摘要目的 比较两种光学相干生物测量仪Biograph/Lenstar和IOL Master测量眼轴(AL)、角膜曲率(K1、K2和Km)和前房深度(ACD)的差异,分析二者的一致性,为临床使用提供依据.方法 前瞻性临床研究.近视患者34例(68眼),等效球镜为-0.05～-10.00 D,平均(-4.11±2.31)D,分别应用Biograph/Lenstar和IOL Master进行AL、K1、K2、Km和ACD测量,两种仪器间以上指标的差异采用配对t检验,两种仪器间测量所得数据的相关性采用 Pearson相关分析,两种仪器间测量所得数据的一致性采用Bland-Altamn统计分析.结果 Biograph/Lenstar和IOL Master测量AL的平均值分别为(25.39±1.09)mm和(25.37±1.08)mm,差异具有统计学意义(t=8.855,P＜0.01);两者间的K1、K2和Km差异均有统计学意义(t=2.511,P=0.014;t=-2.413,P=0.019;t=2.893,P=0.005);ACD值分别为(3.80±0.26)mm和(3.78±0.26)mm,差异无统计学意义.两种仪器间所有的测量参数均具有密切的线性相关(r均＞0.9,P＜0.01).两种方法测量AL和ACD一致性较好,而K1、K2和Km一致性较差.结论 Biograph/Lenstar测量眼部无明显器质性疾病人群的眼轴长度及前房深度与IOL Master具有良好的一致性.对角膜曲率的测量,两者测量一致性较差,使用中需结合临床意义进一步对仪器的适用范围加以判断.

abstractsObjective To assess the accuracy of axial length (AL), corneal curvature (K1, K2 and Km) and anterior chamber depth (ACD) measurements with the Biograph/Lenstar LS 900 biometer and the IOL Master. Methods In this prospective clinical study, 68 eyes of 34 myopes, whose spherical equivalent were -0.50-10.00 D, with an average of (-4.11±2.31)D. AL, K1, K2, Km and ACD of these myopes were measured with the Biograph/Lenstar and IOL Master biometer. Data were analyzed using a paired samples t test, linear regression and Bland-Altman plots. Results The mean AL and ACD measured by the Biograph/Lenstar and IOL Master were (25.39±1.09)mm, (25.37±1.08)mm, and (3.80±0.26)mm, (3.78±0.26)mm, respectively. There were significant differences between the results of these two methods in AL (t=8.855, P＜0.01), K1, K2 and Km (t=-2.511, P=0.014;t=-2.413, P=0.019; t=-2.893, P=0.005), but not for ACD (t=1.073, P=0.287). A Pearson correlation revealed a high correlation for AL, corneal curvature and ACD measurements between the two devices tested (r＞0.9 for all, P＜0.01 for all). The Bland-Ahman showed that the two devices had non-comparable results for corneal curvature but comparable results for AL and ACD. Conclusion The AL and ACD values obtained with the Biograph/Lenstar are correlated very well to those of the IOL Master. It is important to note in clinical practice, that corneal curvature values acquired by these devices are not directly interchangeable.