目的:评估两种扫频源光学相干断层扫描(SS-OCT)设备获得的角膜曲率的差异和相似性,白内障患者的Scheimpflug成像系统和一个射线跟踪像差仪。此外,这项研究旨在比较后角膜(PK)的差异,IOLMaster700、CASIA2和Pentacam中的总角膜(TK)和真净功率(TNP)测量。
方法:共200眼200例患者(116名女性,58%)参加了这项研究,平均年龄65.9±9.5岁。最平坦的(Kf),最陡(Ks),和平均能力(Km),J0和J45是使用两个基于SS-OCT的生物识别设备获得的,一个旋转摄像系统和一个射线跟踪像差仪。PK,还使用这些装置测量TK和TNP值。为了评估设备之间的差异和相似性,弗里德曼测试,皮尔逊相关系数(r),使用了具有95%一致性界限(LoA)的组内系数相关性(ICC)和Bland-Altman地块,并生成箱线图和堆叠直方图来描述数据的分布。
结果:对于角膜曲率测量值,IOLMaster700和Pentacam之间没有显着差异。此外,IOLMaster700和iTrace在评估J0和J45方面没有显著差异.布兰德·奥特曼地块显示出相对较宽的LoA宽度,在四个设备中,角膜曲率测量值几乎大于1屈光度,J0和J45值几乎大于0.5屈光度。就PK和TK值而言,在这三种设备中发现了显著差异和较低的ICC。
结论:尽管在Kf的IOLMaster700,CASIA2,Pentacam和iTrace之间发现了很强的相关性和良好的一致性,Ks,在Km和J0、J45中,由于宽的LoA宽度和设备之间存在显著差异,测量似乎不应该互换使用。同样,由于显著的差异和较低的ICC,PK,IOLMaster700、CASIA2和Pentacam获得的TK和TNP值不应互换使用。
OBJECTIVE: To assess the differences and similarities in the corneal curvature obtained by two swept-source optical coherence tomography (SS-OCT) devices, Scheimpflug imaging system and one ray tracing aberrometer in patients with cataracts. Moreover, this study aimed to compare the differences in posterior corneal (PK), total corneal (TK) and true net power (TNP) measurements among the IOLMaster 700,
CASIA2, and Pentacam.
METHODS: A total of 200 eyes of 200 patients (116 female, 58%) were enrolled in this study, with a mean age of 65.9 ± 9.5 years. The flattest (Kf), steepest (Ks), and mean cornal powers (Km), J0, and J45 were obtained using two SS-OCT-based biometric devices, one rotating camera system and one ray-tracing aberrometer. The PK, TK and TNP values were also measured using these devices. To evaluate the differences and similarities between the devicves, the Friedman test, Pearson correlation coefficient (r), intraclass coefficient correlation (ICC) and Bland‒Altman plots with 95% limits of agreement (LoA) were used, and boxplots and stacked histograms were generated to describe the distributions of the data.
RESULTS: There were no significant differences between the IOLMaster 700 and Pentacam for any of the keratometry values. Additionally, there were no significant differences between the IOLMaster 700 and iTrace in evaluating J0 and J45. Bland‒Altman plots revealed relatively wide LoA widths, almost larger than 1 diopter for the keratometry values and almost larger than 0.5 diopter for J0 and J45 values among the four devices. In terms of PK and TK values, significant differences and low ICCs were found among the three devices.
CONCLUSIONS: Although strong correlations and good agreement were found among the IOLMaster700,
CASIA2, Pentacam and iTrace for Kf, Ks, Km and J0, J45, it seems that the measurements should not be used interchangeably because of the wide LoA widths and the presence of significant differences among the devices. Similarly, due to significant differences and low ICCs, the PK, TK and TNP values obtained by IOLMaster 700,
CASIA2, and Pentacam should not be used interchangeably.