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基于扫频源光相干断层扫描技术的 2 款生物测量仪的对比分析

Comparative analysis of 2 biometers using swept-source OCT technology.

机构信息

From the Department of Ophthalmology, Rothschild Foundation, Paris, France.

出版信息

J Cataract Refract Surg. 2022 Jan 1;48(1):26-31. doi: 10.1097/j.jcrs.0000000000000704.

DOI:10.1097/j.jcrs.0000000000000704
PMID:34034291
Abstract

PURPOSE

To report the repeatability, level of agreement, and correlation of 2 swept-source optical coherence tomography (SS-OCT) biometers, the IOLMaster 700 (biometer A) and the ANTERION (biometer B).

SETTING

Rothschild Foundation Hospital, Paris, France.

DESIGN

Prospective comparative case series.

METHODS

Consecutive patients who attended for cataract assessment had SS-OCT biometry performed with the reference, biometer A, and biometer B. Axial length, mean keratometry, central corneal thickness, anterior chamber depth, lens thickness, and corneal diameter measurements (white-to-white [WTW] distance) were measured. The intraoperator repeatability was calculated using analysis of variance and repeatability limits. Correlations were assessed, and the level of agreement between the biometers was represented with the Bland-Altman method.

RESULTS

The study comprised 63 patients (125 eyes). There was a statistically significant difference between the 2 biometers in all measurements (P < .05). All repeatability measurements were very high, as were the level of correlation and level of agreement between biometer A and biometer B for all parameters.

CONCLUSIONS

Biometer B provided good agreement and repeatability compared with biometer A; however, all parameters were not interchangeable, particularly, the WTW measurement and the high keratometric values.

摘要

目的

报告 2 款扫频源光相干断层扫描仪(SS-OCT)生物测量仪(IOLMaster 700[生物测量仪 A]和 ANTERION[生物测量仪 B])的重复性、一致性和相关性。

设置

法国巴黎 Rothschild 基金会医院。

设计

前瞻性比较病例系列。

方法

连续就诊的白内障评估患者分别接受参考生物测量仪 A 和生物测量仪 B 的 SS-OCT 生物测量。测量眼轴长度、平均角膜曲率、中央角膜厚度、前房深度、晶状体厚度和角膜直径(白到白[WTW]距离)。使用方差分析和重复性限计算操作者内重复性。评估相关性,并使用 Bland-Altman 方法表示生物测量仪之间的一致性水平。

结果

该研究纳入 63 例患者(125 只眼)。在所有测量中,2 种生物测量仪之间均存在统计学显著差异(P<.05)。所有重复性测量均非常高,生物测量仪 A 和生物测量仪 B 之间的相关性和一致性水平也很高,所有参数均如此。

结论

与生物测量仪 A 相比,生物测量仪 B 提供了良好的一致性和重复性;然而,所有参数并不完全互换,尤其是 WTW 测量值和高角膜曲率值。

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