近视屈光手术后HaigisL公式在线计算人工晶体度数的准确性分析
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厦门科宏眼科医院,厦门 361000

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R322.91; R778

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An Analysis on the Accuracy of Intraocular Lens Calculation Formulas(online Haigis-L)after Corneal Refractive Surgery
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Xiamen Kehong Eye Hospital, Xiamen 361000, China

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    摘要:

    目的 探讨屈光手术后在线Haigis-L公式计算人工晶体度数的准确性及临床意义。 方法 收集有角膜近视屈光术经历的白内障患者11例16眼,随机分为2组,A组采用Pentacam内置的Holladay-Ⅰ公式计算人工晶体度数; B组采用在线Haigis-L公式计算,比较2种计算公式计算结果的准确性。 结果 术后3月,2组患者最佳矫正视力(Log MAR)无明显差别,但是B组患者的裸眼视力优于A组,且差别有统计学意义(P<0.05)。预测屈光误差发现,B组预测误差<0.5 D,0.5~1 D,1~2 D的患者比例分别为37.5%,37.5%及25%; A组的比例分别为12.5%,37.5%及50%,差别具有统计学意义(P<0.05)。 结论 在线公式(Haigis-L)应用于LASIK屈光手术术后患者的人工晶体度数计算的准确度明显优于Pentacam内嵌Holladay-Ⅰ公式。

    Abstract:

    Objective To investigate the accuracy and clinical significance of calculating the intraocular lens power using the online Haigis-L formula after refractive surgery. Methods 11 patients(16 eyes)with cataract who had corneal myopia refraction in our hospital were randomly divided into two groups. One group uses the Holladay-I formula built into Pentacam to calculate the power of intraocular lens, and the other uses the online Haigis-L formula. The accuracy of the prediction results of the two calculation formulas was then compared. Results There was no significant difference in the best corrected visual acuity between the 2 groups at 3 months after surgery. However, the uncorrected visual acuity of the online Haigis-L formula calculation group was better than that of the Pentaca embedded formula group, and the difference was statistically significant(P<0.05). It was found that the proportion of patients with online formula(Haigis-L)prediction error of 0~0.5 D, 0.5~1 D, and 1~2 D were 37.5%, 37.5%, and 25%, respectively. Pentacam embedded Holladay formula group prediction error between 0~0.5 D, 0.5~1 D, and 1~2 D patient proportion were 12.5%, 37.5%, and 50%. And there was a statistical difference between the two groups(P<0.05). Conclusion The online formula(Haigis-L)is more accurate than the Pentacam embedded Holladay-I formula for the calculation of intraocular lens power in patients undergoing LASIK refractive surgery.

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刘侠, 虞慧倩, 陈珊娜.近视屈光手术后HaigisL公式在线计算人工晶体度数的准确性分析[J].福建医科大学学报自然版,2018,(6):425-428

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