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Xinxin Li¹, Chunyuan Song², Yong Wang³

¹Aier School of Ophthalmology, Central South University, Changsha, 410015, China.

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie

|May 17, 2024

概括

包括巴雷特通用II (BUII) 和凯恩在内的四种公式显示,在30毫米以上长轴长度 (AL) 的眼睛中,计算眼内透镜 (IOL) 功率的准确性相似. 这些发现有助于优化这种情况下的IOL选择.

科学领域:

眼科医生眼科眼科
生物医学工程生物医学工程
光学是什么?光学是什么?光学是什么?

背景情况:

准确的眼内镜 (IOL) 功率计算对于成功的白内障手术结果至关重要.
具有极长轴长度 (AL>30.0毫米) 的眼睛对标准IOL功率计算公式构成独特的挑战.
之前的研究表明,在长眼中,不同IOC配方的性能可变.

研究的目的:

为了比较14种不同IOL功率计算公式的预测准确度,眼睛的轴长超过30.0毫米.
在这个特定的患者队列中确定IOL功率计算的最准确公式.
根据平均绝对误差 (MAE) 和特定二极管范围内的预测误差百分比等指标来评估公式性能.

主要方法:

对211只眼睛 (211名患者) 的回顾性分析,AL>30.0毫米,接受了白内障手术.
使用IOLMaster 700.00测量了眼部生物识别参数.
14个公式,包括Barrett Universal II (BUII),Kane,Emetropia Verifying Optical (EVO) 2.0,以及各种Wang-Koch调整的公式,使用优化的A常数进行了评估.

主要成果:

凯恩公式显示最低的平均绝对误差 (MAE) 为0.43 D,中位数绝对误差 (MedAE) 为0.34 D.
EVO 2.0和Holladay 1NP修改的W/K公式在±0.25 D (37.91%) 范围内实现了最高的预测误差百分比.
在BUII,Kane,EVO2.0和Wang-Koch调整公式之间没有发现±1.00D的预测误差的显著差异.

结论:

巴雷特通用II (BUII),凯恩,EVO2.0和王-科赫调整公式在轴长大于30.0毫米的眼睛中表现出可比的精度,用于眼内透镜功率计算.
这些公式建议在极长眼睛的患者的IOL功率计算中考虑.
进一步的研究可能会探索配方调整,以在具有挑战性的生物识别案例中获得更高的精度.

关键词:

计算方式计算方式在白内障手术中进行了白内障手术.极其长的轴长度极其长的轴长度方程式方程式方程式眼内透镜的功率是眼内透镜的功率

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