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在人工晶状体眼内,使用部分相干干涉测量法和光学低相干反射测量法测量前房深度的可比性。

Comparability of anterior chamber depth measurements with partial coherence interferometry and optical low-coherence reflectometry in pseudophakic eyes.

作者信息

Luft Nikolaus, Hirnschall Nino, Farrokhi Sanaz, Findl Oliver

机构信息

From the Vienna Institute for Research in Ocular Surgery (Luft, Hirnschall, Farrokhi, Findl), A Karl Landsteiner Institute, Hanusch Hospital, Vienna, Austria; Moorfields Eye Hospital NHS Foundation Trust (Findl), London, United Kingdom.

From the Vienna Institute for Research in Ocular Surgery (Luft, Hirnschall, Farrokhi, Findl), A Karl Landsteiner Institute, Hanusch Hospital, Vienna, Austria; Moorfields Eye Hospital NHS Foundation Trust (Findl), London, United Kingdom.

出版信息

J Cataract Refract Surg. 2015 Aug;41(8):1678-84. doi: 10.1016/j.jcrs.2015.08.013.

Abstract

PURPOSE

To assess whether anterior chamber depth (ACD) measurements in pseudophakic eyes obtained with partial coherence interferometry (PCI) and optical low-coherence reflectometry (OLCR) devices can be used interchangeably.

SETTING

Vienna Institute for Research in Ocular Surgery, A Karl Landsteiner Institute, Hanusch Hospital, Vienna, Austria.

DESIGN

Prospective case series.

METHODS

The ACD measurements in 1 eye of each pseudophakic patient were performed with the PCI-based ACMaster device and the OLCR-based Lenstar LS900 device at least 1 day postoperatively.

RESULTS

The study comprised 65 eyes of 65 patients with a mean age of 71.7 years ± 9.0 (SD) (range 39 to 91 years). In 15 eyes, no valid ACD readings could be obtained with the OLCR device. No obvious reason for these measurement failures was identified; however, tear-film alterations shortly after surgery were suspected. No significant difference in the mean ACD in the remaining 50 eyes was found between PCI measurements (5019 ± 660 μm; range 4008 to 6181 μm) and OLCR measurements (5015 ± 663 μm; range 4017 to 6163 μm) (P = .06). Three (6%) of 50 measurements were not within the 95% limits of agreement in the Bland-Altman analysis.

CONCLUSIONS

Pseudophakic ACD measurements with the PCI and OLCR devices can be used interchangeably. The OLCR device proved to be more user-friendly and faster; however, in a substantial number of eyes, no usable values were obtainable.

FINANCIAL DISCLOSURE

No author has a financial or proprietary interest in any material or method mentioned.

摘要

目的

评估使用部分相干干涉测量法(PCI)和光学低相干反射测量法(OLCR)设备获得的人工晶状体眼的前房深度(ACD)测量值是否可以互换使用。

设置

奥地利维也纳汉努施医院卡尔·兰德施泰纳研究所眼科手术研究维也纳研究所。

设计

前瞻性病例系列。

方法

在至少术后1天,使用基于PCI的ACMaster设备和基于OLCR的Lenstar LS900设备对每位人工晶状体眼患者的1只眼睛进行ACD测量。

结果

该研究纳入了65例患者的65只眼睛,平均年龄为71.7岁±9.0(标准差)(范围39至91岁)。在15只眼中,使用OLCR设备无法获得有效的ACD读数。未发现这些测量失败的明显原因;然而,怀疑术后不久泪膜发生了改变。在其余50只眼中,PCI测量的平均ACD(5019±660μm;范围4008至6181μm)与OLCR测量的平均ACD(5015±663μm;范围4017至6163μm)之间未发现显著差异(P = 0.06)。在Bland-Altman分析中,50次测量中有3次(6%)不在95%一致性界限内。

结论

使用PCI和OLCR设备进行人工晶状体眼的ACD测量可以互换使用。事实证明,OLCR设备更便于使用且速度更快;然而,在相当数量的眼睛中无法获得可用值。

财务披露

没有作者对文中提及的任何材料或方法拥有财务或专利权益。

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