关键词: ANTERION CASIA2 Vault anterior segment optical coherence tomography implantable collamer lens

来  源:   DOI:10.1016/j.ajo.2024.07.026

Abstract:
OBJECTIVE: The aim of this study was to evaluate the accuracy of existing implantable collamer lens (ICL) sizing formulas, specifically the NK and KS formulas using CASIA2 and ANTERION devices, and to introduce a novel method aimed at improving the predictability of postoperative vault outcomes.
METHODS: Retrospective case series.
METHODS: Preoperative measurements were taken using both CASIA2 and ANTERION devices. The efficacy of the NK and KS formulas, which are integrated into CASIA2, was assessed by comparing their predicted vault values against actual postoperative measurements obtained one month after surgery. A stepwise multiple regression analysis was performed with the aim of developing a new, more accurate predictive formula for optimal ICL sizing.
RESULTS: When compared to the existing NK and KS formulas, the new formula developed from ANTERION measurements demonstrated superior accuracy in predicting optimal ICL size, with a mean vault of 0.535 ± 0.200 mm, compared to 0.419 ± 0.172 mm and 0.466 ± 0.103 mm for the NK and KS formulas, respectively. The regression analysis identified several significant parameters influencing the determination of optimal ICL size.
CONCLUSIONS: This study presents a novel formula for ICL sizing that leverages measurements from the ANTERION device, supported by a detailed multiple regression analysis. The findings suggest that this new approach significantly enhances the accuracy of ICL size prediction, potentially reducing the risk of complications associated with improper sizing.
摘要:
目的:这项研究的目的是评估现有的可植入结束镜(ICL)尺寸配方的准确性,特别是使用CASIA2和ANTERION设备的NK和KS公式,并介绍一种旨在提高术后穹窿结局可预测性的新方法。
方法:回顾性病例系列。
方法:使用CASIA2和ANTERION装置进行术前测量。NK和KS配方的功效,将其整合到CASIA2中,通过将其预测的拱顶值与手术后一个月获得的实际术后测量值进行比较来评估。进行了逐步多元回归分析,目的是开发一种新的,更准确的预测公式,以实现最佳ICL施胶。
结果:与现有的NK和KS公式相比,从ANTERION测量中开发的新公式在预测最佳ICL大小方面表现出了更高的准确性,平均拱顶为0.535±0.200毫米,与NK和KS公式的0.419±0.172mm和0.466±0.103mm相比,分别。回归分析确定了影响最佳ICL大小确定的几个重要参数。
结论:这项研究提出了一种新的ICL尺寸公式,该公式利用了ANTERION设备的测量结果,由详细的多元回归分析支持。研究结果表明,这种新方法显著提高了ICL大小预测的准确性,潜在地降低与尺寸不当相关的并发症的风险。
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