IOLMaster 700、IOLMaster 500与PetacamHR测量近视患者眼生物学参数的比较  

Comparison of IOLMaster 700,IOLMaster 500 and Pentacam HR in Measuring the Biological Parameters of Myopia

作　　者：赵芳 徐曼 何玉枚 韩媛 王丹 牛晓光 杨兰 ZHAO Fang;XU Man;HE Yumei;HAN Yuan;WANG Dan;NIU Xiaoguang;YANG Lan(Wuhan Aier Ophthalmology Hanyang Hospital,Wuhan 430051,China)

机构地区：[1]武汉爱尔眼科汉阳医院,武汉430051

出　　处：《中国中医眼科杂志》2024年第12期1114-1119,1131,共7页China Journal of Chinese Ophthalmology

基　　金：爱尔眼科医院集团科研基金项目(AF2214D01)。

摘　　要：目的比较IOLMaster 700、IOLMaster 500与Pentacam HR三种不同仪器测量近视患者眼生物学参数的差异性、相关性与一致性,指导近视患者术前检查。方法纳入2022年6月—2022年10月武汉爱尔眼科汉阳医院就诊拟行角膜屈光手术的中、低度近视患者180例(180只眼),由同一检查者分别使用IOLMaster 700、IOLMaster 500、Pentacam HR测量角膜平坦曲率(K1)、角膜陡峭曲率(K2)、眼轴(AL)、中央前房深度(ACD)、水平角膜直径(WTW)及中央角膜厚度(CCT)。结果(1)眼生物参数比较:3种仪器的K1、K2、ACD测量值比较,差异均无统计学意义(P>0.05)。3种仪器的WTW测量值比较,差异有统计学意义(F=42.341,P=0.000),IOLMaster 700、IOLMaster 500的测量值均大于Pentacam HR的测量值(t_(IOLMaster 500)=8.651、t_(IOLMaster 700)=7.049,均P=0.000)。IOLMaster 700与Pentacam HR的CCT测量值比较,差异有统计学意义(t=2.641,P=0.009)。(2)眼生物参数的相关性分析:3种设备测得K1、K2、ACD值均呈显著线性正相关(均P=0.000)。(3)眼生物参数的一致性分析:在测量K1、K2、ACD方面,3种设备一致性较好。结论在近视眼患者中3种设备测量相关参数均较便捷,有较好的相关性,但部分参数仍有差异,临床使用时不能简单地互相替换,需要综合分析数据进行选择。OBJECTIVE To compare the differences,correlations,and consistencies in ocular biometric parameters measured by three different instruments:IOLMaster 700,IOLMaster 500,and Pentacam HR in myopic patients,and to guide preoperative examinations for myopic patients.METHODS A total of 180 patients(180 eyes)with low to moderate myopia who were scheduled for corneal refractive surgery at Wuhan Aier Ophthalmology Hanyang Hospital from June 2022 to October 2022 were enrolled.The same examiner used IOLMaster 700,IOLMaster 500,and Pentacam HR to measure corneal flat curvature(K1),corneal steep curvature(K2),axial length(AL),central anterior chamber depth(ACD),white-to-white corneal diameter(WTW),and central corneal thickness(CCT).RESULTS(1)There were no statistically significant differences in the measurements of K1,K2,and ACD among the three instruments(P>0.05).There was a statistically significant difference in WTW measurements among the three instruments(F=42.341,P=0.000),with the measurements by IOLMaster 700 and IOLMaster 500 being greater than those by Pentacam HR(t_(IOLMaster 500)=8.651,t_(IOLMaster 700)=7.049,both P=0.000).There was a statistically significant difference in CCT measurements between IOLMaster 700 and Pentacam HR(t=2.641,P=0.009).(2)Correlation analysis of ocular biometric parameters:There was a significant positive linear correlation in K1,K2,and ACD values measured by all three devices(all P=0.000).(3)Consistency analysis of ocular biometric parameters:The three devices showed good consistency in measuring K1,K2,and ACD.CONCLUSIONS The three instruments provide convenient measurements of relevant parameters in myopic patients and show good correlation,but there are still differences in some parameters.They cannot be simply interchanged in clinical use and require comprehensive analysis of data for selection.

关 键 词：IOLMaster 700 IOLMaster 500 Pentacam HR 近视 眼生物参数 

分 类 号：R778.11[医药卫生—眼科]