段和生物计量法测量眼内人工晶状体度数新公式的前瞻性评价。

IF 4.2 1区医学 Q1 OPHTHALMOLOGY

American Journal of Ophthalmology Pub Date : 2025-06-19 DOI:10.1016/j.ajo.2025.06.015

H. John Shammas , Maya C. Shammas , Sam Multack , Ganesha R. Kandavel , Justin Dredge , Robert Melendez , Brad Hall

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引用次数: 0

摘要

目的评价采用新的Barrett真轴长（BTAL-SOS）公式进行眼段和生物测量的白内障手术的临床效果，并与Barrett通用II （BUII-SOS）公式进行比较。设置四个私人执业地点在林伍德，CA，恩西诺，CA，奥林匹亚菲尔德，伊利诺伊州和阿尔伯克基，新墨西哥州，美国。前瞻性、多部位、多外科医生、生物计量准确性研究。方法对523只白内障术后眼采用btalsos公式计算预期剩余屈光度，并与BUII-SOS公式计算结果进行比较。最终视力≤0.20 LogMAR，散光≤0.75 D。结果BTAL-SOS的平均预测误差（MPE）为0.00±0.27 D， BUII-SOS的平均预测误差为0.00±0.28 D （p=0.06）。在79只大于24.50mm的眼中，BTAL-SOS的MPE为- 0.02±0.24 D，而BUII-SOS的MPE为-0.05±0.25 D (p=0.16)；在73只小于22.50 mm的眼中，BTAL-SOS的MPE优于BUII-SOS (p=0.03)， MPE为-0.05±0.31 D比0.07±0.36 D。与BUII-SOS结果相比，BTAL-SOS预测误差(PE)≤0.50 D在短眼（AL≤22.00mm）中为96.0%比84%，在中短眼（AL bb0 22.00mm, 24.50mm, <25.00mm）中为87.50%比81.25%，在长眼（AL≥25.00mm）中为97.37%比94.74%。结论btal - sos配方对小于22.50 mm眼的疗效优于BUII-SOS （p=0.03）。

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Prospective Evaluation of a New IOL Power Formula in Eyes Measured By Sum-of-Segments Biometry

PURPOSE

To evaluate the clinical outcomes from cataract surgery in eyes measured with sum-of-segments (SOS) biometry using the new Barrett True Axial Length (BTAL-SOS) formula and compare the potential results with the Barrett Universal II (BUII-SOS) formula.

DESIGN

Prospective, multi-site, multi-surgeon, biometry accuracy study. Four private practice locations in Lynwood, CA, Encino, CA, Olympia Fields, IL, and Albuquerque, NM, USA.

METHODS

The expected residual refractions were calculated using the BTAL-SOS formula in 523 eyes after cataract surgery and compared to the potential results with the BUII-SOS formula. All eyes had a final visual acuity ≤0.20 LogMAR and ≤0.75 D of astigmatism.

RESULTS

Mean prediction error (MPE) for the entire series was 0.00±0.27 D with BTAL-SOS compared to 0.00±0.28 D with BUII-SOS (p = 0.06). In 79 eyes longer than 24.50 mm, MPE was - 0.02±0.24 D with BTAL-SOS vs -0.05±0.25 D with BUII-SOS (p = 0.16) and in 73 eyes shorter than 22.50 mm, BTAL-SOS statistically outperformed BU II-SOS (p = 0.03) with a MPE of -0.05±0.31 D vs 0.07±0.36 D. BTAL-SOS prediction error (PE) ≤0.50 D was 96.0% vs 84% in short eyes (AL≤22.00mm), 87.50% vs 81.25% in medium short eyes (AL>22.00mm, <22.50mm), 92.45% vs 93.26% in average eyes (AL 22.50-24.50mm), 92.68% vs 92.68% in medium long eyes (AL>24.50mm, <25.00mm) and 97.37% vs 94.74% in long eyes (AL≥25.00mm) when compared to BUII-SOS results.

CONCLUSION

BTAL-SOS formula performed statistically better (p = 0.03) than BUII-SOS in eyes shorter than 22.50 mm.

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来源期刊

American Journal of Ophthalmology 医学-眼科学

CiteScore

9.20

自引率

7.10%

发文量

406

审稿时长

36 days

期刊介绍： The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Published monthly since 1884, the full text of the American Journal of Ophthalmology and supplementary material are also presented online at www.AJO.com and on ScienceDirect. The American Journal of Ophthalmology publishes Full-Length Articles, Perspectives, Editorials, Correspondences, Books Reports and Announcements. Brief Reports and Case Reports are no longer published. We recommend submitting Brief Reports and Case Reports to our companion publication, the American Journal of Ophthalmology Case Reports. Manuscripts are accepted with the understanding that they have not been and will not be published elsewhere substantially in any format, and that there are no ethical problems with the content or data collection. Authors may be requested to produce the data upon which the manuscript is based and to answer expeditiously any questions about the manuscript or its authors.