目的 通过比较白内障患者与正常人用两种方法测量的前房深度和眼轴长度值,观察IOL Master和接触式A型超声测量是否存在差别及其关联程度。 方法 选取2010年12月-2011年2月期间行白内障摘除加人工晶状体植入术的年龄相关性白内障患者及除屈光不正外没有其他眼部病变的志愿者共89例。分别用IOL Maste和A型超声测量54例(96只眼)白内障患者和35例(70只眼)正常者的前房深度(ACD)和眼轴长度(AL),应用配对t检验对每组两种方法测得的ACD及AL值进行比较,并应用Pearson相关分析比较两种方法的相关性。应用独立样本t检验比较白内障组和正常者组间两种方法测得的差值是否不同。 结果 白内障组A型超声和IOL Master测得的ACD值分别是(2.83 ± 0.34)、(3.05 ± 0.39) mm,AL值分别是(23.93 ± 2.46)、(24.27 ± 2.57) mm,差异均有统计学意义(P<0.05);正常者组A型超声和IOL Master测得的ACD值分别是(3.16 ± 0.36)、(3.43 ± 0.46) mm,AL值分别是(24.16 ± 1.61)、(24.49 ± 1.62) mm,差异均有统计学意义(P<0.05)。两种测量方法的相关系数分别是rACD=0.823(P<0.05)和rAL= 0.995(P<0.05)。白内障组和正常者组两种方法测得的ACD差值分别是(0.23 ± 0.23)、(0.28 ± 0.30) mm;AL差值分别是(0.34 ± 0.27)、(0.33 ± 0.15) mm;两组间ACD和AL差值的比较,差异均无统计学意义(P=0.243,0.742)。 结论 不论是白内障组还是正常者组,用IOL Master测得的ACD及AL值均比A型超声测得的相应值高,但是两种方法测得的值高度相关。白内障组和正常者组用两种方法测得的差值相比无差别;在可测到ACD及AL值的情况下,两种测量方法的差值均不受晶状体密度的影响。
Objective To observe the axial length and anterior chamber depth in eyes with branch retinal vein occlusion (BRVO). Methods Randomly selected 90 eyes of forty-five patients with BRVO were enrolled in this study. There were 25 males and 20 females. The mean age was (46.22±13.45) years. All the patients were underwent examination of visual acuity, slit-lamp microscope, indiophthalmoscope, fundus color photography and fundus fluorescence angiography (FFA). Randomly selected 45 healthy individuals for control group, including 28 males and 17 females. The mean age was (48.24±15.77) years. The axial lengths and anterior chamber depths of affected and fellow eyes of BRVO patients and the eyes of controls were measured using IOL Master. The data were compared by the two sample paired t test. Results The mean axial length of the affected eyes in the BRVO group was (22.69±0.99) mm, and that of the fellow eyes group was (22.78±1.24) mm. The difference in axial length between the affected eyes and fellow eyes in the BRVO group was not significant (t=0.355, P>0.05). The mean axial length of the right eyes in the control group was (23.38±1.32) mm, and that of the left eyes in the control group was (23.37±1.27) mm. The difference in axial length between the left eyes and right eyes in the control group was not significant (t=0.017, P>0.05), while the difference in axial length between the affected eyes in the BRVO group and the right, left eyes in the control group was significant (t=−2.563, −2.663; P<0.05). The mean anterior chamber depth of the affected eyes in the BRVO group was (2.66±0.26) mm, and that of the fellow eyes was (2.65±0.30) mm. The difference in anterior chamber depth between the affected eyes and fellow eyes in the BRVO group was not significant (t=0.089, P>0.05). The mean anterior chamber depth of the right eyes in the control group was (2.56±0.29) mm, and that of the left eyes was (2.59±0.30) mm. The difference in anterior chamber depth between the left eyes and right eyes in the control group was not significant (t=−0.592, P>0.05). The difference in anterior chamber depth between the affected eyes in the BRVO group and the right, left eyes in the control group was not significant (t=1.779, 1.778, P>0.05). Conclusion In the affected eyes of BRVO, the axial length is shorter and anterior chamber depth is normal.