在近视激光折射手术和放射性角膜切除术后眼睛的眼内透镜功率计算:贝叶斯网络元分析
Xiaoying Pan1, Yuyao Wang2, Zhaohui Li3
1From the School of Medicine, Nankai University, Tianjin (X.P.); Department of Ophthalmology, the Chinese People's Liberation Army General Hospital, Beijing (X.P., Y.W., Z.L., Z.Y.), China.
American journal of ophthalmology
|October 21, 2023
概括
精确的眼内透镜功率计算在折射手术后至关重要. 巴雷特真实-K没有病史,OCT和Masket公式在与其他相比之前近视激光手术的眼睛中显示出更高的准确性.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 生物医学工程 生物医学工程
背景情况:
- 精确的眼内镜 (IOL) 功率计算对于在白内障手术后实现最佳视觉结果至关重要.
- 之前的近视激光折射手术或放射性角切除术可以显著改变眼睛的生物特征,这对标准的IOL计算公式构成了挑战.
- 在这些改变的眼睛中评估不同IOL计算公式的性能对于临床实践至关重要.
研究的目的:
- 为了比较各种眼内透镜 (IOL) 功率计算公式的准确性,这些眼睛之前已经接受了近视激光折射手术或放射性角膜切除术.
- 确定最可靠的公式来预测在这个具有挑战性的患者群体中折射结果.
主要方法:
- 进行了贝叶斯网络元分析,结合了涉及1172只眼睛的24项研究的数据.
- 通过对PubMed,Embase,Cochrane Reviews和Cochrane控制试验中心注册的全面搜索来确定研究.
- 主要结局指标是预测折射误差在目标折射的±0.50二光度 (D) 或±1.00 D以内的眼睛的百分比.
主要成果:
- 在之前进行近视激光手术的眼睛中,与海吉斯-L公式相比,Barrett true-K no史,光学连贯断层扫描 (OCT) 和Masket公式的准确性明显更高 (在±0.50 D范围内更多的眼睛).
- 王-科赫-马洛尼公式表现出最差的可预测性.
- 对于经过放射性角切除术的眼睛,对4项研究的直接元分析发现,在±0.50 D或±1.00 D误差范围内,公式准确度没有显著差异.
结论:
- 由于其卓越的准确性,OCT,Masket和Barrett true-K no历史公式被推用于近视激光折射手术史的眼睛的IOL功率计算.
- 没有任何特定的配方显示出对先前用放射性角质切除术治疗的眼睛具有明显的优势.
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