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飞秒激光辅助白内障手术后前囊膜混浊:临床分类与 Scheimpflug 设备密度测定值。

Anterior capsule opacification after femtosecond laser-assisted cataract surgery: Clinical classification versus Scheimpflug device densitometry values.

机构信息

From the Ophthalmology Department (Alberdi, Mendicute, Bascarán, Goñi), Donostia Universitary Hospital, and the Biodonostia Health Research Institute (Barandika, Ruiz Ederra), Donostia-San Sebastian, Spain.

From the Ophthalmology Department (Alberdi, Mendicute, Bascarán, Goñi), Donostia Universitary Hospital, and the Biodonostia Health Research Institute (Barandika, Ruiz Ederra), Donostia-San Sebastian, Spain.

出版信息

J Cataract Refract Surg. 2016 Jun;42(6):826-32. doi: 10.1016/j.jcrs.2016.03.037.

DOI:10.1016/j.jcrs.2016.03.037
PMID:27373388
Abstract

PURPOSE

To compare the clinical classification of anterior capsule opacification (ACO) after femtosecond laser-assisted cataract surgery with the mean density values of ACO provided by rotating Scheimpflug device (Pentacam HR) densitometry software and to determine which densitometry method correlates best with the clinical classification.

SETTING

Ophthalmology Department, Donostia University Hospital, Donostia-San Sebastian, Spain.

DESIGN

Prospective comparative study.

METHODS

Femtosecond laser-assisted cataract surgery was performed using the Victus platform between June 2014 and March 2015. Inclusion criteria were age between 55 years and 85 years, a pupil diameter larger than 6.0 mm in full mydriasis, no intraoperative complications, a curvilinear anterior capsulotomy without tears, and an intraocular lens in the correct intracapsular position at the end surgery. The ACO was measured by a clinical classification ranging from 0 to 4. In addition, ACO density was measured with the Scheimpflug device using 3 densitometry methods (area, linear, and peak).

RESULTS

The study comprised 32 eyes of 32 patients. Area and linear densitometry values provided by the Scheimpflug device had a strong correlation with the values obtained by clinical classification, whereas peak densitometry values had a very weak correlation at 6 months (area densitometry: Spearman ρ = 0.78; P < .0005; linear densitometry: ρ = 0.73; P < .0005; peak densitometry ρ = 0.21; P = .2).

CONCLUSION

The Scheimpflug device provided an objective measurement of ACO after cataract surgery.

FINANCIAL DISCLOSURE

None of the authors has a financial or proprietary interest in any material or method mentioned.

摘要

目的

比较飞秒激光辅助白内障手术后前囊膜混浊(ACO)的临床分类与旋转式 Scheimpflug 设备(Pentacam HR)密度计软件提供的 ACO 平均密度值,并确定哪种密度计方法与临床分类相关性最好。

设置

西班牙Donostia-San Sebastian 的Donostia 大学医院眼科。

设计

前瞻性比较研究。

方法

2014 年 6 月至 2015 年 3 月期间使用 Victus 平台进行飞秒激光辅助白内障手术。纳入标准为年龄 55 至 85 岁,充分散瞳后瞳孔直径大于 6.0mm,术中无并发症,无撕裂的曲线性前囊切开术,术后最终晶状体位置正确。ACO 通过临床分类范围从 0 到 4 进行测量。此外,使用 Scheimpflug 设备通过 3 种密度计方法(面积、线性和峰值)测量 ACO 密度。

结果

该研究包括 32 名患者的 32 只眼。Scheimpflug 设备的面积和线性密度计值与临床分类获得的值具有很强的相关性,而峰值密度计值在 6 个月时相关性非常弱(面积密度计:Spearman ρ=0.78;P<.0005;线性密度计:ρ=0.73;P<.0005;峰值密度计ρ=0.21;P=0.2)。

结论

Scheimpflug 设备提供了白内障手术后 ACO 的客观测量。

利益冲突

作者均无任何材料或方法的财务或专有利益。

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引用本文的文献

1
Anterior and posterior capsule densitometry levels after femtosecond laser-assisted cataract surgery.飞秒激光辅助白内障手术后前后囊膜密度测定水平
Int J Ophthalmol. 2018 Apr 18;11(4):623-628. doi: 10.18240/ijo.2018.04.14. eCollection 2018.