在长轴长度眼睛中,内眼内透镜固定后的折射预测错误
Masaki Suzue1, So Goto1, Susumu Sakimoto1,2
1Department of Ophthalmology, Graduate School of Medicine, The University of Osaka, Suita, Osaka, Japan.
Journal of cataract and refractive surgery
|February 26, 2026
概括
巴雷特通用II公式显示,在横内眼镜 (IOL) 固定后,对长轴长度眼睛的折射预测准确度最好. 像Holladay 1这样的其他公式存在系统错误,尽管在长眼中看起来准确.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 生物医学工程 生物医学工程
背景情况:
- 精确的眼内镜 (IOL) 功率计算对于白内障手术后成功的折射结果至关重要.
- 长轴长度 (AL) 眼睛对IOL功率计算公式提出了独特的挑战.
- 侧翼内膜内膜眼镜固定 (SF-IOL) 是一种用于内膜眼镜植入的技术,特别是在复杂的情况下.
研究的目的:
- 评估和比较标准IOL功率计算公式在眼睛中的折射预测准确度,用长AL接受SF-IOL.
- 确定最可靠的公式,以优化这一特定患者队列的折射结果.
主要方法:
- 追溯观察队列研究,包括接受SF-IOL的眼睛.
- 眼睛被分为正常AL (<26.0毫米) 和长AL (≥26.0毫米) 组.
- 四种公式的折射预测误差 (PE) 和准确性 (Barrett Universal II,Hoffer Q,Holladay 1,SRK/T) 使用根平均平方绝对误差 (RMSAE) 和公式性能指数 (FPI) 进行了评估.
主要成果:
- 分析了53只眼睛,18只被归类为长AL (平均AL 27.1±1.0毫米).
- 巴雷特通用II公式在所有眼睛中显示了最低的RMSAE和最高的FPI,表明整体预测准确度优越.
- 虽然Holladay 1在长AL组中显示PE接近于零,但其表现的特点是的AL-PE回归斜率和低的FPI,表明系统偏差而不是真正的准确性.
结论:
- 巴雷特通用II公式是最准确的预测SF-IOL植入后长AL眼中的折射结果.
- 由于长AL眼中的系统偏移,像Holladay 1这样的公式可能看起来准确,但它们的整体性能和可靠性较低.
- 这些发现强调了根据AL选择适当的IOL计算公式的重要性,以优化手术结果.
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