急性闭角型青光眼超声乳化联合房角分离术后屈光预测准确性分析

Analysis of refractive prediction accuracy after phacoemulsification combined with goniosynechialysis in acute Angle closure glaucoma

摘要

目的 本研究旨在探讨5种人工晶状体度数计算公式,即Haigis、Hoffer Q、Barrett Universal II、SRK/T和Kane在合并白内障的急性闭角型青光眼(acute angle closure glaucoma, AACG)中的准确性。方法 本研究纳入56只AACG伴白内障眼,对其行超声乳化联合人工晶状体植入伴房角分离术。计算并比较术后3个月5种人工晶状体度数计算公式的屈光预测误差(prediction error, PE)、中位数绝对误差(median absolute error, MedARE)、平均绝对误差(mean absolute error, MAE)、近似误差均方根(root mean square error of approximation, RMSEA)以及PE在(±0.25)、(±0.50)、(±0.75)、(±1.00)D内的眼睛比例。分析影响AACG眼屈光预测误差的因素。结果 各公式的MAE表现为Haigis(0.44 D)、 Barrett Universal II (0.55 D)、 Kane(0.60 D)、SRK/T (0.68 D)和Hoffer Q (0.69 D),5种公式预测误差在(±0.50)屈光度内的眼睛比例分别为71.43% (Haigis)、57.14% (Barrett Universal II)、55.36% (Kane)、44.64% (Hoffer Q)和42.56 %(SRK/T),各公式术后均出现近视漂移。结论 5种人工晶体计算公式中Haigis表现最好,Barrett Universal II和Kane也取得了令人满意的效果,需注意AACG眼行白内障摘除联合晶状体植入伴房角分离术后可能引起的近视漂移。

Abstract

Objective This study aims to investigate the accuracy of five intraocular lens power calculation formulas, namely, Haigis, Hoffer Q, Barrett Universal II, SRK/T and Kane, in acute angle-closure glaucoma (AACG) combined with cataract. Methods This study included 56 eyes with AACG and cataracts, which underwent phacoemulsification combined with intraocular lens implantation and goniosynechialysis. The refractive prediction error (PE), median absolute error (MedARE), mean absolute error (MAE), root mean square error of approximation (RMSEA), and the proportion of eyes with refractive prediction error (PE) within the ranges of (±0.25), (±0.50), (±0.75), (±1.00) D. Factors influencing refractive prediction error in AACG eyes were analyzed. Results The MAE performance of each formula is as follows: Haigis (0.44 D), Barrett Universalll (0.55 D), Kane (0.60 D), SRK/T (0.68 D), and Hoffer Q (0.69 D). The proportions of eyes with prediction errors within ±0.50 diopters for the five formulas were 71.43% (Haigis), 57.14% (Barrett Universal II), 55.36% (Kane), 44.64% (Hoffer Q), and 42.56% (SRK/T). Myopic drift was observed postoperatively for all formulas. Conclusion Among the five artificial lens formulas, Haigis performed the best; Barrett Universalll and Kane also achieved satisfactory results. lt should be noted that myopia drift may occur after AACG cataract extraction combined with lens implantation and goniosynechialysis.

关键词

人工晶状体度数计算公式 / 急性闭角型青光眼 / 白内障 / 超声乳化术 / 房角分离术

Key words

IOL formula / Acute angle closure glaucoma / Cataract / Phacoemulsification / Goniosynechialysis

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基金资助

潍坊市青年医学人才托举工程资助