Göz içi lens gücünün hesaplanmasında IOLMaster ile alınan biyometrik ölçümlerin güvenilirliği
Küçük Resim Yok
Tarih
2009
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Fakoemülsifikasyon cerrahisi planlanan olgularda göz içi lens (GİL) gücünün hesaplanmasında IOLMaster (Zeiss, Almanya) ile elde edilen sonuçların güvenilirliğinin değerlendirilmesi ve cerrahi sonrasında beklenen refraksiyondan sapma değerlerinin aksiyel uzunluk ile ilişkisinin saptanması. Gereç ve Yöntem: Çalışmaya komplikasyonsuz fakoemülsifikasyon cerrahisi geçiren ve kapsül içi tek parça hidrofobik akrilik GİL (Acrysof SA60AT, Alcon) implantasyonu uygulanan 58 erkek, 22 kadın toplam 80 olgu dahil edildi. Cerrahi öncesinde olguların tam oftalmolojik muayenesini takiben IOLMaster ile oküler biyometri SRK II formülü kullanılarak GİL gücü hesaplandı. Hedeflenen sferik eşdeğer (SE) ile ameliyat sonrası 1. ayda ölçülen SE arasındaki fark (hata) hesaplandı. Absolü hata ile yaş, aksiyel uzunluk, ortalama keratometri değeri, ön kamara derinliği ve preoperatif astigmatizma arasındaki ilişki çoklu lojistik regresyon analizi ile değerlendirildi ve istatistiksel olarak p0.05 anlamlı kabul edildi. Bulgular: Çalışmaya katılan hastaların yaş ortalaması 65.8011.15 (24–85) yıldı. Olguların ortalama aksiyel uzunluğu 23.630.76 mm (22-25 mm) ve ortalama keratometri değeri 43.531.56 D olarak saptandı. Ölçümlerdeki hata -0.92 D ile 1.27 D arasında değişmekle beraber absolü hata ortalaması 0.430.31 D olarak hesaplandı. Hedef refraksiyondaki sapma hastaların %20'sinde 0.50 ve üzerinde, %68.75'inde 0.50 ile -0.50 D arasında ve %11.25'inde -0.50 D idi. Aynı şekilde 1D ve -1D arasında refraksiyondaki sapma % 87.5 idi. Çoklu lojistik regresyon analizinde absolü hata ile yaş, aksiyel uzunluk, ortalama keratometri ve ön kamara derinliği parametreleri arasında ilişki gösterilememiştir (p0.05). Preoperatif astigmatizma değerleri ile zayıf, fakat anlamlı bir ilişki saptanmıştır (t-2.25)(p0.027). Sonuç: IOLMaster ile alınan ölçümler son derece güvenilirdir ve aksiyel uzunluğu 22 ile 25 mm arasında olan hastalarda beklenen refraksiyondaki sapma son derece azdır.
Purpose: Our aim was to evaluate the reliability of IOLMaster (Zeiss, Germany) in calculation of intraocular lens (IOL) power in subjects who will have phacoemulsification surgery and the relationship between the refractive deviation and the axial length. Materials and Methods: The study included 80 patients (58 men, 22 women) who has uncomplicated phacoemulsification surgery and intracapsular hydrophobic acrylic IOL (Acrysof SA60AT, Alcon®) implantation. Before the surgery, a detailed ophthalmological examination was done and the IOL power was calculated with IOLMASTER using SRK II formula. The absolute error, which is the difference between target spherical equivalent (SE) and postoperative 1st month SE was calculated. Multifocal logistic regression analysis was done to evaluate the relationship of absolute error with age, axial length, mean keratometry, anterior chamber depth and preoperative astigmatism. A p value less than 0.05 was accepted as statistically significant. Results: The mean age of the patients was 65.80±11.15 years (24-85 years). The mean axial length was 23.63±0.76 mm (range 22-25 mm) and mean keratometry value was 43.53±1.56 D. Postoperative refraction deviated from expected values -0.92 D and 1.27 D and the mean absolute error was 0.43±0.31 D. Deviation from target refraction was &#8805;0.50D in 20% of the subjects, between 0.50 and -0.50 D in 68.75% of the subjects, and < -0.50 D in 11.25% of the subjects. Refraction deviation was between 1 D and -1 D in 87.5% of the subjects. In multifocal logistic regression analysis, no relationship could be found between absolute error, age, axial length, mean keratometry and anterior chamber depth (p>0.05), whereas there was a significant relationship between absolute error and preoperative astigmatism (t-2.25) (p0.027). Conclusions: The measurements taken with IOLMaster is very reliable. The refractive deviation from target value is very small in subjects with axial length between 22&#8211;25 mm.
Purpose: Our aim was to evaluate the reliability of IOLMaster (Zeiss, Germany) in calculation of intraocular lens (IOL) power in subjects who will have phacoemulsification surgery and the relationship between the refractive deviation and the axial length. Materials and Methods: The study included 80 patients (58 men, 22 women) who has uncomplicated phacoemulsification surgery and intracapsular hydrophobic acrylic IOL (Acrysof SA60AT, Alcon®) implantation. Before the surgery, a detailed ophthalmological examination was done and the IOL power was calculated with IOLMASTER using SRK II formula. The absolute error, which is the difference between target spherical equivalent (SE) and postoperative 1st month SE was calculated. Multifocal logistic regression analysis was done to evaluate the relationship of absolute error with age, axial length, mean keratometry, anterior chamber depth and preoperative astigmatism. A p value less than 0.05 was accepted as statistically significant. Results: The mean age of the patients was 65.80±11.15 years (24-85 years). The mean axial length was 23.63±0.76 mm (range 22-25 mm) and mean keratometry value was 43.53±1.56 D. Postoperative refraction deviated from expected values -0.92 D and 1.27 D and the mean absolute error was 0.43±0.31 D. Deviation from target refraction was &#8805;0.50D in 20% of the subjects, between 0.50 and -0.50 D in 68.75% of the subjects, and < -0.50 D in 11.25% of the subjects. Refraction deviation was between 1 D and -1 D in 87.5% of the subjects. In multifocal logistic regression analysis, no relationship could be found between absolute error, age, axial length, mean keratometry and anterior chamber depth (p>0.05), whereas there was a significant relationship between absolute error and preoperative astigmatism (t-2.25) (p0.027). Conclusions: The measurements taken with IOLMaster is very reliable. The refractive deviation from target value is very small in subjects with axial length between 22&#8211;25 mm.
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Glokom Katarakt
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4
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