多公式预测黄斑前膜白内障人工晶体度数差异性分析

马嘉 蹊1, 王 丹2
1 长春中医药大学 2 吉林省人民医院 吉林长春 130000

摘要

目的：通过BarretuniversalⅡ、Kane、SRK-T、Haigis、HofferQ、Holladay2六种公式对黄斑前膜伴发白内障患者人工晶体度数计算并对六种公式的预测值进行比较。方法：回顾性分析2021年10月至2022年10月吉林省人民医院眼科收治患者50例（50只眼）数据参数。通过Govetto分期，将患者分为轻度组和重度组两个实验组，每组25人。通过六种分别计算人工晶体度数，比较各组数据。结果：IOL-master所测眼轴与BUⅡ、Kane、SRK-T、Haigis、HofferQ、Holladay2六种人工晶体度数测量分别为（21.36±0.75、21.40±0.62、21.60±0.82、21.38±0.81、21.52±0.72、21.48±0.67），各公式测量度数无明显差异性，不具有统计学意义。六种公式计算出人工晶体度数与OCT黄斑前膜分期相关性通过Pearson相关性分析，BUⅡ、Kane、SRK-T、Haigis、HofferQ、Holladay2相关性与黄斑前膜各分期均相关，具有统计学意义。轻度患者及重度患者均对存在预测人工晶体度数屈光度相差1D的病例（P＜0.05）。结论：各公式最终预测黄斑前膜人工晶体度数无显著差异。黄斑前膜分期对于BUⅡ、Kane、SRK-T、Haigis、HofferQ、Holladay2六种公式所预测的人工晶体度数均成正相关，其中黄斑前膜分期对于BUⅡ公式的相关性最大。重度黄斑前膜患者对于人工晶体度数测算的结果影响更大。

关键词

黄斑前膜；白内障；人工晶体；人工晶体计算公式

参考

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