不同眼轴长度下新型扫频生物测量仪ANTERION与IOLMaster 700测量数据的一致性  

Analysis of the Consistency between the Measurement Data of ANTERION and IOLMaster 700 under Different Axial Lengths

作　　者：姚锦晗 常水苗 张亚琴 王晓刚 Jinhan Yao;Shuimiao Chang;Yaqin Zhang;Xiaogang Wang(Shanxi Medical University,Taiyuan 030001,China;Shanxi Eye Hospital Affiliated to Shanxi Medical University,Taiyuan 030002,China)

机构地区：[1]山西医科大学,太原030001 [2]山西省眼科医院山西医科大学附属眼科医院,太原030002

出　　处：《中华眼视光学与视觉科学杂志》2023年第6期413-419,共7页Chinese Journal Of Optometry Ophthalmology And Visual Science

基　　金：国家自然科学基金项目(81971697);山西省回国留学人员科研资助项目(2021-174)。

摘　　要：目的::观察比较2种扫频生物测量仪ANTERION和IOLMaster 700在不同眼轴长度下的检出率、眼部生物学参数及预测人工晶状体(IOL)度数的一致性。方法::系列病例研究。随机选取2020年11月至2022年3月在山西省眼科医院就诊的白内障患者。对所有患者分别行IOLMaster 700和ANTERION检查,根据IOLMaster 700检测的眼轴(AL)长短分为短眼轴组(AL≤22 mm)、正常眼轴组(22 mm<AL<25 mm)和长眼轴组(AL≥25 mm)。对2种设备测量3组中的AL、前房深度(ACD)、角膜曲率(Kf和Ks)、平均角膜曲率(Km)、散光(度数、J 0、J 45)、中央角膜厚度(CCT)、角膜直径(WTW)、晶状体厚度(LT)以及IOL度数等数据比较均使用配对t检验进行统计学分析。一致性评估采用组内相关系数(ICC)及Bland-Altman法。结果::共纳入患者257例(363眼),其中短眼轴组16例(22眼),正常眼轴组187例(250眼),长眼轴组54例(91眼)。3组中IOLMaster 700的眼轴检出率均高于ANTERION,但差异均无统计学意义(均P>0.05)。3组中除WTW外,其余各生物参数的ICC均大于0.9。2种仪器测量短眼轴组中的CCT(t=-4.99,P<0.001)、ACD(t=9.46,P<0.001)、LT(t=11.25,P<0.001)、Kf(t=-3.46,P=0.003)、Ks(t=-4.87,P<0.001)、Km(t=-5.66,P<0.001)、IOL度数(t=2.70,P=0.014)差异均有统计学意义;测量正常眼轴组中的CCT(t=-17.88,P<0.001)、ACD(t=18.87,P<0.001)、LT(t=8.88,P<0.001)、Kf(t=-9.51,P<0.001)、Ks(t=-10.24,P<0.001)、Km(t=-14.62,P<0.001)、WTW(t=-12.36,P<0.001)、IOL度数(t=9.77,P<0.001)差异均有统计学意义;测量长眼轴组中的AL(t=4.43,P<0.001)、CCT(t=-13.21,P<0.001)、ACD(t=11.72,P<0.001)、LT(t=10.60,P<0.001)、Kf(t=-9.06,P<0.001)、Ks(t=-3.13,P=0.002)、Km(t=-8.80,P<0.001)、WTW(t=-13.25,P<0.001)、IOL度数(t=3.02,P=0.003)差异均有统计学意义。2种仪器测量3组中散光向量分解数据(J 0、J 45)差异均无统计学意义(均P>0.05)。结论::不同眼轴长度下IOLMaster 700对AL的检出率均优于ANTERION,且两者的部分生物学测量数�Objective:To investigate the consistency of acquired rate,ocular biological parameters,and predicted intraocular lens(IOL)power between ANTERION and IOLMaster 700 under different axial lengths(AL).Methods:This was a case series study.Patients diagnosed with cataracts were randomly enrolled in Shanxi Eye Hospital from November 2020 to March 2022.IOLMaster 700 and ANTERION were performed on all registered participants.And they were divided into three groups according to the AL from IOLMaster 700(short eye group:AL≤22 mm;normal group:22 mm<AL<25 mm;long eye group:AL≥25 mm).The interested parameters included AL,anterior chamber depth(ACD),keratometry for the flattest meridian(Kf),keratometry for the steepest meridian(Ks),mean keratometry(Km),astigmatism values(astigmatism magnitude,J0,J45),central corneal thickness(CCT),white to white(WTW),lens thickness(LT),and IOL power calculated using Barrett Universal II formula.Paired sample t-test was used for quantitative data comparison between the two devices.The agreement was evaluated using an interclass correlation coefficient(ICC)and Bland-Altman.Results:A total of 257 patients(363 eyes)were enrolled in this study,including16 patients(22 eyes),187 patients(250 eyes),and 54 patients(91 eyes)for short eye,normal and long eye groups,respectively.IOLMaster 700 demonstrated a higher acquired rate than ANTERION for all three groups,but there were no significant differences(all P>0.05).Except for WTW,ICC were all higher than 0.9 in all three groups.For the short eye group,CCT(t=-4.99,P<0.001),ACD(t=9.46,P<0.001),LT(t=11.25,P<0.001),Kf(t=-3.46,P=0.003),Ks(t=-4.87,P<0.001),Km(t=-5.66,P<0.001),and IOL power(t=2.70,P=0.014)showed significant differences between the two devices.For the normal group,CCT(t=-17.88,P<0.001),ACD(t=18.87,P<0.001),LT(t=8.88,P<0.001),Kf(t=-9.51,P<0.001),Ks(t=-10.24,P<0.001),Km(t=-14.62,P<0.001),WTW(t=-12.36,P<0.001),and IOL power(t=9.77,P<0.001)had significant differences between the two devices.For the long eye group,statistical differences were found

关 键 词：眼轴 散光 向量 扫频生物测量仪 

分 类 号：R770.4[医药卫生—眼科]