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Comparison of ocular biometric measurements in patients with cataract using three swept-source optical coherence tomography devices

机译:三种扫描源光学相干断层扫描装置对白内障患者眼生物识别测量的比较

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摘要

Precise measurement of ocular biometry is critical for determining intraocular lens power. Newly developed swept-source optical coherence tomography (SS-OCT) - based ocular biometric devices, ANTERION and CASIA2 provide ocular biometric measurements as IOLMaster 700. This study aimed to assess agreement between three devices. This retrospective comparative study includes patients with cataract who underwent ocular biometric measurements with three devices, ANTERION, CASIA2, and IOLMaster 700, at Seoul National University Hospital, in April 2020. Anterior keratometry, total keratometry, central corneal thickness (CCT), anterior chamber depth (ACD), lens thickness (LT), and axial length (AL) were the main parameters for the comparison. To assess the agreement between the devices, intraclass coefficient (ICC) and Bland-Altman analysis with 95% limits of agreement (LoA) were used. A total of 47 eyes of 29 patients were measured with three devices. Average anterior keratometry showed excellent agreement (ICC?≥?0.989), and the mean difference was less than 0.1 D. However, the ICC of the total average keratometry ranged from 0.808 to 0.952, and the difference was more than 0.43 D. The AL measured by ANTERION and IOLMaster 700 showed excellent agreement (ICC?=?0.999), and the mean difference was 0.005?mm. The ANTERION and IOLMaster 700 did not obtain AL in six (12.8%) and three (6.4%) cases, respectively (P?=?0.001 by Fisher’s exact test). The CCT, ACD, and LT also showed excellent agreement (ICC??0.9). The new SS-OCT-based devices, ANTERION, and CASIA2 showed a good agreement with IOLMaster 700 in measuring ocular biometry except for the total keratometry. The AL of ANTERION and IOLMaster 700 showed excellent agreement.
机译:眼部生物测量的精确测量对于确定眼内透镜功率至关重要。新开发的扫描源光学相干断层扫描(SS-OCT)的眼部生物识别器件,开机和CASIA2提供了IOLMASTER 700的眼部生物测量。本研究旨在评估三个设备之间的协议。该回顾性的比较研究包括患有白内障的白内障患者,患者在2020年4月在首尔国立大学医院进行了三个设备,开工,CASIA2和IOLMASTER 700的眼科生物识别测量。前腔腔,总腔腔,中央角膜厚度(CCT),前房深度(ACD),透镜厚度(LT)和轴向长度(AL)是比较的主要参数。为了评估设备之间的协议,使用腹部系数(ICC)和Bland-Altman分析,使用95%的协议限制(LOA)。使用三种装置测量47名患者的47只眼睛。平均胰岛腔静脉测量表现出优异的一致性(ICC?≥≤0.989),平均差异小于0.1d。然而,总平均角色测定法的ICC范围为0.808至0.952,差异大于0.43 d。通过开窗测量和IOLMASTER 700展示了很好的协议(ICC?= 0.999),平均差异为0.005Ωmm。开机和IOLMASTER 700分别未获得六(12.8%)和三(6.4%)病例(P?= 0.001,通过Fisher的确切测试)。 CCT,ACD和LT也表现出很好的协议(ICC?&?0.9)。新的SS-OCT基设备,窗体和CASIA2与IOLMASTER 700在测量眼部生物学中的良好协议之外,除了总检测器之外。开设和IOLMASTER 700的AL表现出很好的一致性。

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