[1]刘格格,刘玉哲.不同角膜曲率白内障患者三种人工晶状体屈光度计算公式的准确性比较[J].眼科新进展,2023,43(6):480-483.[doi:10.13389/j.cnki.rao.2023.0097]
　LIU Gege,LIU Yuzhe.Comparison of accuracy of three intraocular lens power calculation formulas in cataract patients with different corneal curvature[J].Recent Advances in Ophthalmology,2023,43(6):480-483.[doi:10.13389/j.cnki.rao.2023.0097]
点击复制

不同角膜曲率白内障患者三种人工晶状体屈光度计算公式的准确性比较/HTML
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
43卷
期数:
2023年6期
页码:
480-483
栏目:
应用研究
出版日期:
2023-06-05

文章信息/Info

Title:
Comparison of accuracy of three intraocular lens power calculation formulas in cataract patients with different corneal curvature
作者:
刘格格; 刘玉哲
211102　江苏省南京市，南京同仁医院眼科中心
Author(s):
LIU Gege;  LIU Yuzhe
Ophthalmic Center，Nanjing Tongren Hospital，Nanjing 211102，Jiangsu Province,China
关键词:
人工晶状体; 角膜曲率; 白内障; 屈光度
Keywords:
artificial lens;  corneal curvature;  cataract;  diopter
分类号:
R776.1
DOI:
10.13389/j.cnki.rao.2023.0097
文献标志码:
A
摘要:
目的　探讨Barrett UniversalⅡ、Haigis和Olsen三种公式在不同角膜曲率的白内障患者人工晶状体度数计算中的准确性。
方法　前瞻性临床研究。选取2020年1月至2021年10月收治于南京同仁医院眼科中心的86例（86眼）白内障患者作为研究对象，根据患眼角膜曲率不同分为3组，分别为A组26例，角膜曲率为>42~44 D；B组28例，角膜曲率为>44~46 D；C组32例，角膜曲率>46 D，比较3组患者一般资料；收集患眼术前分别依据Barrett UniversalⅡ、Haigis和Olsen公式计算的预留屈光度和术后3个月患者的实际屈光度，计算并比较各个公式的平均屈光误差，分析平均屈光误差在不同屈光域的占比；采用Pearson相关分析角膜曲率分别与三种计算公式获得的平均屈光误差之间的相关性。
结果　3组患者间性别、年龄、视力、病程及术前眼压、眼轴长度和前房深度相比，差异均无统计学意义（均为P>0.05）。依据Barrett UniversalⅡ、Haigis、Olsen三种公式计算后患眼的屈光误差A组、B组、C组3组组间比较时，差异均无统计学意义（均为P>0.05）；依据Haigis、Olsen公式计算的患眼屈光误差A组、B组、C组组内均高于依据Barrett UniversalⅡ公式计算的患眼屈光误差，差异均有统计学意义（P<0.05）。依据Barrett Universal Ⅱ公式计算后屈光误差≤0.50 D 的患眼占比显著高于依据Haigis、Olsen公式计算后患眼的占比，差异均有统计学意义（均为P<0.05）。Pearson相关分析结果显示，依据Barrett UniversalⅡ、Haigis和Olsen公式计算的患眼屈光误差与角膜曲率均无明显相关性（均为P>0.05）。
结论　依据Barrett UniversalⅡ、Haigis和Olsen三种公式计算的人工晶状体度数在不同角膜曲率的白内障患者中都较为准确，Barrett UniversalⅡ公式的准确率更高。
Abstract:
Objective　To investigate the accuracy of Barrett Universal Ⅱ, Haigis and Olsen formulas in the calculation of intraocular lens power in cataract patients with different corneal curvature.
Methods　In this prospective clinical study, 86 cataract patients (86 eyes) admitted to the Ophthalmology Department of Nanjing Tongren Hospital from January 2020 to October 2021 were selected and divided into three groups according to the corneal curvature (K), group A: 42 D<K≤44 D (26 eyes), group B: 44 D<K≤46 D (28 eyes), and group C: K>46 D (32 eyes). General data of patients were compared among the three groups. The reserved refraction of patients obtained based on Barrett Universal Ⅱ, Haigis and Olsen formulas before surgery and the actual refraction of patients three months after surgery were collected. The average refractive errors caused by each formula were measured and compared to evaluate the percentage of the average refractive error in different refractive fields. Pearson correlation coefficient was used to analyze the correlation between the corneal curvature and the average refractive errors obtained by the three calculation formulas.
Results　There were no significant differences in gender, age, visual acuity, course of disease, preoperative intraocular pressure, axial length, and anterior chamber depth among the three groups (all P>0.05). The average refractive errors obtained by Barrett Universal Ⅱ, Haigis and Olsens formulas showed no significant differences among the three groups (all P>0.05). The average refractive error obtained by Haigis and Olsens formulas was higher than that obtained by Barrett Universal Ⅱ formula in all these three groups (all P<0.05). The percentage of eyes with a refractive error less than or equal to 0.50 D obtained by Barrett Universal Ⅱ formula was significantly higher than that obtained by Haigis and Olsens formulas (both P<0.05). Pearson correlation analysis results showed that there was no significant correlation between the average refractive errors obtained by Barrett Universal Ⅱ, Haigis and Olsen formulas and the corneal curvature (all P>0.05).
Conclusion　Barrett Universal Ⅱ, Haigis and Olsen formulas all show high accuracy in the measurement of intraocular lens power in cataract patients with different corneal curvature. The accuracy is highest based on Barrett Universal Ⅱ formula.

参考文献/References:

［1］　SHYADEHI A Z，HARDING J J.Investigations of ibuprofen and paracetamol binding to lens proteins to explore their protective role against cataract［J］.Biochem Pharmacol，2019，42(11):2077-2084.
［2］　MIELE A，FUMAGALLI C，ABBRUZZESE G，SAVASTANO A，RIZZO S，GIANSANTI F，et al.Biometric refractive error after cataract and retina surgery:a systematic review and a benchmark proposal［J］.Eye，2021,35(11):3049-3055.
［3］　CHEE S P，YANG Y，WONG M H.Randomized controlled trial comparing femtosecond laser-assisted with conventional phacoemulsification on dense cataracts［J］.Am J Ophthalmol，2021，229(5):1-7.
［4］　YU X，CHEN C，SUN M，DONG D，ZHANG S，LIU P，et al.CO2 laser-assisted deep sclerectomy combined with phacoemulsification in patients with primary open-angle glaucoma and cataract［J］.J Glaucoma，2018,27(10):906-909.
［5］　KESHAV M V，HENDERSON B A.Astigmatism management with intraocular lens surgery［J］.Ophthalmology，2021，128(21):e153-e163.
［6］　KAMIYA K，HAYASHI K，TANABE M，TABUCHI H，SATO M，GOTOH N，et al.Nationwide multicentre comparison of preoperative biometry and predictability of cataract surgery in Japan［J］.Br J Ophthalmol，106(9):1227-1234.
［7］　AUGUTIN V A，WELLER J M，KRUSE F E，TOURTAS T.Refractive outcomes after descemet membrane endothelial keratoplasty + cataract/intraocular lens triple procedure:a fellow eye comparison［J］.Cornea，2021，40(7):883-887.
［8］　HIPOLITO-FERNANDES D，LUIS M，SERRAS-PEREIRA R，GIL P，MADURO V，FEIJAO J，et al.Anterior chamber depth，lens thickness and intraocular lens calculation formula accuracy:nine formulas comparison［J］.Br J Ophthalmol，2020，106(3):349-355.
［9］　GAO L，LI M.Clinical efficacy of phacoemulsification combined intraocular lens implantation for treatment of high myopia with cataract:a protocol of systematic review［J］.Medicine，2020，99(49):e23215.
［10］　MELLES R B，HOLLADAY J T，CHANG W J.Accuracy of intraocular lens calculation formulas［J］.Ophthalmology，2018,125(2):169-178.
［11］　LI T，STEIN J，NALLASAMY N.AI-powered effective lens position prediction improves the accuracy of existing lens formulas［J］.Br J Ophthalmol，2022，106(9):1222-1226.
［12］　KANE J X，CHANG D F.IOL power formulas，biometry，and intraoperative aberrometry:a review［J］.Ophthalmology，2021,128(11) :e94-e114.
［13］　DARCY K，GUNN D，TAVASSOLI S，SPARROW J，KANE J X.Assessment of the accuracy of new and updated IOL power calculation formulas in 10 930 eyes from the UK National Health Service［J］.J Cataract Refract Surg，2019，46(1):2-7.
［14］　谭燕，万文娟，李灿.三种IOL计算公式预测超高度近视白内障患者术后屈光度的准确性比较［J］.中华眼视光学与视觉科学杂志，2019，21(3):211-216.
TAN Y，WAN W J，LI C.Comparison of the accuracy of three IOL calculation formulas in predicting postoperative diopter of patients with ultra-high myopia cataract ［J］.Chin J Optom Ophthalmol Vis Sci，2019，21(3):211-216.
［15］　RONG X，HE W，ZHU Q，QIAN D，LU Y，ZHU X.Intraocular lens power calculation in eyes with extreme myopia:comparison of Barrett Universal II，Haigis，and Olsen formulas［J］.J Cataract Refract Surg，2019,45(6):732-737.

相似文献/References:

[1]胡俊 李学喜 林巧雅 叶瑞珍 许敏.不同仪器测量角膜直径和角膜曲率的一致性评价[J].眼科新进展,2012,32(4):000.
[2]甄小妹 马忠旭 刘汝瑜 张娜 张伟 薛庆.全眼球差对人工晶状体眼视觉质量的作用[J].眼科新进展,2012,32(4):000.
[3]王勇 叶应嘉 鲍先议 周龑丽 许荣 彭婷婷 余天.小切口经虹膜缝线固定后房型人工晶状体植入术治疗无晶状体眼[J].眼科新进展,2012,32(5):000.
[4]赵红 陈彬川 王永成 薛晓乐 赵焕.七叶洋地黄双苷滴眼液对不同年龄段人工晶状体眼伪调节力的影响[J].眼科新进展,2012,32(5):000.
[5]曹利群 王桂琴 彭秀军 李娜 卢成戎 贾洪真 石芊.疏水性和肝素修饰亲水性丙烯酸酯人工晶状体的临床应用效果对比[J].眼科新进展,2012,32(5):000.
[6]吴星.年龄相关性白内障患者超声乳化手术前后对比敏感度分析[J].眼科新进展,2012,32(6):000.
[7]徐威.注射器针头囊袋内吸附劈核法在白内障手术中的应用[J].眼科新进展,2012,32(7):000.
[8]孔祥斌 晏世刚 罗书科 苏鹏.中老年人眼球生物学结构参数的年龄相关性改变[J].眼科新进展,2012,32(7):000.
[9]刘珣 王欣玲 柏全豪 张劲松 阎启昌.IOLMaster与四种人工晶状体屈光度计算公式的准确性研究[J].眼科新进展,2013,33(2):000.
[10]浦利军.玻璃体切割系统在小瞳孔白内障手术中的应用[J].眼科新进展,2013,33(8):000.
[11]彭娟,莫嘉文,沙翔垠.翼状胬肉手术后角膜曲率变化及对人工晶状体度数测算的影响[J].眼科新进展,2018,38(11):1073.[doi:10.13389/j.cnki.rao.2018.0253]
　PENG Juan,MO Jia-Wen,SHA Xiang-Yin.Effect of pterygium surgery on corneal curvature and the difference of intraocular lens power calculation[J].Recent Advances in Ophthalmology,2018,38(6):1073.[doi:10.13389/j.cnki.rao.2018.0253]

更新日期/Last Update: 2023-06-05