国际眼科杂志2008年12月电话：029-8224517283085628第8卷第12期、^^^wUO．cn电子信箱：UO．2000@163．com无晶状体眼患儿的眼轴测量方法丁晓霞，张劲松·临床论著·作者单位：(110005)中国辽宁省沈阳市，中国医科大学附属第四医院眼科辽宁省高校晶状体重点实验室作者简介：丁晓霞，女，硕士研究生。通讯作者：张劲松，男，眼科学教授，博士生导师，研究方向：白内障、角膜病．cmu4h—zjs@126．corn收稿日期：2008—05—24修回日期：2008．12．02Thewaystomeasureaxiallengthofchildren’saphakiceyeXiao·XiaDing，Jin—SongZhangDepartmentofOphthalmology．theFourthAmliatedHospitalofChinaMedicalUniversity，Shenyang110005．LiaoningProvince．ChinaCorrespondenceto：Jing·SongZh{lng．DepartmentofOphthalmology，theFourthAffiliatedHospitalofChinaMedicalUniversity，Shenyangl10005，LiaoningProvince．China．cmu4h—zis@126．cornReceived：2008—05-24Accepted：2008一12．02Abstract·AlM：TostudytheaxiaIlengthoutcomeobtainedbvlOLMasterbiometryanduItrasonOgraphydatainaprospec-tivestudyof46aphakiceyesthatunderwentintraocularlensimplantation．·METHODS：TheSRK．ⅡandSRK-TformulasusingapplanationultrasonOgraphydatawereemployedforthepredictionofimplantedintraocularlenses(IOLs)．Onemonthaftercataractsurgerytherefractiveoutcomewasdetermined．PreoperativeIOL．MasterdatawereusedretrospectivelytocalculatetheIOLpredictionerror．Thetwodi仟erentbiometrymethodsarecornpared．·RESULTS：46patients，5．6yearsofageinaverage．underwentIOLimplantation．Whentheaxiallength≤26mm．therewasnosignificantdifferenceinaxiallengthbetweenIOL·Masterandultrasonicbiometry．Themeanpostoperativesphericalequivalentwas(-0．28±0．36)D．Thepredictedpostoperativesphericalequivalentofthe10L-MasterbiometryanduItrasonographyis(-0．39±0．53)Dand(旬．25±0．15)Drespectively．Therewerenostatisticallysignificantdifferencesamongthem．Whentheaxiallength>26mm．theopticalaxiallengthobtainedbytheultrasoundwassignificantlylonger(P<0．们)thantheaxiaIlengthby10L·Master．is(26．68±0．38)mmvs(26．48±0．35)mm．Themeanpostoperativesphericalequivalentwas(0．38±0．18)D．Applanationultrasono．graphyafteroptimizationofthesurgeonfactoryieldedagreaterpredictionerrorthantheoptimizedIOL·Masterbiometry，(旬．05±0．07)Dvs(0．43±0．24)D．·CONCLUSl0N：IOL，Masterasoneofmethodstomeasureaxiallengthofchildren’saphakiceyeshasadvantageinnon‘contact。highaccuracyandeasyper一2474formance，andespeciallyhasahighaccuracyinthemy·epiceyemeasurement．Butsometimesforsomespecialcasesitalsoneedstousethetraditionalcontactmethod．·KEYWORDS：IOL—Master；A-SCaR：congenitalcataractDingXX，ZhangJS．Thewaystomeasureaxiallengthofchildren’saphakiceye．如f．，Ophthalmol似．oyiYankeZazhij2008；8(12)：2474-2476摘要目的：比较CarlZeissIOL．Master与传统生物测量方法在测量无晶状体眼患儿眼轴长度的准确性。方法：术前分别应用传统超声生物测镀方法，自动电脑验光仪及10I。一Master测龄眼轴长度及角膜曲率。按超声方法测量结果计算植入人工晶状体的屈光度。利用IOL—Master测量结果计算其预测屈光误差。术后lmo检查患者的屈光状态。结果：当眼轴≤26mill时，IOI．一Master测得的眼轴均值为(23．28±0．63)mm，接触式A超测量的眼轴均值为(23．244-0．64)mill，两者之间比较差异无垃著性意义。当眼轴>26ram时，IOL．Master测得的眼轴均值为(26．48±0．35)mm，接触式A超测鼍的联轴均值为(26．684-0．38)mm，两者之间比较差异有硅著性意义(P<0．01)。10I。一Master测得的角膜曲率为(44．42±1．18)D，自动验光仪测得的角膜曲率为(44．404-1．25)D，两者之间比较差异无显著性意义...
