角卡帕与多焦镜头植入后患者报告的结果无关
Xi Liu1,2, Stephen J Hannan3, Steven C Schallhorn4,5
1Southwest Hospital/Southwest Eye Hospital, Third Military Medical University (Army Military Medical University), Chongqing, People's Republic of China.
Clinical ophthalmology (Auckland, N.Z.)
|March 4, 2024
概括
在白内障手术中植入多焦镜片后,手术前角卡帕测量没有预测患者满意度. 不建议使用Angle kappa作为选多焦眼内眼镜选择的选工具.
科学领域:
- 眼科医生 眼科 眼科
- 视光学测量 视光学测量 视光学测量
- 生物医学工程 生物医学工程
背景情况:
- 多焦眼内镜 (IOL) 越来越多地用于白内障手术,以改善多个距离的未经纠正的视力.
- 患者报告的结果 (PROs) 对于评估多焦内膜眼镜的成功至关重要.
- 视角卡帕 (angle kappa) 是视觉轴与瞳孔轴之间的视角的测量,已被研究为IOL视觉结果的潜在预测因子.
研究的目的:
- 调查手术前角卡帕和患者报告的白内障手术后患者报告结果 (PROs) 与多焦点内腔镜植入物之间的关联.
- 确定角卡帕是否是一种可靠的手术前查措施,用于选择适合多焦内腔镜的患者.
主要方法:
- 进行了一项回顾性队列研究,涉及1368名接受双边白内障或折射性透镜交换手术的患者.
- 分析了手术前角卡帕测量和手术后1个月的PRO (对视力的满意度,光学现象).
- 统计分析包括相关系数和接收机-运营商特征 (ROC) 分析.
主要成果:
- 手术前角卡帕的中位数为0.41mm.
- 手术前的视角卡帕显示,与患者报告的视力满意度没有显著的关联 (P = 0.20).
- 角卡帕也与患者报告的光学现象没有显著关联,ROC分析也没有确定满足感的预测切线.
结论:
- 没有发现手术前角卡帕测量能预测多焦内膜眼镜植入后患者满意度.
- 这些发现不支持使用角卡帕作为查测试的病人考虑多焦点内膜眼镜在白内障手术.
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