Arens Sebastian, Böhringer Daniel, Lapp Thabo, Reinhard Thomas, Heinzelmann-Mink Sonja
Eye Center, Medical Center, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany.
Department of Ophthalmology, St. Franziskus Hospital, 48145 Muenster, Germany.
J Clin Med. 2024 Aug 29;13(17):5125. doi: 10.3390/jcm13175125.
This study aims to compare the refractive outcomes of cataract surgery using two different biometry devices, the IOL Master 500 and IOL Master 700, and to investigate the influence of patient-related factors on these outcomes. In this retrospective study, we analyzed data from 2994 eyes that underwent cataract surgery. Multiple linear regression analyses were performed to examine the impact of the biometry device (IOL Master 500 or IOL Master 700), patient age, time elapsed between biometry and surgery, gender, and insurance status, as well as biometric parameters (anterior chamber depth, axial length, and corneal curvature), on postoperative refractive outcomes, specifically the deviation from target refraction. The choice of the IOL Master device did not result in a statistically significant difference between the two devices ( = 0.205). Age ( = 0.006) and gender ( = 0.001) were identified as significant predictors of refractive outcomes, with older patients and males experiencing slightly more hyperopic outcomes compared to younger patients and females, respectively. The time elapsed between biometry and surgery and insurance status did not significantly influence the refractive outcomes. Our study, supported by a large cohort and a diverse group of patients representing typical anatomical variants seen in cataract surgery, supports the thesis that the IOL Master 500 and IOL Master 700 can be regarded as equivalent and effective for biometry in cataract surgery. The differences between the devices were negligible. Therefore, switching between the devices is safe for bilateral patients.
本研究旨在比较使用两种不同生物测量设备（IOL Master 500和IOL Master 700）进行白内障手术的屈光结果，并研究患者相关因素对这些结果的影响。在这项回顾性研究中，我们分析了2994只接受白内障手术的眼睛的数据。进行了多元线性回归分析，以检验生物测量设备（IOL Master 500或IOL Master 700）、患者年龄、生物测量与手术之间的时间间隔、性别、保险状况以及生物测量参数（前房深度、眼轴长度和角膜曲率）对术后屈光结果的影响，特别是与目标屈光的偏差。IOL Master设备的选择在两种设备之间未产生统计学上的显著差异（P = 0.205）。年龄（P = 0.006）和性别（P = 0.001）被确定为屈光结果的显著预测因素,与年轻患者和女性相比，老年患者和男性分别出现略多的远视结果。生物测量与手术之间的时间间隔和保险状况对屈光结果没有显著影响。我们的研究得到了大量队列和代表白内障手术中常见典型解剖变异的不同患者群体的支持，支持以下论点：IOL Master 500和IOL Master 700在白内障手术的生物测量方面可被视为等效且有效。设备之间的差异可以忽略不计。因此，对于双侧手术患者，在两种设备之间切换是安全的。
