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ENGLISH ABSTRACT
重视和优选白内障术前生物学测量与人工晶状体屈光度计算的联合方案
汤欣
于莎莎
作者及单位信息
·
DOI： 10.3760/cma.j.issn.2095-0160.2015.04.001
Paying attention to optimization and combination of the preoperative biomeasurement with intraocular lens power calculation in cataractous eyes
Tang Xin
Yu Shasha
Authors Info & Affiliations
Tang Xin
Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin Eye Institute, Tianjin Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin 300020, China
Yu Shasha
·
DOI： 10.3760/cma.j.issn.2095-0160.2015.04.001
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摘要

随着白内障手术相关技术的优化，高端晶状体投入临床应用，白内障手术已处于屈光手术时代，通过手术矫正以恢复患者最佳屈光状态的技术方法备受关注，使得白内障术前的生物学测量及人工晶状体（IOL）屈光度的计算显得至关重要，因此临床医师应充分了解相关的测量机制及可控制误差的来源，尽可能减小术后屈光误差，提高术眼的视觉质量。白内障术前的生物学测量涉及不同方法，如眼轴长度、角膜曲率和前房深度的测量，而IOL的计算方法包括标准屈光度法、传统理论或经验公式法及光线追踪算法等。临床医师只有将白内障术前生物学测量与IOL屈光度计算方法进行适宜联合，才能确保术眼获得满意的视觉质量。

白内障／手术;生物学测量;眼轴长度;角膜曲率;前房深度;人工晶状体
ABSTRACT

As the development of surgery related technology and clinical application of premium intraocular lens (IOL), cataract surgery has been in the era of refractive surgery. To restore the refractive system by surgery has been focused on and challenges have been brought up in preoperative measurement and accurate IOL power calculation methods. It is necessary to know developments of the related measurement technologies and the possible error resources to decrease refractive errors. Different means of measuring axial length, cornea curvature and anterior chamber depth were related here, co-operated with varied IOL power calculation methods, such as standard power, traditional formulas and real ray tracing method. Researchers should pay close attention to the preoperative measurement and IOL power calculation methods in cataract patients, the combination of accurate measurement with different calculation methods can help to acquire an increasingly satisfactory visual result.

Cataract/surgery;Biometrical measurement;Axial length;Corneal curvature;Anterior chamber depth;Intraocular lens
Tang Xin, Email: mocdef.nabuyilarosseforpgnat
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引用本文

汤欣,于莎莎. 重视和优选白内障术前生物学测量与人工晶状体屈光度计算的联合方案[J]. 中华实验眼科杂志,2015,33(4)：289-293.

DOI:10.3760/cma.j.issn.2095-0160.2015.04.001

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随着白内障手术技术及设备的不断革新发展，非球面、多焦点、散光矫正晶状体逐渐应用于临床，以人工晶状体(intraocular lens，IOL)代替混浊晶状体重建完美屈光系统，以达到理想的屈光状态成为临床医师及患者关注的重点。研究表明IOL屈光度计算中由前房深度(anterior chamber depth，ACD)、眼轴长度和角膜曲率测量造成的误差分别占42%、36%和22%，1 mm的ACD误差在近视眼、正常眼轴眼和远视眼可引起的术后屈光误差分别为1.0、1.5和2.5 D，1 mm的眼轴误差会导致约2.5 D的术后屈光度误差，1 D的角膜曲率误差也会导致约1 D的术后屈光度误差 [ 1 , 2 ]。此外IOL计算方法也会对术后屈光度造成影响，特别是在眼轴不正常的眼中 [ 3 ]。临床医师应掌握白内障术前生物学测量和IOL屈光度计算方法，做到精确测量与不同计算方法的最佳联合，以确保术眼获得满意的视觉质量。
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参考文献
[1]
Olsen T . Calculation of intraocular lens power: a review[J]. Acta Ophthalmol Scand, 2007,85(5):472–485. doi: 10.1111/j.1600-0420.2007.00879.x .
返回引文位置Google Scholar
百度学术
万方数据
[2]
Fontes BM , Fontes BM , Castro E . Intraocular lens power calculation by measuring axial length with partial optical coherence and ultrasonic biometry[J]. Arq Bras Oftalmol, 2011,74(3):166–170.
返回引文位置Google Scholar
百度学术
万方数据
[3]
Roh YR , Lee SM , Han YK ,et al. Intraocular lens power calculation using IOLMaster and various formulas in short eyes[J]. Korean J Ophthalmol, 2011,25(3):151–155. doi: 10.3341/kjo.2011.25.3.151 .
返回引文位置Google Scholar
百度学术
万方数据
[4]
Ghanem AA , El-Sayed HM . Accuracy of intraocular lens power calculation in high myopia[J]. Oman J Ophthalmol, 2010,3(3):126–130. doi: 10.4103/0974-620X.71888 .
返回引文位置Google Scholar
百度学术
万方数据
[5]
Abu El Einen KG , Shalaby MH , El Shiwy HT . Immersion B-guided versus contact A-mode biometry for accurate measurement of axial length and intraocular lens power calculation in siliconized eyes[J]. Retina, 2011,31(2):262–265. doi: 10.1097/IAE.0b013e3181e17f39 .
返回引文位置Google Scholar
百度学术
万方数据
[6]
Shammas HJ , Hoffer KJ . Repeatability and reproducibility of biometry and keratometry measurements using a noncontact optical low-coherence reflectometer and keratometer[J]. Am J Ophthalmol, 2012,153(1):55–61. doi: 10.1016/j.ajo.2011.06.012 .
返回引文位置Google Scholar
百度学术
万方数据
[7]
Jasvinder S , Khang TF , Sarinder KK ,et al. Agreement analysis of LENSTAR with other techniques of biometry[J]. Eye (Lond), 2011,25(6):717–724. doi: 10.1038/eye.2011.28 .
返回引文位置Google Scholar
百度学术
万方数据
[8]
Kunavisarut P , Poopattanakul P , Intarated C ,et al. Accuracy and reliability of IOL master and A-scan immersion biometry in silicone oil-filled eyes[J]. Eye (Lond), 2012,26(10):1344–1348. doi: 10.1038/eye.2012.163 .
返回引文位置Google Scholar
百度学术
万方数据
[9]
Saad E , Shammas MC , Shammas HJ . Scheimpflug corneal power measurements for intraocular lens power calculation in cataract surgery[J]. Am J Ophthalmol, 2013,156(3):460–467. doi: 10.1016/j.ajo.2013.04.035 .
返回引文位置Google Scholar
百度学术
万方数据
[10]
Minami K , Kataoka Y , Matsunaga J ,et al. Ray-tracing intraocular lens power calculation using anterior segment optical coherence tomography measurements[J]. J Cataract Refract Surg, 2012,38(10):1758–1763. doi: 10.1016/j.jcrs.2012.05.035 .
返回引文位置Google Scholar
百度学术
万方数据
[11]
蔡剑秋,张加裕,陈如,等. OrbscanⅡ预测准分子激光原位角膜磨镶术后人工晶状体度数的准确性[J]. 中华医学杂志, 2011,91(1):33–36. doi: 10.3760/cma.j.issn.0376-2491.2011.01.009 .
返回引文位置Google Scholar
百度学术
万方数据
[12]
Holzer MP , Mamusa M , Auffarth GU . Accuracy of a new partial coherence interferometry analyser for biometric measurements[J]. Br J Ophthalmol, 2009,93(6):807–810. doi: 10.1136/bjo.2008.152736 .
返回引文位置Google Scholar
百度学术
万方数据
[13]
Zhao J , Chen Z , Zhou Z ,et al. Evaluation of the repeatability of the Lenstar and comparison with two other non-contact biometric devices in myopes[J]. Clin Exp Optom, 2013,96(1):92–99. doi: 10.1111/j.1444-0938.2012.00793.x .
返回引文位置Google Scholar
百度学术
万方数据
[14]
Kim SM , Choi J , Choi S . Refractive predictability of partial coherence interferometry and factors that can affect it[J]. Korean J Ophthalmol, 2009,23(1):6–12. doi: 10.3341/kjo.2009.23.1.6 .
返回引文位置Google Scholar
百度学术
万方数据
[15]
Al Farhan HM . Agreement between Orbscan II, VuMAX UBM and Artemis-2 very-high frequency ultrasound scanner for measurement of anterior chamber depth[J/OL]. BMC Ophthalmol, 2014,14:20[2014-09-10]. http://www.biomedcentral.com/1471-2415/14/20.doi:10.1186/1471-2415-14-20.
返回引文位置Google Scholar
百度学术
万方数据
[16]
Uçakhan OÖ , Akbel V , Biyikli Z ,et al. Comparison of corneal curvature and anterior chamber depth measurements using the manual keratometer, Lenstar LS900 and the Pentacam[J]. Middle East Afr J Ophthalmol, 2013,20(3):201–206. doi: 10.4103/0974-9233.114791 .
返回引文位置Google Scholar
百度学术
万方数据
[17]
O'Donnell C , Hartwig A , Radhakrishnan H . Comparison of central corneal thickness and anterior chamber depth measured using LenStar LS900, Pentacam, and Visante AS-OCT[J]. Cornea, 2012,31(9):983–988. doi: 10.1097/ICO.0b013e31823f8e2f .
返回引文位置Google Scholar
百度学术
万方数据
[18]
Frisch IB , Rabsilber TM , Becker KA ,et al. Comparison of anterior chamber depth measurements using Orbscan II and IOLMaster[J]. Eur J Ophthalmol, 2007,17(3):327–331.
返回引文位置Google Scholar
百度学术
万方数据
[19]
Binkhorst RD . The optical design of intraocular lens implants[J]. Ophthalmic Surg, 1975,6(3):17–31.
返回引文位置Google Scholar
百度学术
万方数据
[20]
Sanders D , Retzlaff J , Kraff M ,et al. Comparison of the accuracy of the Binkhorst, Colenbrander, and SRK implant power prediction formulas[J]. J Am Intraocul Implant Soc, 1981,7(4):337–340.
返回引文位置Google Scholar
百度学术
万方数据
[21]
Thompson JT , Maumenee AE , Baker CC . A new posterior chamber intraocular lens formula for axial myopes[J]. Ophthalmology, 1984,91(5):484–488.
返回引文位置Google Scholar
百度学术
万方数据
[22]
Sanders DR , Retzlaff J , Kraff MC . Comparison of the SRK II formula and other second generation formulas[J]. J Cataract Refract Surg, 1988,14(2):136–141.
返回引文位置Google Scholar
百度学术
万方数据
[23]
Haigis W . Influence of axial length on IOL constants[J]. Acta Clin Croat, 2012,51Suppl 1:59–64.
返回引文位置Google Scholar
百度学术
万方数据
[24]
Eldaly MA , Mansour KA . Personal A-constant in relation to axial length with various intraocular lenses[J]. Indian J Ophthalmol, 2014,62(7):788–791. doi: 10.4103/0301-4738.138300 .
返回引文位置Google Scholar
百度学术
万方数据
[25]
Wang JK , Chang SW . Optical biometry intraocular lens power calculation using different formulas in patients with different axial lengths[J]. Int J Ophthalmol, 2013,6(2):150–154. doi: 10.3980/j.issn.2222-3959.2013.02.08 .
返回引文位置Google Scholar
百度学术
万方数据
[26]
Srivannaboon S , Chirapapaisan C , Chirapapaisan N ,et al. Accuracy of Holladay 2 formula using IOLMaster parameters in the absence of lens thickness value[J]. Graefe's Arch Clin Exp Ophthalmol, 2013,251(11):2563–2567. doi: 10.1007/s00417-013-2439-8 .
返回引文位置Google Scholar
百度学术
万方数据
[27]
Einighammer J , Oltrup T , Bende T ,et al. The individual virtual eye: a computer model for advanced intraocular lens calculation[J]. J Optom, 2009,2(2):70–82. doi: 10.3921/joptom.2009.70 .
返回引文位置Google Scholar
百度学术
万方数据
[28]
Preussner PR , Wahl J , Lahdo H ,et al. Ray tracing for intraocular lens calculation[J]. J Cataract Refract Surg, 2002,28(8):1412–1419.
返回引文位置Google Scholar
百度学术
万方数据
[29]
Minami K , Kataoka Y , Matsunaga J ,et al. Ray-tracing intraocular lens power calculation using anterior segment optical coherence tomography measurements[J]. J Cataract Refract Surg, 2012,38(10):1758–1763. doi: 10.1016/j.jcrs.2012.05.035 .
返回引文位置Google Scholar
百度学术
万方数据
[30]
Shammas HJ , Shammas MC , Garabet A ,et al. Correcting the corneal power measurements for intraocular lens power calculations after myopic laser in situ keratomileusis[J]. Am J Ophthalmol, 2003,136(3):426–432. doi: http://dx.doi.org/10.1016/S0002-9394(03)00275-7 .
返回引文位置Google Scholar
百度学术
万方数据
[31]
Tang M , Wang L , Koch DD ,et al. Intraocular lens power calculation after myopic and hyperopic laser vision correction using optical coherence tomography[J]. Saudi J Ophthalmol, 2012,26(1):19–24. doi: 10.1016/j.sjopt.2011.10.004 .
返回引文位置Google Scholar
百度学术
万方数据
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