改良A超和角膜曲率计测量硅油填充眼的眼轴长和角膜曲率.DOC

IOL-Master与改良A超测量硅油填充眼轴长研究 马红蕾 韩瑶 高彦军 段佳良 杨欣 王红霞 摘要 目的：比较IOL-Master与改良A超在硅油填充眼轴长测量方面的准确性，了解其各自的特性与临床应用价值。方法：选取2011年6月～2012年4月在我院行玻璃体切割硅油填充术患者27例（27眼），术前术后分别采用IOL-Master、改良A超和角膜曲率计测量眼轴长和角膜曲率，并对结果进行分析比较。结果：IOL-Master测得的手术前后眼轴长精确度比较接近（分别为23.84±0.69mm，23.39±0.88mm），对比差异无显著性（P＞0.05P＞0.05P＞0.05）Study on axial length measurement in silicone-filled eyes with IOL-Master and improved A-scan ultrasound MA Hong-lei, Han Yao, Gao Yan-jun, Duan Jia-liang, Yang Xin, Wang hong-xia. Department of Ophthalmology, Affiliated Second Hospital University, Shijiazhuang 050000, China Abstract Objective: To evaluate the clinical application and characteristics of IOL-Master and improved A-scan ultrasound biometry by comparing their measurements in silicone-filled eyes. Methods: Twenty-seven cases (27eyes) who underwent combined surgery of silicone oil removal, cataract phacoemulsification and IOL implantation from June, 2011 to April, 2012 were measured in this study. The length of ocular axis and corneal curvature in 27 patients (27 eyes) were measured by IOL-Master, improved A-scan ultrasound biometry and auto-keratometer before and one month after operations. Then the results were analyzed. Results: The ocular axial length measured by IOL-Master before and after operations were 23.84?.69 mm and 23.39?.88 mm , P＞0.05, showing no significant discrepancy. Significant difference of the ocular axial length measured by improved A-scan ultrasound biometry before and after operations was also not found (23.75±0.68mm,23.80±0.78mm, P＞0.05P＞0.05］。并发性白内障是玻璃体切除硅油填充术后最常见并发症之一［］［］。随着手术技术的日臻成熟，在硅油取出的同时行白内障摘除联合人工晶体植入术，使更多的患者获得了较好的视力。但硅油因其特殊的声学特性，使传统A超测量眼轴的精准性受到了严重影响，，从而无法精确的计算出人工晶体度数。非接触光学相关生物测量仪（即IOL-Master）是1999年研制开发的人工晶体度数测量工具。改良A超是通过矫正硅油中的超声速度而确保人工晶体测量的准确性的新方法。本研究采用IOL-Master、改良A超和角膜曲率计测量硅油填充眼的眼轴长和角膜曲率，计算植入人工晶体度数，分析术后屈光状态及手术前后眼轴长度差异性，以了解其准确性及特点。 1资料与方法 1.1一般资料 选2011年6月～2012年4月在我院行玻璃体切割硅油填充术患者27例（27眼）。其中男18例，女9例，年龄25～72岁，平均（59±10.9）岁。原发病因：外伤性增殖性玻璃体视网膜病变伴视网膜脱离10例，裂孔源性视网膜脱离9例，视网膜分支静脉阻塞合并玻璃体积血5例，糖尿病