Objective: To evaluate the differences and consistency inaxial length, corneal curvature, anterior chamber depth and astigmatism in cataract patientsmeasured by Pentacam AXL and IOLMaster 700. Methods: This was a prospective controlled study. Ninety cataract patients (106 eyes) were enrolled in Xiamen Eye Center of Xiamen University from January to May 2019. Biometry measurements were performed by the same examiner with Pentacam AXL and IOLMaster 700. The axial length (AL), keratometry reading (K1, K2, Km), J0 and J45 vectoral components of astigmatism and anterior chamber depth (ACD) were obtained. The difference between the two instruments was analyzed. Differences and correlations of biometry measurements obtained with the two biometers were analyzed. The agreement between the two biometers was analyzed by Bland-Altman plot. Results: There were no significant differences in AL, Km, J0, J45 or ACD (t=0.035, P=0.972; t=0.348, P=0.728; t=-0.020, P=0.984; t=0.300, P=0.764; t=-0.931, P=0.407) between Pentacam AXL and IOLMaster 700 (23.63±2.06 mm vs. 23.64±2.05 mm, 44.37±1.70 D vs. 44.45±1.71 D, 0.011±0.555 D vs. 0.009±0.598 D, 0.002±0.278 D vs. 0.013±0.289 D, 2.96±0.41 mm vs. 2.91±0.41 mm). All of the biometric parameters showed good correlation (r=1.000, 0.988, 0.911, 0.811, 0.994, P<0.01). The Bland-Altman analysis of AL, J0, J45, ACD with Pentacam AXL and IOLMaster 700 showed a mean difference of 0.01 mm (95%LoA: -0.07-0.05 mm), 0 D (95%LoA: -0.48-0.48 D), -0.01 D (95%LoA: -0.35-0.33 D) and 0.05 mm (95%LoA: 0-0.09 mm) between the 2 devices, respectively, while the mean difference in Km was -0.08 D (95%LoA: -0.59-0.43 D). Conclusions: There is no significant difference in biometric parameters between Pentacam AXL and IOLMaster 700; the 2 devices can be used interchangeably to measure AL, J0, J45 and ACD in cataract patients. However, the Kmvalue is not interchangeable since the devices have a slightly larger variation in measurements.
曾宗圣 张广斌. Pentacam AXL与IOLMaster 700测量人工晶状体度数计算参数的比较[J]. 中华眼视光学与视觉科学杂志, 2020, 22(2): 130-135.
Zongsheng Zeng, Guangbin Zhang. Comparison of the Parameters for Intraocular Lens Power Calculation in Cataract Patients Measured by Pentacam AXL and IOLMaster 700. Chinese Journal of Optometry Ophthalmology and Visual science, 2020, 22(2): 130-135. DOI: 10.3760/cma.j.issn.1674-845X.2020.02.009
Saad E, Shammas MC, Shammas HJ. Scheimpflug corneal power measurements for intraocular lens power calculation in cataract surgery. Am J Ophthalmol, 2013, 156(3): 460-467. DOI: 10.1016/j.ajo.2013.04.035.
[2]
Asena L, Akman A, Güng?r SG, et al. Comparison of keratometry obtained by a swept source OCT-based biometer with a standard optical biometer and scheimpflug imaging. Curr Eye Res, 2018, 43(7): 882-888. DOI: 10.1080/02713683.2018.1458881.
[3]
?zyol P, ?zyol E. Agreement between swept-source optical biometry and scheimpflug-based topography measurements of anterior segment parameters. Am J Ophthalmol, 2016, 169: 73-78. DOI: 10.1016/j.ajo.2016.06.020.
[4]
Sel S, Stange J, Kaiser D, et al. Repeatability and agreement of scheimpflug-based and swept-source optical biometry measurements. Cont Lens Anterior Eye, 2017, 40(5): 318-322. DOI: 10.1016/j.clae.2017.03.007.
[5]
Shajari M, Cremonese C, Petermann K, et al. Comparison of axial length, corneal curvature, and anterior chamber depth measurements of 2 recently introduced devices to a known biometer. Am J Ophthalmol, 2017, 178: 58-64. DOI: 10.1016/j.ajo.2017.02.027.
[6]
Akman A, Asena L, Güng?r SG. Evaluation and comparison of the new swept source OCT-based IOLMaster 700 with the IOLMaster 500. Br J Ophthalmol, 2016, 100(9): 1201-1205. DOI: 10.1136/bjophthalmol-2015-307779.
Thibos LN, Wheeler W, Horner D. Power vectors: An application of Fourier analysis to the description and statistical analysis of refractive error. Optom Vis Sci, 1997, 74(6): 367-375. DOI: 10.1097/00006324-199706000-00019.
[9]
Sayed KM, Alsamman AH. Interchangeability between Pentacam and IOLMaster in phakic intraocular lens calculation. Eur J Ophthalmol, 2015, 25(3): 202-207. DOI: 10.5301/ejo.5000524.
[10]
Eibschitz-Tsimhoni M, Tsimhoni O, Archer SM, et al. Effect of axial length and keratometry measurement error on intraocular lens implant power prediction formulas in pediatric patients. J AAPOS, 2008, 12(2): 173-176. DOI: 10.1016/j.jaapos.2007.10. 012.
[11]
Huang J, Savini G, Chen H, et al. Precision and agreement of corneal power measurements obtained using a new corneal topographer Ophtha TOP. PLoS One, 2015, 10(1): e109414. DOI: 10.1371/journal.pone.0109414.
[12]
Fu Y, Yu X, Savini G, et al. Assessment of corneal keratometric and astigmatism measurements using verion system and other instruments in cataract patient. Curr Eye Res, 2018, 43(10): 1205-1214. DOI: 10.1080/02713683.2018.1488264.
[13]
Németh G, Hassan Z, Módis L Jr, et al. Comparison of anterior chamber depth measurements conducted with Pentacam HR?and IOLMaster?. Ophthalmic Surg Lasers Imaging, 2011, 42(2): 144-147. DOI: 10.3928/15428877-20110210-03.
[14]
Rozema JJ, Wouters K, Mathysen DG, et al. Overview of the repeatability, reproducibility, and agreement of the biometry values provided by various ophthalmic devices. Am J Ophthalmol, 2014, 158(6): 1111-1120. DOI: 10.1016/j.ajo.2014.08.014.
[15]
Hamoudi H, Correll Christensen U, la Cour M. Agreement of phakic and pseudophakic anterior chamber depth measurements in IOLMaster and Pentacam. Acta Ophthalmol, 2018, 96(3): e403. DOI: 10.1111/aos.13599.
Lackner B, Schmidinger G, Skorpik C. Validity and repeatability of anterior chamber depth measurements with Pentacam and Orbscan. Optom Vis Sci, 2005, 82(9): 858-861. DOI: 10.1097/01.opx.0000177804.53192.15.