角膜曲率的比较-中华医学会.DOC

新型眼生物测量仪Tomey OA-2000和获得的比华焱军、肖秋怡、吴强 通信作者：吴强，qiangwumd@163.com 【摘要】 目的 比较新型眼生物测量仪Tomey OA-2000与IOLMaster获得的眼生物参数的差异性和一致性。方法 前瞻性研究。纳入白内障术前检查者74例74眼，分别应用Tomey OA-2000和IOLMaster进行测量，获得眼轴长度（AL）、角膜曲率（K）、前。 结果 Tomey OA-2000获得的AL、平坦K值（Kf）、陡峭K值 (Ks)、平均K值 (Km)、中央角膜厚度 (CCT)、ACD、晶体厚度 (LT)、瞳孔直径 (PD)和WTW值分别为24.26±2.71 mm、44.09±1.76 D、45.01±1.73 D、44.55±1.72 D、518.41±34.18 μm、3.07±0.48 mm、4.48±0.61 mm、4.07±0.95 mm和11.50±0.52 mm。IOLMaster获得的AL、Kf、Ks、Km、ACD和WTW值分别为24.33±2.69 mm、44.21±1.74 mm、45.15±1.76 D、44.69±1.74 D、3.04 ± 0.46 mm和11.65 ± 0.41 mm。Tomey OA-2000和IOLMaster获得的AL、Kf、Ks、Km、ACD和WTW差值分别为-0.07 ± 0.10 mm (t = -5.99, P 0.01)、-0.12 ± 0.21 D (t = -4.14, P 0.01)、-0.14 ± 0.20 D (t = -5.88, P 0.01)、-0.12 ± 0.13 D (t = -7.44, P 0.01)、0.03 ± 0.14 mm (t = 1.99, P = 0.05)和-0.14 ± 0.32 mm (t = -3.73, P 0.01)。两种设备AL、Kf、Ks、Km、ACD、的95％一致性区间(LoA)其上下限最大绝对值分别为0.27mm、0.50D、0.53D、0.38D、0.30mm结论 Tomey OA-2000IOLMaster获得的眼轴长度角膜曲率差异。[关键词] Tomey OA-2000IOLMaster，眼轴前房深度角膜曲率Comparison of Ocular Parameters Obtained by the New Biometer Tomey OA-2000 and IOLMaster. Hua Yanjun, Xiao Qiuyi, Wu Qiang. Department of Ophthalmology, Shanghai Jiaotong University affiliated Sixth Peoples Hospital, Shanghai,?200233,?China.?Corresponding author: Wu Qiang, qiangwumd@163.com. [Abstract] Objective To compare the ocular parameters obtained by the new biometer Tomey OA-2000 and IOLMaster incataract eyes. Methods Seventy-four eyes of 74 cataract patients were included in this prospective study. Ocular parameters, including axial length (AL), keratometry (K), anterior chamber depth (ACD) and White to White (WTW), were obtained by Tomey OA-2000 and IOLMaster, respectively. The average value of each instrument was taken as an effective result, and the results were statistically analyzed. Paired t-test was applied to analyze the differences of ocular parameters obtained by Tomey OA-2000 and IOLMaster. Bland-Altman plots were used to assess the agreement of ocular parameters obtained by Tomey OA-2000 and IOLMaster. Resu