Scansys、Pentacam、CASIA和Arcscan测量近视眼ICL植入术后拱高比较  

Comparison of vault measurements by Scansys,Pentacam,CASIA and Arcscan after ICL implantation

作　　者：张波 王浩 庞辰久 杜文文 孙早荷 李金 顾宇伟 王树林 范棋 Zhang Bo;Wang Hao;Pang Chenjiu;Du Wenwen;Sun Zaohe;Li Jin;Gu Yuwei;Wang Shulin;Fan Qi(Henan Provincial People's Hospital,Henan Eye Hospital,People's Hospital of Zhengzhou University,People's Hospital of Henan University,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院、河南省立眼科医院、郑州大学人民医院、河南大学人民医院,郑州450003

出　　处：《中华实验眼科杂志》2024年第4期354-360,共7页Chinese Journal Of Experimental Ophthalmology

基　　金：河南省科技厅科技攻关联合基金(232103810052)。

摘　　要：目的评估国产三维眼前节分析系统Scansys、Pentacam三维眼前节全景分析仪、频域眼前节光学相干断层扫描仪(CASIA SS-1000)和新型超高频数字超声扫描系统(Arcscan Insight100)测量近视眼有晶状体眼后房型人工晶状体(ICL)植入术后中央拱高的差异及一致性。方法采用诊断试验研究方法,纳入2019年6—12月于河南省人民医院眼科行ICL V4c植入术的近视患者56例56眼,术后同时应用Scansys、Pentacam、CASIA和Arcsan测量中央拱高。比较4种仪器拱高测量值的差异;4种仪器拱高测量值的相关性采用Pearson相关性分析,一致性比较采用Bland-Altman法分析。结果Scansys、Pentacam、CASIA和Arcscan拱高测量值分别为(481.8±191.6)、(476.4±190.6)、(619.3±207.5)和(534.0±221.2)μm,总体比较差异有统计学意义(F=143.301,P<0.001),其中Scansys和Pentacam拱高测量值明显低于CASIA和Arcscan,Arcscan拱高测量值低于CASIA,差异均有统计学意义(均P<0.001)。Arcscan-CASIA、Arcscan-Pentacam、Arcscan-Scansys、CASIA-Pentacam、CASIA-Scansys、Pentacam-Scansys拱高测量值均呈强正相关(r=0.982、0.933、0.931、0.942、0.941、0.989,均P<0.001)。Scansys、Pentacam、CASIA和Arcscan拱高测量值组内相关系数分别为0.985、0.975、0.998、0.992;CASIA和Arcscan、CASIA和Scansys、CASIA和Pantacam、Arcscan和Scansys、Arcscan和Pantacam拱高测量值差值95%一致性界限分别为-170~0、0~280、0~280、-110~210、-100~220μm,差值的绝对值最大值超出临床的可接受范围,一致性欠佳;Scansys和Pentacam拱高测量值差值95%一致性界限为-60~50μm,一致性良好。结论4种仪器测量近视眼ICL V4c植入术后拱高重复性均良好,其中,Scansys和Pentacam的拱高测量值偏小,两者一致性良好,结果可以互相替代;而CASIA拱高测量值最大,其次为Arcscan,彼此差异较大,测量结果不能相互替代,在临床工作中应结合实际情况综合分析。Objective To evaluate the consistency of the Chinese three-dimensional anterior visual field analysis system(Scansys),the anterior segment analyzer(Pentacam),the frequency-domain anterior segment optical coherence tomography system(CASIA SS-1000),and a new ultra-high frequency digital ultrasound scanning system(Arcscan Insight100)to measure central vault after implantable collamer lens(ICL)implantation in myopic eyes with crystalline lenses.Methods A diagnostic test study was conducted.Fifty-six myopic patients(56 eyes)who underwent ICL V4c implantation from June to December 2019 were included.Scansys,Pentacam,CASIA and Arcscan were used to measure the central vault after surgery.The vault measurements were compared.Correlations between the measurements of the four instruments were analyzed using Pearson correlation analysis,and consistency comparisons were analyzed using the Bland-Altman method.This study adhered to the Declaration of Helsinki.The study protocol was approved by the Ethics Committee of Henan Eye Hospital(No.HNEECKY-2021[13]).Written informed consent was obtained from each subject.Results The central vault measurements by Scansys,Pentacam,CASIA and Arcscan were(481.8±191.6),(476.4±190.6),(619.3±207.5)and(534.0±221.2)μm,respectively,with a statistically significant overall difference(F=143.301,P<0.001).The vault measurements by Scansys and Pentacam were significantly lower than CASIA and Arcscan,and Arcscan was lower than CASIA,with statistically significant differences(all at P<0.001).There were strong positive correlations in vault measurements between Arcscan and CASIA,Arcscan and Pentacam,Arcscan and Scansys,CASIA and Pentacam,CASIA and Scansys,Pentacam and Scansys(r=0.982,0.933,0.931,0.942,0.941,0.989;all at P<0.001).Intraclass correlation coefficients of vault measurements by Scansys,Pentacam,CASIA and Arcscan were 0.985,0.975,0.998,0.992,respectively.The 95%limits of agreement of vault measurements differences were-170 to 0,0 to 280,0 to 280,-110 to 210,-100 to 220μm,between CASIA and

关 键 词：近视 有晶状体眼人工晶状体 拱高 生物测量 超声 数字式 超高频 光学相干成像 前节 频域 三维眼前节全景分析仪 一致性 

分 类 号：R779.6[医药卫生—眼科]