在长眼中计算IOL功率:使用最常见的公式选择最佳的轴长调整因子
Ferdinando Cione1,2, Maddalena De Bernardo1, Ilenia Di Paola1
1Ophthalmological Unit, Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, Salerno, Italy.
Heliyon
|September 16, 2024
概括
使用特定的公式和轴长度 (AL) 调整组合,优化长眼 (轴长≥26.00毫米) 的眼内透镜 (IOL) 功率计算,可以改善白内障手术后的折射结果.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
- 光学工程是指光学工程.
背景情况:
- 精确的眼内镜 (IOL) 功率计算对于在白内障手术中实现所需的折射结果至关重要.
- 长眼 (轴长[AL]≥26.00mm) 对标准的IOL计算公式构成独特的挑战,往往导致折射惊喜.
- 评估各种IOL功率计算公式和轴长调整方法对于优化该患者群体的结果至关重要.
研究的目的:
- 为了比较不同IOL功率计算公式的有效性,与长轴长 (AL ≥26.00毫米) 眼睛的各种轴长 (AL) 调整相结合.
- 为了确定长眼类别内的特定AL子范围的最佳公式调整组合,以提高折射可预测性.
主要方法:
- 对554名接受白内障手术的554名患者的554只眼睛进行了回顾性分析.
- 眼睛根据轴长 (AL) 分为三组: 26.0027.99毫米, 28.0029.99毫米和≥30.00毫米.
- 通过未经纠正的AL (ALu) 和五个AL调整 (Wang-Koch 1, wk2, wk-pol, CMALe, ALc) 评估了八种IOL功率计算公式 (巴雷特通用II,检测光学2.0,拉达斯超级公式,霍弗Q,霍拉代1,SRKT,T2和T2.2).
主要成果:
- 没有纠正的轴长度 (T2-ALu) 的T2公式对AL在26.0027.99毫米之间的眼睛表现最好.
- 对于眼睛的AL在28.0029.99毫米之间,以ALc调整 (EVO 2.0-ALc) 验证透光学2.0产生了最好的结果.
- 在AL≥30.00mm的眼睛中,EVO 2.0与CMALe调整 (EVO 2.0-CMALe) 提供了最准确的结果,而Ladas超级公式 (LSF) 在没有前腔深度数据的情况下显示了潜在的故障率.
结论:
- 根据长眼中的特定AL子范围来调整眼内透镜 (IOL) 功率计算公式和轴长 (AL) 调整的选择,可以显著改善折射结果.
- 这种个性化方法对于优化白内障手术后的可预测性和患者满意度至关重要,这些患者的轴长度为26.00毫米或更大.
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