在ICL大小选择和相关影响因素中,通过四个参数确定四种方法的疗效评估:一个前性队列研究
Chuhao Tang1, Jiawei Chen1, Yiyun Liu1
1Department of Ophthalmology, Beijing Key Laboratory of Restoration of Damaged Ocular Nerve, Peking University Third Hospital, Haidian District, 49 North Garden Road, Beijing, 100191, People's Republic of China.
International ophthalmology
|October 14, 2023
概括
这项研究比较了四种方法来选择植入式膜透镜 (ICL) 尺寸. 帕克赫斯特名图 (sulcus-to-sulcus) 和KS公式 (angle-to-angle) 提供了最准确的ICL大小测量,确保了最佳的术后保险库.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
- 视光学测量 视光学测量 视光学测量
背景情况:
- 植入式结合镜片 (ICL) 的精确尺寸对于实现最佳的折射结果和预防并发症至关重要.
- 存在各种方法来选择ICL大小,依赖于不同的前段生物识别参数.
- 了解这些方法的疗效及其对术后置的影响对于临床实践至关重要.
研究的目的:
- 根据不同的参数,比较四种不同的ICL大小选择方法的有效性.
- 确定影响ICL大小测定和术后保险库准确性的影响因素.
- 在临床实践中确定ICL大小选择的最可靠方法.
主要方法:
- 一项前性研究涉及60名接受双边ICL植入的患者 (120只眼睛).
- 形成了四组,每组使用不同的ICL大小选择方法:Parkhurst nomogram (sulcus-to-sulcus,STS),OCOS nomogram (白色到白色,WTW),KS公式 (角到角,ATA) 和NK公式 (前腔宽度,ACW).
- 在手术后一个月记录了手术后的存储记录,并在不同组之间进行了比较,以及不同生物识别测量之间的一致性.
主要成果:
- 帕克赫斯特诺米克和KS配方实现了正确尺寸ICL的最高率 (分别为86.7%和83.3%).
- 角度对角度 (ATA) 测量与硫对硫 (STS) 测量相关 (P <0.05).
- 与OCOS和NK方法不同的是,使用Parkhurst或KS方法时,金库没有受到前段生物识别变化的显著影响.
结论:
- 角度对角度 (ATA) 可以作为ICL大小测定中的结对结 (STS) 的替代方案.
- 基于STS的Parkhurst nomogram和基于ATA的KS公式是确定适当ICL大小的最可靠方法.
- 在使用OCOS名谱和NK公式时,STS和其他前段测量之间的差异与非正常的术后关联.
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