Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 2013 Sep;54(5):1259-65. doi: 10.3349/ymj.2013.54.5.1259.
To compare preoperative and postoperative ocular biometry in patients with iris-fixated phakic intraocular lens (pIOLs): Artisan and Artiflex.
This study included 40 eyes with Artisan and 36 eyes with Artiflex pIOL implants. Anterior chamber depth (ACD) and axial length (AL) were measured by applanation ultrasonography (A-scan) and partial coherence interferometry (IOLMaster) preoperatively and 3 months after pIOL implantation.
ACD measurements after Artisan or Artiflex pIOL implantation were smaller than preoperative measurements. Specifically, the difference after Artisan pIOL implantation was -1.07 ± 0.17 mm by A-scan and -0.08 ± 0.08 mm by IOLMaster. The difference after Artiflex pIOL implantation was -1.31 ± 0.15 mm by A-scan and -0.05 ± 0.07 mm by IOLMaster. After Artisan pIOL implantation, differences in AL measurements by A-scan were insignificant (difference: -0.03 ± 0.15 mm), whereas postoperative AL measurements by IOLMaster were significantly longer than preoperative measurements (difference: 0.12 ± 0.07 mm). After Artiflex pIOL implantation, AL measurements by both A-scan and IOLMaster were significantly longer than preoperative measurements (difference: 0.09 ± 0.16 mm by A-scan and 0.07 ± 0.10 mm by IOLMaster). In the Artiflex group, differences in AL measurements by A-scan correlated with the central thickness of the Artiflex pIOL.
ACD and AL measurements were influenced by iris-fixated phakic IOL implantation.
比较虹膜固定型有晶状体眼人工晶状体（pIOL）植入术后的眼前节和眼轴生物测量：Artisan 和 Artiflex。
本研究纳入了 40 只接受 Artisan pIOL 植入术和 36 只接受 Artiflex pIOL 植入术的患者。通过压平式超声（A 扫描）和部分相干干涉测量仪（IOLMaster）在术前和 pIOL 植入术后 3 个月测量前房深度（ACD）和眼轴长度（AL）。
Artisan 或 Artiflex pIOL 植入术后的 ACD 测量值小于术前测量值。具体而言，Artisan pIOL 植入术后通过 A 扫描测量的差异为-1.07 ± 0.17mm，通过 IOLMaster 测量的差异为-0.08 ± 0.08mm。Artiflex pIOL 植入术后通过 A 扫描测量的差异为-1.31 ± 0.15mm，通过 IOLMaster 测量的差异为-0.05 ± 0.07mm。Artisan pIOL 植入术后，A 扫描测量的 AL 差值无统计学意义（差值：-0.03 ± 0.15mm），而 IOLMaster 术后 AL 测量值明显长于术前（差值：0.12 ± 0.07mm）。Artiflex pIOL 植入术后，A 扫描和 IOLMaster 测量的 AL 值均明显长于术前（A 扫描差值：0.09 ± 0.16mm，IOLMaster 差值：0.07 ± 0.10mm）。在 Artiflex 组中，A 扫描测量的 AL 差值与 Artiflex pIOL 的中央厚度相关。
虹膜固定型有晶状体眼人工晶状体植入会影响 ACD 和 AL 测量值。
