]TAKEI K,SEKINE Y,OKAMOTO F,et al.Measurement of axial length of eyes with incomplete filling of silicone oil in the vitreous cavity using x ray computed tomography[J].British Journal of Ophthalmology,2002,86(1):47-50.
[19]王福转,张孟荣.磁共振在硅油眼眼轴测量中的应用[J].中国社区医师:医学专业,2013,13(3):238-238.
[20]吴钦星.磁共振在硅油眼眼轴测量中的应用[J].国际眼科杂志,2010,10(5):1019-1020.
[21]杨青华,黄一飞.眼轴长度测量的研究进展[J].解放军医学院学报,2014,35(5):505-508.
[22]FERCHER A F,ROTH E.Ophthalmic laser interferometry[J].Proceedings of SPIE,1986,658:48-51.
[23]R·巴斯,R·贝尔格纳,L·米勒,等.无接触式测量眼睛轴长和/或角膜曲率和/或前房深度的,尤其是Iol测量的装置和方法:中国,CN101612033A[P].2009-12-30.
[24]章楠.光学生物测量仪IOLMaster500的临床评价[D].大连:大连医科大学,2015.
[25]KASCHKE M,DONNERHACKE K H,RILL M S.Optical devices in ophthalmology and optometry:technology,design principles,and clinical applications[M].Weinheim:Wiley,2014:277-344.
[26]TETIKOGLU M,SAGDIK H M,AKTAS S,et al.Repeatability and reproducibility of a new partial coherence interferometer;AL-scan optic biometer[J].Medicine Science,2016,5(1):222-232.
[27]MOON S W,LIM S H,LEE H Y.Accuracy of biometry for intraocular lens implantation using the new partial coherence interferometer,AL-scan[J].Korean Journal of Ophthalmology,2014,28(6):444-450.
[28]沈政伟,薛林平,莫婷,等.Lenstar LS900的临床应用进展[J].国际眼科杂志,2012,12(11):2123-2125.
[29]郑维一,周伟,孙恒.Lenstar LS900临床应用的研究进展[J].医学综述,2014,20(4):671-673.
[30]张鸿瑫,马芹,蒋华.Lenstar LS900测量仪临床应用现状[J].实用医药杂志,2013,30(7):653-655.
[31]徐国兴,王雪乔,王健发.一种用弱相干技术测量眼球参数的系统及测量方法:中国,CN102727172B[P].2014-08-13.
[32]华焱军,肖秋怡,吴强.新型眼生物测量仪Tomey OA-2000和IOLMaster获得的白内障患者眼生物参数的比较[J].眼科新进展,2017,37(9):845-848.
[33]MANDAL P,BERROW E J,NAROO S A,et al.Validity and repeatability of the Aladdin ocular biometer[J].British Journal of Ophthalmology,2014,98(2):256-258.
[34]GOLDBLUM D.Physics lesson:differences in PCIand OLCR optical biometry[J].Cataract&Refractive Surgery Today,2015:41-43.
[35]沈沛阳,丁小虎,何明光,等.光学相干生物测量仪Lenstar LS 900与IOLMaster对眼球生物学参数测量的一致性评价[J].眼科新进展,2014,34(6):560-563.
[36]ZHONG J G,SHAO Y L,TAO A Z,et al.Axial biometry of the entire eye using ultra-long scan depth optical coherence tomography[J].American Journal of Ophthalmology,2014,157(2):412-420.
[37]DAI C X,ZHOU C Q,FAN S H,et al.Optical coherence tomography for whole eye segment imaging[J].Optics Express,2012,20(6):6109-6115.
[38]FAN S H,LI L,LI Q,et al.Dual band dual focus optical coherence tomography for imaging the whole eye segment[J].Biomedical Optics Express,2015,6(7):2481-2493.
[39]GRULKOWSKI I,LIU J J,POTSAID B,et al.Retinal,anterior segment and full eye imaging using ultrahigh speed swept source OCT with vertical-cavity surface emitting lasers[J].Biomedical Optics Express,2012,3(11):2733-2751.
[40]GRULKOWSKI I,LIU J J,ZHANG J Y,et al.Reproducibility of a long-range swept-source optical coherence tomography ocular biometry system and comparison with clinical biometers[J].Ophthalmology,2013,120(11):2184-2190.
[41]KUNERT K S,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].Journal of Cataract&Refractive Surgery,2016,42(1):76-83.
[42]RUIZ-MESA R,ABENGóZAR-VELA A,RUIZ-SANTOS M.Comparison of a new Scheimpflug imaging combined with partial coherence interferometry biometer and a low-coherence reflectometry biometer[J].Journal of Cataract&Refractive Surgery,2017,43(11):1406-1412.
[43]KURIAN M,NEGALUR N,DAS S,et al.Biometry with a new swept-source optical coherence tomography biometer:repeatability and agreement with an optical low-coherence reflectometry device[J].Journal of Cataract&Refractive Surgery,2016,42(4):577-581.
[44]AKMAN A,ASENA L,GüNG?R S G.Evaluation and comparison of the new swept source OCT-based IOL master 700 with the IOL master 500[J].British Journal of Ophthalmology,2016,100(9):1201-1205.
[2]DOLGIN E.The myopia boom[J].Nature,2015,519(7543):276-278.
[3]MENG W,BUTTERWORTH J,MALECAZE F,et al.Axial length of myopia:a review of current research[J].Ophthalmologica,2011,225(3):127-134.
[4]SAW S M,CHUA W H,GAZZARD G,et al.Eye growth changes in myopic children in Singapore[J].British Journal of Ophthalmology,2005,89(11):1489-1494.
[5]LLORENTE L,BARBERO S,CANO D,et al.Myopic versus hyperopic eyes:axial length,corneal shape and optical aberrations[J].Journal of Vision,2004,4(4):288-298.
[6]沈洁,孙慧华.儿童眼轴与角膜曲率在单纯性近视初期的变化[J].上海第二医科大学学报,2003,23(6):533-534,537.
[7]ZHAO L,CHEN X J,ZHU J,et al.Lanosterol reverses protein aggregation in cataracts[J].Nature,2015,523(7562):607-611.
[8]NGO C,SINGH M,SNG C,et al.Visual acuity outcomes with SA60D3,SN60D3,and ZM900multifocal IOL implantation after phacoemulsification[J].Journal of Refractive Surgery,2010,26(3):177-182.
[9]JENDRITZA B B,KNORZ M C,MORTON S.Wavefront-guided excimer laser vision correction after multifocal IOL implantation[J].Journal of Refractive Surgery,2008,24(3):274-279.
[10]ALBERDI T,MACíAS-MURELAGA B,BASCARáN L,et al.Rotational stability and visual quality in eyes with Rayner toric intraocular lens implantation[J].Journal of Refractive Surgery,2012,28(10):696-700.
[11]TRIVEDI R H,WILSON M E.Prediction error after pediatric cataract surgery with intraocular lens implantation:contact versus immersion a-scan biometry[J].Journal of Cataract&Refractive Surgery,2011,37(3):501-505.
[12]SCHMID G F.Axial and peripheral eye length measured with optical low coherence reflectometry[J].Journal of Biomedical Optics,2003,8(4):655-662.
[13]孙靖,梁四妥,张红.光相干生物测量仪与接触式A型超声测量黄斑水肿患者眼轴长度比较[J].中华眼底病杂志,2012,28(4):359-362.
[14]罗廷浩.IOL Master和A超眼轴测量比较研究[J].国际眼科杂志,2012,12(6):1213-1213.
[15]HOLZER M P,MAMUSA M,AUFFARTH G U.Accuracy of a new partial coherence interferometry analyser for biometric measurements[J].British Journal of Ophthalmology,2009,93(6):807-810.
[16]杨青华,陈兵,彭广华,等.水浴法B超在高度近视眼白内障患者生物测量中的准确性研究[J].中华眼科杂志,2014,50(1):32-36.
[17]GOEBELS S C,SEITZ B,LANGENBUCHER A.Comparison of the new biometer OA-1000 with IOLMaster and Tomey AL-3000[J].Current Eye Research,2013,38(9):910-916.
[18]TAKEI K,SEKINE Y,OKAMOTO F,et al.Measurement of axial length of eyes with incomplete filling of silicone oil in the vitreous cavity using x ray computed tomography[J].British Journal of Ophthalmology,2002,86(1):47-50.
[19]王福转,张孟荣.磁共振在硅油眼眼轴测量中的应用[J].中国社区医师:医学专业,2013,13(3):238-238.
[20]吴钦星.磁共振在硅油眼眼轴测量中的应用[J].国际眼科杂志,2010,10(5):1019-1020.
[21]杨青华,黄一飞.眼轴长度测量的研究进展[J].解放军医学院学报,2014,35(5):505-508.
[22]FERCHER A F,ROTH E.Ophthalmic laser interferometry[J].Proceedings of SPIE,1986,658:48-51.
[23]R·巴斯,R·贝尔格纳,L·米勒,等.无接触式测量眼睛轴长和/或角膜曲率和/或前房深度的,尤其是Iol测量的装置和方法:中国,CN101612033A[P].2009-12-30.
[24]章楠.光学生物测量仪IOLMaster500的临床评价[D].大连:大连医科大学,2015.
[25]KASCHKE M,DONNERHACKE K H,RILL M S.Optical devices in ophthalmology and optometry:technology,design principles,and clinical applications[M].Weinheim:Wiley,2014:277-344.
[26]TETIKOGLU M,SAGDIK H M,AKTAS S,et al.Repeatability and reproducibility of a new partial coherence interferometer;AL-scan optic biometer[J].Medicine Science,2016,5(1):222-232.
[27]MOON S W,LIM S H,LEE H Y.Accuracy of biometry for intraocular lens implantation using the new partial coherence interferometer,AL-scan[J].Korean Journal of Ophthalmology,2014,28(6):444-450.
[28]沈政伟,薛林平,莫婷,等.Lenstar LS900的临床应用进展[J].国际眼科杂志,2012,12(11):2123-2125.
[29]郑维一,周伟,孙恒.Lenstar LS900临床应用的研究进展[J].医学综述,2014,20(4):671-673.
[30]张鸿瑫,马芹,蒋华.Lenstar LS900测量仪临床应用现状[J].实用医药杂志,2013,30(7):653-655.
[31]徐国兴,王雪乔,王健发.一种用弱相干技术测量眼球参数的系统及测量方法:中国,CN102727172B[P].2014-08-13.
[32]华焱军,肖秋怡,吴强.新型眼生物测量仪Tomey OA-2000和IOLMaster获得的白内障患者眼生物参数的比较[J].眼科新进展,2017,37(9):845-848.
[33]MANDAL P,BERROW E J,NAROO S A,et al.Validity and repeatability of the Aladdin ocular biometer[J].British Journal of Ophthalmology,2014,98(2):256-258.
[34]GOLDBLUM D.Physics lesson:differences in PCIand OLCR optical biometry[J].Cataract&Refractive Surgery Today,2015:41-43.
[35]沈沛阳,丁小虎,何明光,等.光学相干生物测量仪Lenstar LS 900与IOLMaster对眼球生物学参数测量的一致性评价[J].眼科新进展,2014,34(6):560-563.
[36]ZHONG J G,SHAO Y L,TAO A Z,et al.Axial biometry of the entire eye using ultra-long scan depth optical coherence tomography[J].American Journal of Ophthalmology,2014,157(2):412-420.
[37]DAI C X,ZHOU C Q,FAN S H,et al.Optical coherence tomography for whole eye segment imaging[J].Optics Express,2012,20(6):6109-6115.
[38]FAN S H,LI L,LI Q,et al.Dual band dual focus optical coherence tomography for imaging the whole eye segment[J].Biomedical Optics Express,2015,6(7):2481-2493.
[39]GRULKOWSKI I,LIU J J,POTSAID B,et al.Retinal,anterior segment and full eye imaging using ultrahigh speed swept source OCT with vertical-cavity surface emitting lasers[J].Biomedical Optics Express,2012,3(11):2733-2751.
[40]GRULKOWSKI I,LIU J J,ZHANG J Y,et al.Reproducibility of a long-range swept-source optical coherence tomography ocular biometry system and comparison with clinical biometers[J].Ophthalmology,2013,120(11):2184-2190.
[41]KUNERT K S,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].Journal of Cataract&Refractive Surgery,2016,42(1):76-83.
[42]RUIZ-MESA R,ABENGóZAR-VELA A,RUIZ-SANTOS M.Comparison of a new Scheimpflug imaging combined with partial coherence interferometry biometer and a low-coherence reflectometry biometer[J].Journal of Cataract&Refractive Surgery,2017,43(11):1406-1412.
[43]KURIAN M,NEGALUR N,DAS S,et al.Biometry with a new swept-source optical coherence tomography biometer:repeatability and agreement with an optical low-coherence reflectometry device[J].Journal of Cataract&Refractive Surgery,2016,42(4):577-581.
[44]AKMAN A,ASENA L,GüNG?R S G.Evaluation and comparison of the new swept source OCT-based IOL master 700 with the IOL master 500[J].British Journal of Ophthalmology,2016,100(9):1201-1205.