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主观和客观折射使用自折射和两个基于波面的异常计在EDOF和同步视觉眼内透镜:折射方法在长视障碍纠正IOLs

Petra Davidova¹, Mark Rostom¹, Luca Gabriel Timoceanu¹

¹Department of Ophthalmology, Goethe-University, 60590 Frankfurt, Germany.

American journal of ophthalmology

|February 20, 2026

概括

使用现代设备的客观折射 (OR) 与扩展焦点深度或同时视力眼内透镜植入后的主观折射 (SR) 并不完全一致. 根据设备和镜头类型的不同而有所不同,瞳孔大小和IOL扭性影响了结果.

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:

眼内透镜 (IOL) 在白内障手术后对视力纠正至关重要.
扩展焦点深度 (EDOF) 和同时视觉眼内透镜 (SVIOLs) 提供先进的视觉康复.
准确的折射结果对于患者的满意度和视觉功能至关重要.

研究的目的:

为了比较主观折射 (SR) 与客观折射 (OR),使用EDOF/SVIOL植入后的自折射器和异常计.
评估SR和OR测量之间的一致性.
为了确定影响折射结果差异的生物识别因素.

主要方法:

关于SR和OR之间协议的前性比较评估.
使用自折射器 (AR),哈特曼-沙克异常计和射线追踪异常计测量目标折射率.
分析球形/圆柱形误差,球形等效 (SE) 和向量组件.
评估了生物识别参数,包括轴长,瞳孔大小,IOL功率和扭力.

主要成果:

在大多数折射参数中观察到SR和OR之间的显著差异,除了矢量组件.
在SR和OR之间的类内相关系数一般为较差至中等.
射线追踪异常测量在EDOF组 (79.5%) 显示出更高的一致性 (≤0.50 D差异),而AR在SVIOL组 (96.4%) 显示出更高的一致性.
瞳孔大小和IOL扭性影响了SE差异,特别是在Hartmann-Shack异常测量中.

结论:

客观折射测量不能与EDOF/SVIOL植入后的主观折射互换.
与EDOF IOL相比,SR和OR之间的协议对SVIOLs来说更大.
瞳孔大小和IOL扭性是影响折射结果差异的重要因素.

关键词:

哈特曼 - 沙克异常测量射线追踪异常测量射线追踪异常测量扩大了焦点深度 IOL IOL.折射方式折射方式同时视觉 IOL 眼镜波面异常测量波面异常测量波面异常测量

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