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二维和三维光学相干断层扫描测量前眼部生物测量的重复性和可再现性。

Repeatability and reproducibility of anterior ocular biometric measurements with 2-dimensional and 3-dimensional optical coherence tomography.

机构信息

Department of Ophthalmology, University of Tsukuba, Ibaraki, Japan.

出版信息

J Cataract Refract Surg. 2010 Nov;36(11):1867-73. doi: 10.1016/j.jcrs.2010.05.024.

DOI:10.1016/j.jcrs.2010.05.024
PMID:21029894
Abstract

PURPOSE

To evaluate the repeatability and reproducibility of central corneal thickness (CCT), anterior chamber depth (ACD), and anterior chamber width (ACW) measurements using 3-dimensional (3-D) corneal and anterior segment optical coherence tomography (CAS-OCT) and 2-dimensional (2-D) anterior segment OCT (AS-OCT).

SETTING

Department of Ophthalmology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.

DESIGN

Nonrandomized clinical trial.

METHODS

The CCT, ACD, and ACW were measured in normal eyes using a prototype 3-D swept-source CAS-OCT device and a 2-D time-domain AS-OCT device (Visante). The coefficient of repeatability and reproducibility and the intraclass correlation coefficient (ICC) were calculated to evaluate the repeatability and reproducibility of the measurements.

RESULTS

Eighty-five eyes (85 subjects) were evaluated. The mean CCT measurement was 557.5 μm ± 40.5 (SD) with CAS-OCT and 556.4 ± 39.4 μm with AS-OCT; the mean ACD measurement, 3.13 ± 0.40 mm and 3.16 ± 0.39 mm, respectively; and the mean ACW, 11.80 ± 0.47 mm and 11.79 ± 0.49 mm, respectively. There was no statistically significant difference in CCT or ACW measurements between the 2 devices (P>.05, Wilcoxon signed rank test). Although the ACD measurements were significantly different (P<.0001), the difference was small (0.03 mm). Significant linear correlations were found between the measurements of the 2 devices (P<.0001). The ICC was greater than 0.99 for CAS-OCT and greater than 0.96 for AS-OCT.

CONCLUSION

Corneal and anterior segment OCT and AS-OCT provided comparable and well-correlated anterior ocular biometric measurements, with sufficient repeatability and reproducibility.

摘要

目的

评估三维(3D)角膜和眼前段光学相干断层扫描(CAS-OCT)和二维(2D)眼前段 OCT(AS-OCT)测量中央角膜厚度(CCT)、前房深度(ACD)和前房宽度(ACW)的重复性和再现性。

设置

日本筑波大学临床医学院眼科。

设计

非随机临床试验。

方法

使用原型 3D 扫频源 CAS-OCT 设备和 2D 时域 AS-OCT 设备(Visante)对正常眼进行 CCT、ACD 和 ACW 测量。计算重复性和再现性系数和组内相关系数(ICC),以评估测量的重复性和再现性。

结果

评估了 85 只眼(85 例)。使用 CAS-OCT 测量的平均 CCT 为 557.5μm±40.5(SD),使用 AS-OCT 测量的平均 CCT 为 556.4μm±39.4μm;平均 ACD 测量值分别为 3.13±0.40mm 和 3.16±0.39mm;平均 ACW 测量值分别为 11.80±0.47mm 和 11.79±0.49mm。两种设备之间的 CCT 或 ACW 测量值无统计学差异(P>.05,Wilcoxon 符号秩检验)。尽管 ACD 测量值差异显著(P<.0001),但差异较小(0.03mm)。两种设备之间存在显著的线性相关性(P<.0001)。CAS-OCT 的 ICC 大于 0.99,AS-OCT 的 ICC 大于 0.96。

结论

角膜和眼前段 OCT 和 AS-OCT 提供了可比较且相关性良好的眼前部生物测量值,具有足够的重复性和再现性。

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