首页|扫频源光学相干断层扫描和时域光学相干断层扫描对近视患者房角参数测量的一致性分析

扫频源光学相干断层扫描和时域光学相干断层扫描对近视患者房角参数测量的一致性分析

Consistent analysis of swept-source optical coherence tomography and time-domain optical coherence tomography in measuring the parameters of chamber angle of patients with myopia

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目的:探讨扫频源光学相干断层扫描(SS-OCT)和时域光学相干断层扫描(TD-OCT)在近视患者前房角测量的一致性.方法:回顾性选择2023年1-5月在陆军军医大学大坪医院眼科就诊的46(92眼)近视患者,所有患者均使用SS-OCT和TD-OCT分别对房角参数进行测量,对比分析SS-OCT和TD-OCT两种扫描方法测量中央前房深度(ACD)、房角开放距离(AOD500、AOD750)、巩膜突角度(SSA)、小梁网虹膜面积(TISA500、TISA750)等参数的差异;采用Pearson相关性分析法和Bland-Altman检验,分析测量的相关性和一致性.结果:两种扫描方法测量房角参数ACD比较差异均有统计学意义(t=-6.83,P<0.001);且AOD500、AOD750、SSA500、TISA500和TISA750的鼻侧测量数据差异均有统计学意义(t=-5.16、5.51、-6.51、-4.75、-5.69,P<0.001);颞侧测量数据差异均有统计学意义(t=-5.04、-4.8、-6.06、-3.84、-4.02,P<0.001).两种扫描方法测量结果呈正相关(r=0.71~0.92),Bland-Altman分析显示2.1%~8.9%测量值在95%一致性界限外.结论:SS-OCT和TD-OCT在近视患者房角参数测量中存在差异,测量结果呈正相关.
Objective:To investigate the consistency of swept-source optical coherence tomography(SS-OCT)and time-domain optical coherence tomography(TD-OCT)in measuring the parameters of anterior chamber angle.Methods:A total of 46 myopic patients(92 eyes)were retrospectively selected from Department of Ophthalmology of Army Specialty Medical Center from January 2023 to May 2023.Both SS-OCT and TD-OCT were used to measure respectively the parameters of anterior chamber angle of patients.And then,the differences of central anterior chamber depth(ACD),angle opening distance(AOD500,AOD750),scleral spur angle(SSA),trabecular iris area(TISA500,TISA750)between SS-OCT and TD-OCT were compared and analyzed.The Pearson correlation analysis and Bland-Altman test were adopted to analyze and measure the correlation and consistency of the measures.Results:There was significant difference in ACD between the two kinds of scan methods(t=-6.83,P<0.001).Additionally,the differences of the AOD500,AOD750,SSA500,TISA500 and TISA750 of measured data beside of nose were significant(t=-5.16,5.51,-6.51,-4.75,-5.69,P<0.001),respectively.Similarly,the differences of them beside of temple were significant(t=-5.04,-4.8,-6.06,-3.84,-4.02,P<0.001),respectively.There was positive correlation between the two kinds of scan methods(r=0.71-0.92).The Bland-Altman analysis showed that 2.1% to 8.9% of the measured values were outside the consistency limit by 95%.Conclusion:There are differences between SS-OCT and TD-OCT in the measures of the parameters of anterior chamber angle of myopic patients,and the measured results of them appear positive correlation.

Swept-source optical coherence tomography(SS-OCT)Time-domain optical coherence tomography(TD-OCT)Anterior chamber angleMyopic patientsConsistency

魏安海、邹杨成、杨利、曹珍珍、张和华

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陆军军医大学大坪医院医学工程科 重庆 400042

重庆大学微电子与通信工程学院 重庆 400044

陆军军医大学大坪医院眼科 重庆 400042

扫频源光学相干断层扫描(SS-OCT) 时域光学相干断层扫描(TD-OCT) 房角测量 近视患者 一致性

重庆市社会事业与民生保障科技创新专项

cstc2017shmsA130074

2024

中国医学装备
中国医学装备协会

中国医学装备

CSTPCD
影响因子:0.882
ISSN:1672-8270
年,卷(期):2024.21(2)
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