[1]吴敏,肖丽波,胡竹林,等.IOL-Master在OxaneHD填充眼眼轴测量中的应用[J].眼科新进展,2014,34(11):1049-1051.[doi:10.13389/j.cnki.rao.2014.0290]
　WU Min,XIAO Li-Bo,HU Zhu-Lin,et al.Outcome analysis of IOL-Master in measuring axial length of Oxane Hd filled eyes[J].Recent Advances in Ophthalmology,2014,34(11):1049-1051.[doi:10.13389/j.cnki.rao.2014.0290]
点击复制

IOL-Master在OxaneHD填充眼眼轴测量中的应用
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
34卷
期数:
2014年11期
页码:
1049-1051
栏目:
应用研究
出版日期:
2014-11-05

文章信息/Info

Title:
Outcome analysis of IOL-Master in measuring axial length of Oxane Hd filled eyes
作者:
吴敏; 肖丽波; 胡竹林; 薛黎萍; 李云琴
650021　云南省昆明市，昆明医科大学第四附属医院眼科、云南省第二人民医院眼科
Author(s):
WU Min ;  XIAO Li-Bo ;  HU Zhu-Lin ; XUE Li-Ping ; LI Yun-Qin
关键词:
IOL-Master; A超; 眼轴; 重硅油填充眼; OxaneHD
Keywords:
IOL-Master ;  A scan ;  axial length ;  heavy silicone oil filled eyes ;  Oxane HD
DOI:
10.13389/j.cnki.rao.2014.0290
文献标志码:
A
摘要:
目的　分析应用ＩＯＬ-Ｍａｓｔｅｒ测量重硅油ＯｘａｎｅＨＤ填充眼眼轴长度的效果。方法　收集２０１１年５月至２０１３年５月在我院就诊的３６例（３６眼）重硅油ＯｘａｎｅＨＤ填充眼患者，分别应用Ａ超和ＩＯＬ-Ｍａｓｔｅｒ进行眼轴测量，并进行人工晶状体度数测算，在重硅油取出联合超声乳化白内障摘出人工晶状体植入术后１个月应用Ａ超和ＩＯＬ-Ｍａｓｔｅｒ进行第二次眼轴测量，３个月时进行屈光检查，对两种检查的结果进行对比分析。结果　术前眼轴长度Ａ超测量为（２６．３±３．６）ｍｍ，ＩＯＬ-Ｍａｓｔｅｒ测量为（２６．２±３．７）ｍｍ；术后１个月眼轴长度Ａ超测量为（２６．２±３．６）ｍｍ，ＩＯＬ-Ｍａｓｔｅｒ测量为（２６．２±３．７）ｍｍ。术前术后Ａ超测量结果之间、ＩＯＬ-Ｍａｓｔｅｒ测量结果之间，以及术前ＩＯＬ-Ｍａｓｔｅｒ测量结果与术后Ａ超测量结果之间差异均无统计学意义（均为Ｐ＞０．０５），而术前Ａ超测量结果与术后ＩＯＬ-Ｍａｓｔｅｒ测量结果差异有统计学意义（Ｐ＝０．０３０），Ａ超测量结果较ＩＯＬ-Ｍａｓｔｅｒ测量结果眼轴较长。术前ＩＯＬＭａｓｔｅｒ测量的人工晶状体度数预估术后屈光状态为－０．３６～０．０８（－０１１±０．１３）Ｄ，术后３个月等效球镜度为－０．４１～０．１１（－０．１１±０１４）Ｄ。用ＩＯＬ-Ｍａｓｔｅｒ计算的预计术后屈光度与术后真实屈光度比较差异无统计学意义（Ｐ＞０．０５）。结论　对于重硅油Ｏｘ-ａｎｅＨＤ填充眼的眼轴测量，应首选ＩＯＬ-Ｍａｓｔｅｒ测量，对于屈光间质混浊、患者无法固视而不能进行ＩＯＬ-Ｍａｓｔｅｒ检查的患者眼轴可采用Ａ超测量。
Abstract:
Objective To analyze the outcome of IOL-Master in measuring axial length of heavy silicone oil Oxane HD filled eyes. Methods Thirty-six cases( 36 eyes) of Oxane HD filled eyes were treated in our hospital from May 2011 to May 2013. Adjusting ultrasonic speed A scan and IOL-Master were applied to measure the axial length and lens power calculation. One month after the heavy silicone oil removal combined with Phaco and IOL implantation, the axial length was measured by A scan and IOLMaster again. The refractive status was measured at 3 months after surgery. The results from the two measuring methods were compared and analyzed. Results The average axial length before the surgery was ( 26. 3 + 3. 6 ) mm measured by ultrasound A scan and (26. 2 + 3. 7) mm by IOL-Master; and the average axial length after the surgery was ( 26. 2 + 3. 6) mm measured by ultrasound A scan and ( 26. 2 + 3. 7 ) mm by IOL-Master. There were no statistically significant difference between preoperative and postoperative A scan results , preoperative and postoperative IOL-Master results , and preoperative IOLMaster and postoperative A scan results ( all P > 0. 05 ) . Significant difference existed between preoperative A scan and postoperative IOL-Master results ( P = 0. 030) . The axial length measured by A scan was longer than that by IOL-Master. The predictive postoperative refractive status calculated by IOL-Master was - 0. 36 - 0. 08 ( - 0. 11 + 0. 13 ) D and the actual postoperative spherical equivalent at 3 months after surgery was - 0. 41 - 0. 11 ( - 0. 11 + 0. 14) D. There was no significant difference between predictive postoperative refractive status calculated by IOL-Master and the actual postoperative refractive status ( P > 0. 05 ) . Conclusion IOL-Master is the primary choice to measure axial length of Oxane HD filled eyes. For patients with cloudy refractive media and poor fixation.A scan should be applied to measure axial length.

相似文献/References:

[1]罗书科,叶祖科,尹小芳,等.散瞳对Lenstar和A超测量白内障患者眼生物学参数的影响[J].眼科新进展,2016,36(2):151.[doi:10.13389/j.cnki.rao.2016.0041]
　LUO Shu-Ke,YE Zu-Ke,YIN Xiao-Fang,et al.Effects of pupil dilation on ocular biometric parameters measured by Lenstar and A-scan in cataract patients[J].Recent Advances in Ophthalmology,2016,36(11):151.[doi:10.13389/j.cnki.rao.2016.0041]
[2]臧晶,陈立伦,鲍炯琳,等.IOL-Master在不同公式下对轴性高度近视眼术后屈光准确度评估[J].眼科新进展,2016,36(6):554.[doi:10.13389/j.cnki.rao.2016.0147]
　ZANG Jing,CHEN Li-Lun,BAO Jiong-Lin,et al.Postoperative refractive accuracy evaluation in axial high myopic eyes using IOL-Master with different formulas[J].Recent Advances in Ophthalmology,2016,36(11):554.[doi:10.13389/j.cnki.rao.2016.0147]
[3]王晗敏,姚月蓉,周欢明,等.IOL MASTER测量低信噪比的高度近视眼人工晶状体度数的精确性分析[J].眼科新进展,2016,36(11):1036.[doi:10.13389/j.cnki.rao.2016.0276]
　WANG Han-Min,YAO Yue-Rong,ZHOU Huan-Ming,et al.Accuracy of IOL Master in measuring IOL power of high myopia with low SNR[J].Recent Advances in Ophthalmology,2016,36(11):1036.[doi:10.13389/j.cnki.rao.2016.0276]
[4]杨晓艳,李丽华,陈晓琴,等.光学生物测量仪SW-9000与IOL-Master测量青少年眼球生物学参数的对比[J].眼科新进展,2019,39(4):346.[doi:10.13389/j.cnki.rao.2019.0078]
　YANG Xiao-Yan,LI Li-Hua,CHEN Xiao-Qin,et al.Comparison of a new optical biometry device SW-9000 and IOL-Master for measurement of ocular components of adolescents[J].Recent Advances in Ophthalmology,2019,39(11):346.[doi:10.13389/j.cnki.rao.2019.0078]
[5]孙飒,郭海科.AL-Scan、IOL-Master和A超测量白内障患者眼轴长度的准确性和一致性分析[J].眼科新进展,2016,36(9):876.[doi:10.13389/j.cnki.rao.2016.0235]
　SUN Sa,GUO Hai-Ke.Accuracy and consistency research of AL-Scan, IOL-Master and A-type ultrasound scan for axial length measurement in cataract patients[J].Recent Advances in Ophthalmology,2016,36(11):876.[doi:10.13389/j.cnki.rao.2016.0235]

备注/Memo

备注/Memo:
云南省教育厅科学研究基金（编号：２０１１Ｃ０７９）；云南省卫生科技计划项目（编号：２０１２ＷＳ０１０９）；云南省应用基础研究项目（编号：２０１２ＦＢ０８３）；云南省高层次卫生技术人才培养专项经费资助
更新日期/Last Update: 2014-11-11