首页|基于IOLMaster700对短眼轴眼人工晶状体计算准确性的研究

基于IOLMaster700对短眼轴眼人工晶状体计算准确性的研究

Research on the accuracy of intraocular lens calculation formulas in short eyes based on IOLMaster700

扫码查看
目的 探讨短眼轴(眼轴<22.00mm)患者IOL计算公式屈光预测准确性.设计前瞻性病例系列.研究对象2021年12月至2023年5月西安市人民医院行白内障超声乳化吸出联合后房型单焦一片式IOL植入手术的短眼轴患者51例(56眼).方法 采用IOLMaster700测量眼轴、角膜曲率、中央前房深度、晶状体厚度,根据Holladay2、Haigis、Barrett Universal Ⅱ公式预测术后屈光度数.最佳矫正视力转化成LogMAR视力进行统计分析.术后3个月进行显然验光,比较三种公式预测屈光度的误差.主要指标术后屈光预测误差和绝对预测误差.结果 术前中央前房深度平均(2.2±0.2)mm,术后3个月平均(3.8±0.3)mm(t=25.7,P<0.001).三种公式的预测误差和绝对预测误差之间均无统计学差异(P均>0.05).公式Haigis预测误差76.9%分布在±0.50 D,优于公式 Holladay2(50.0%分布于±0.50 D)和 Barrett Universal Ⅱ(57.6%分布在±0.50 D).结论 短眼轴患者基于 IOLMaster700测量采用 IOL公式 Haigis、Holladay2、Barrett Universal Ⅱ 的准确性均较高.(眼科,2024,33:377-381)
Objective To investigate the accuracy of intraocular lens(IOL)power prediction formulas in patients with short eyes(axial length<22.00 mm).Design Prospective case series study.Participants 51 patients(56 eyes)with short axial length who under-went phacoemulsification and posterior chamber single-piece monofocal IOL implantation surgery at Xi'an People's Hospital from De-cember 2021 to May 2023.Methods The axial length,corneal curvature,central anterior chamber depth,and lens thickness were mea-sured with IOLMaster700.Postoperative refractive error was predicted using Holladay2,Haigis,and Barrett Universal Ⅱ formulas.The best corrected visual acuity was converted into LogMAR visual acuity for statistical analysis.Subjective optometry examination was per-formed at 3 months postoperatively.The errors in predicting refraction using the Haigis,Holladay 2,and Barrett Universal Ⅱ formulas were compared.Main Outcome Measures Refractive prediction error and absolute prediction error.Results The average central ante-rior chamber depth preoperatively was(2.2±0.2)mm,which significantly increased to(3.8±0.3)mm at 3 months postoperatively(t=25.7,P<0.001).There were no statistically significant differences in prediction error and absolute prediction error among the three formulas(all P>0.05).The Haigis formula showed 76.9%of prediction errors distributed within±0.50 D,which was better than the Holladay 2 formula(50.0%within±0.50 D)and the Barrett Universal Ⅱ formula(57.6%within±0.50 D).Conclusion The accuracy of IOL formu-las(Haigis,Holladay 2,Barrett Universal Ⅱ)based on IOLMaster700 is relatively high in patients with short axial length.(Ophthalmol CHN,2024,33:377-381)

short eyesintraocular lens power formulacataract

李娇、王伟伟、徐倩倩、郭琳、刘建荣

展开 >

西安市人民医院(西安市第四医院)陕西省眼科医院 西安市眼影像数字化医疗技术重点实验室,西安 710004

短眼轴 人工晶状体公式 白内障

2024

眼科
中日友好医院,北京同仁医院,北京市眼科研究所

眼科

CSTPCD
影响因子:0.483
ISSN:1004-4469
年,卷(期):2024.33(5)