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两种眼轴长度计算方法的比较。

A comparison of two methods to calculate axial length.

机构信息

Great Lakes Eye Care, Saint Joseph, Michigan, USA; Department of Neurology and Ophthalmology, Michigan State University, College of Osteopathic Medicine, East Lansing, Michigan, USA.

Great Lakes Eye Care, Saint Joseph, Michigan, USA.

出版信息

J Cataract Refract Surg. 2019 Mar;45(3):284-292. doi: 10.1016/j.jcrs.2018.10.039.

DOI:10.1016/j.jcrs.2018.10.039
PMID:30851805
Abstract

PURPOSE

To compare prediction accuracy with the axial length (AL) calculation method of the Lenstar biometer (traditional AL) and that of the ARGOS biometer (sum-of-segments AL).

SETTING

Private practice clinic.

DESIGN

Comparative case series.

MAIN OUTCOME MEASURE

Mean absolute error (MAE).

METHODS

Predictions were developed for nine formulas, grouping them into those derived with ultrasound (US) (SRK/T, Holladay 1 and 2, Hoffer Q, Haigis) and those derived with optical biometry (Barrett, OKULIX, Olsen from PhacoOptics, and Olsen from Lenstar). Formulas were ranked by MAE using sum-of-segments AL and traditional AL, in short eyes (traditional AL <22.0 mm), long eyes (traditional AL >26.0 mm), and all eyes.

RESULTS

The study comprised 1442 eyes (54 short eyes and 67 long eyes) of 1070 patients. The best-ranking formula for long eyes was Haigis using sum-of-segments AL. For short eyes and for all eyes, OKULIX using sum-of-segments AL was best. Using sum-of-segments AL instead of traditional AL, Holladay 2 improved the most; Olsen from PhacoOptics worsened the most.

CONCLUSIONS

Some biometers used traditional AL, and at least one used sum-of-segments AL. Formula accuracy varied depending on how various commercial biometers internally calculate AL. Using sum-of-segments AL instead of traditional AL improved predictions for formulas designed on US data (SRK/T, Holladay 1, Holladay 2, Hoffer Q, and Haigis), although it worsened the Barrett and Olsen formulas. OKULIX was generally improved with sum-of-segments AL. When ranking by MAE, OKULIX ranked first.

摘要

目的

比较 Lenstar 生物测量仪的轴向长度(AL)计算方法(传统 AL)和 ARGOS 生物测量仪的 AL 计算方法(节段和法 AL)的预测准确性。

设置

私人诊所。

设计

比较病例系列。

主要观察指标

平均绝对误差(MAE)。

方法

使用超声(US)(SRK/T、Holladay 1 和 2、Hoffer Q、Haigis)和光学生物测量(Barrett、OKULIX、PhacoOptics 的 Olsen 和 Lenstar 的 Olsen)推导的 9 个公式进行预测。根据节段和法 AL 和传统 AL 将公式分为短眼(传统 AL <22.0mm)、长眼(传统 AL >26.0mm)和所有眼睛,使用 MAE 对公式进行排名。

结果

本研究共纳入 1070 名患者的 1442 只眼(54 只短眼和 67 只长眼)。长眼的最佳排名公式是节段和法 AL 的 Haigis。对于短眼和所有眼睛,节段和法 AL 的 OKULIX 是最好的。使用节段和法 AL 代替传统 AL,Holladay 2 改善最大;PhacoOptics 的 Olsen 恶化最大。

结论

一些生物测量仪使用传统 AL,至少有一个使用节段和法 AL。公式准确性取决于各种商业生物测量仪如何内部计算 AL。使用节段和法 AL 代替传统 AL 改善了基于 US 数据设计的公式(SRK/T、Holladay 1、Holladay 2、Hoffer Q 和 Haigis)的预测,尽管它恶化了 Barrett 和 Olsen 公式。OKULIX 通常使用节段和法 AL 得到改善。根据 MAE 排名,OKULIX 排名第一。

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