山东大学耳鼻喉眼学报 ›› 2025, Vol. 39 ›› Issue (4): 174-180.doi: 10.6040/j.issn.1673-3770.0.2024.106

• 论著 • 上一篇    下一篇

OPD Overview模式检测Toric IOL轴位准确性及影响因素分析

周维维1,刘振1,张艺1,刘涵婧1,朱艳2,朱玉广2   

  1. 1.山东第二医科大学 临床医学院, 山东 潍坊 261053;
    2.山东第二医科大学附属医院 眼科, 山东 潍坊 261053
  • 出版日期:2025-07-20 发布日期:2025-08-11
  • 通讯作者: 朱玉广. E-mail:zhuyg@wfmc.edu.cn
  • 基金资助:
    山东省教育发展促进会教育科研规划课题(JCHKT2023423);潍坊医学院教育教学改革与研究课题(2023YBD003)

The study on the accuracy of TORIC IOL axis examination and its influencing factors using OPD Overview mode

ZHOU Weiwei1, LIU Zhen1, ZHANG Yi1, LIU Hanjing1, ZHU Yan2, ZHU Yuguang2   

  1. 1. School of Clinical Medicine, Shandong Second Medical University, Weifang 261053, Shandong, China2. Affiliated Hospital of Shandong Second Medical University, School of Clinical Medicine, Shandong Second Medical University, Weifang 261053, Shandong, China
  • Online:2025-07-20 Published:2025-08-11

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摘要： 目的 研究OPD Scan Ⅲ Overview模式检测Toric IOL植入术后Toric IOL轴位的准确性,并分析其影响因素。 方法 回顾性队列研究,选取2021年11月至2022年11月在我院行白内障超声乳化伴TECNIS Toric IOL(美国AMO)植入的患者100例(100眼),术后1 d,1周及1个月随访观察残余散光,并分别在传统裂隙灯法及以下3种模式下行OPD Scan Ⅲ检查Toric IOL轴位:OPD Overview模式、散瞳OPD Overview模式、OPD Toric模式。以OPD Toric模式检测结果为基准,分析比较OPD Overview模式与另外3种检测模式是否具有一致性,判断OPD Overview模式在正常瞳孔下检测Toric IOL轴位的准确性(轴位偏差≤3°)。分析比较4种模式的检测结果。选择Toric IOL轴位偏差较大的患者(轴位偏差>5°)和Toric IOL轴位测量准确模式的OPD数据进行比较,分析Toric IOL植入术后 Kappa角、瞳孔大小及昼夜瞳孔中心偏移等数据,探讨其对Toric IOL轴位检测的影响。 结果 术后1 d、1周及1个月患者的残余散光度均较术前明显降低(P<0.05)。OPD Overview模式、OPD Toric模式及裂隙灯法检测Toric IOL轴位偏差绝对值分别是2.37±2.21°、0°、0.74±0.64°,准确性及一致性较高。散瞳OPD Overview模式下检测Toric IOL轴位偏差绝对值为4.34±3.98°,与另3个检查方法相比,差异较大。OPD Overview模式、散瞳OPD Overview模式、OPD Toric模式及裂隙灯法检测轴位存在差异,差异具有统计学意义(Z=104.97,P<0.001)。OPD Overview模式和OPD Toric模式比较,OPD Overview模式和裂隙灯法比较,OPD Toric法和裂隙灯法比较,差异不具有统计学意义(P>0.05)。双变量Pearson检验的结果显示:在OPD Overview模式下,轴位差异和测量的PDist(日间KAPPA角)呈正相关(r=0.135,P=0.034),与测量的Photopic pupil(日间瞳孔大小)、Mesopic pupil(夜间瞳孔大小)、MDist(夜间KAPPA角)、MPDist(昼夜瞳孔中心偏移量)无统计学相关性(P>0.05)。 结论 OPD Overview模式检测Toric IOL轴位准确度较高,是一种相对客观和准确的Toric IOL轴位的测量方法,在临床有一定的应用价值。PDist(日间KAPPA角)是影响OPD Overview模式轴位测量差异的因素之一。

关键词: OPD, Toric IOL, 轴位准确性, 日间KAPPA角

Abstract: Objective To study the accuracy of Toric IOL axial position examination with the OPD Scan Ⅲ Overview mode after the implantation of Toric IOL, and analyze the factors affecting the measurement accuracy of Toric IOL axial position. Method Petrospective cohort study. From November 2021 to November 2022, a total of 100 patients(100 eyes)who underwent phacoemulsification combined with TECNIS Toric IOL(AMO)implantation in our hospital were selected. The patients were followed up with residual corneal astigmatism examination 1 day, 1 week and 1 month after the operation. The axial position of Toric IOL was measured with the OPD overview mode, the mydriatic OPD overview mode, the OPD Toric mode and the slit-lamp method. Based on the measurement results in the OPD Toric mode, the differences and consistency of the measurement results of the 4 methods were analyzed. To analyze the accuracy of TORIC IOL axis examination according to IOL axial position deviation(APD), the OPD data of patients with a large IOL APD(APD>5°)and those with an accurate IOL APD(APD≤3°)were selected for comparisons such as the photopic pupil diameter(Photopic), the mesopic pupil diameter(Mesopic), the photopic Kappa angle(PDist), the mesopic Kappa angle(MDist), the distance from the mesopic pupil center to the photopic pupil center(MPDist)and so on. Results The residual astigmatism of the patients was significantly lower than that before the surgeries at 1 day, 1 week and 1 month after the operation(P<0.05). The results showed that the absolute values of the axial deviation of Toric IOL measured with OPD Overview mode, OPD Toric mode and slit lamp method were 2.37±2.21°, 0° and 0.74±0.64°, respectively, with high accuracy and consistency. The absolute value of the axial deviation in the mydriatic OPD overview mode was 4.34±3.98°, which was significantly different from that in the other three modes. The differences of the IOL axial position measurement were statistically significant with the OPD Overview mode, the mydriatic OPD Overview mode, the OPD Toric mode and the slit-lamp mode(Z=104.97, P<0.001). There were no statistically significant differences between OPD Overview mode and OPD Toric mode, OPD Overview mode and slit lamp method, and OPD Toric method and slit lamp method(P>0.05). There was a positive correlation between the APD and PDist(Photopic Kappa angle)(r=0.135, P=0.034).There was no significant correlation between APD and the Photopic pupil diameter(Photopic), Mesopic pupil diameter(Mesopic), MDist and MPDist(P>0.05). Conclusion The OPD Overview mode was an objective and accurate IOL axial position measurement method with certain application value in ophthalmology. PDist is one of the factors affecting the APD measurement with the OPD Overview mode.

Key words: OPD, Toric IOL, Axial position, Photopic Kappa angle

中图分类号: 

  • R776.1
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