评估术后的胸膜眼内镜片旋转:比较分析.
Marcus Lisy1, Victor Danzinger, Markus Schranz
1From the Department of Ophthalmology and Optometry, Medical University of Vienna, Vienna, Austria.
Journal of cataract and refractive surgery
|November 27, 2024
概括
准确测量托里克眼内透镜 (TIOL) 旋转需要使用固定的解剖学地标并建立手术结束的基线. 在评估TIOL沿水平轴旋转时,考虑眼睛循环旋转至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 生物医学工程 生物医学工程
- 光学一致性断层扫描技术
背景情况:
- 在白内障手术期间,托里克眼内透镜 (TIOL) 用于纠正白内障手术期间的.
- TIOLs的精确旋转稳定性对于实现所需的视觉结果至关重要.
- 测量TIOL旋转的标准化方法对于临床评估至关重要.
研究的目的:
- 为了比较三种不同的方法测量术后胸内眼镜 (TIOL) 旋转稳定性的准确性.
- 评估不同TIOL旋转测量技术之间的可靠性和一致性.
主要方法:
- 一项前性,干预性研究,涉及81名接受特定TIOL (克莱伦CNW0T3-9) 白内障手术的患者的128只眼睛.
- 采用了三种方法:Rotix (状血管参考),Slitlamp (水平轴参考) 和Casia (扫描源OCT轴确定工具).
- 在手术结束时 (EoS),手术后1周和6个月进行测量,以评估TIOL轴的稳定性.
主要成果:
- 在6个月后Rotix (1.33°),Casia (2.88°) 和Slit-lamp (4.38°) 之间观察到平均绝对旋转的显著差异 (P < .001).
- 布兰德-阿尔特曼可重复性系数 (CoRs) 显示,Casia和Rotix (±3.95°) 之间最接近一致,其次是Slit-lamp/Casia (±6.82°) 和Slit-lamp/Rotix (±7.19°).
结论:
- 为了准确地评估TIOL的旋转稳定性,必须使用固定的解剖学地标并确定手术结束的基线.
- 在测量TIOL沿水平轴的旋转时,考虑眼睛循环旋转至关重要,不应低估.
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