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Impact of multifocal gas-permeable lens designs on short-term choroidal response, axial length, and retinal defocus profile
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作者 Muteb Alanazi Patrick Caroline +1 位作者 Amane Alshamrani Maria Liu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第2期247-256,共10页
AIM:To investigate the impact of multifocal gas permeable contact lens(MFGPCL)in various add power and distance/near area allocation on short-term changes of choroidal thickness(ChT),axial length(AL),and retinal defoc... AIM:To investigate the impact of multifocal gas permeable contact lens(MFGPCL)in various add power and distance/near area allocation on short-term changes of choroidal thickness(ChT),axial length(AL),and retinal defocus profile in young adults.METHODS:Seventeen young adults(2 males and 15 females;age 23.17±4.48y)were randomly assigned to wear two designs binocularly with a one-week washout period in between.Total of four MFGPCL designs were assessed.All designs were distance-center that varied in two add power(+1.50 and 3.00 D)and/or two distance zone(DZ)diameters(1.50 and 3.00 mm;design A:DZ 1.5/add 3.0,B:DZ 1.5/add 1.5,C:DZ 3.0/add 3.0,D:DZ 3.0/add 1.5).ChT,AL,and peripheral refraction data were collected on each subject at baseline,on days 1 and 7 of MFGPCL daily wear.ChT was assessed in four quadrants using a spectraldomain optical coherence tomography.RESULTS:AL was shortened by-26±44μm with lens C,-18±27μm with lens D,-13±29μm with lens A,and-8±30μm with lens B(all P<0.05).A significant overall increase in ChT was observed with all 4 designs(lens A:+6±6μm,B:+3±7μm,C:+8±7μm,and D:+8±7μm).Temporal and superior choroid exhibited more choroidal thickening associated with MFGPCL.All designs induced significant relative peripheral myopia(RPM)beyond the central 20o across the horizontal meridian in both nasal and temporal fields(P<0.05).CONCLUSION:MFGPCLs show a significant influence on ChT and AL,which are associated with significant increase in RPM after short-term wear.The reliability and feasibility of quantifying short-term changes in ChT support its use as a promising marker for the long-term efficacy of myopia-controlling treatments. 展开更多
关键词 CHOROID gas-permeable contact lens retinal defocus axial length MYOPIA
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Effects of different orthokeratology lens designs on slowing axial length elongation in children with myopia
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作者 Hai-Long Ni Xiang Chen +2 位作者 Du-Ya Chen Pei-Ke Hu Zhi-Yi Wu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2024年第10期1843-1849,共7页
AIM:To elucidate whether differences exist in the impact on retarding the elongation of axial length(AL)among children with myopia when utilizing orthokeratology(ortho-k)lenses employing the corneal refractive therapy... AIM:To elucidate whether differences exist in the impact on retarding the elongation of axial length(AL)among children with myopia when utilizing orthokeratology(ortho-k)lenses employing the corneal refractive therapy(CRT)design versus those employing the vision shaping treatment(VST)design.METHODS:This retrospective clinical trial aimed to collect and analyze AL data from individuals who wore ortho-k lenses for three years.A total of 654 subjects were enrolled and prescribed one of the three specific brands of ortho-k lenses:CRT,Euclid,and Mouldway.The study’s primary focus was to compare the rates of AL elongation and myopic progression across these three brands of ortho-k lenses.RESULTS:In the 3-year follow-up,the AL elongation exhibited variations of 0.73±0.36 mm in the CRT lens group,0.59±0.37 mm in the Euclid lens group,and 0.63±0.38 mm in the Mouldway lens group.A noteworthy disparity emerged between the CRT and Mouldway groups(P<0.01),as well as between the CRT and Euclid groups(P<0.001).Additionally,it was observed that 32.1%of participants who wore CRT lenses experienced a decelerated progression of myopia,in contrast to 47.2%in the Euclid group and 44.4%in the Mouldway group.Statistical analyses revealed a statistically significant distinction between the CRT and Euclid groups(P<0.01),and similarly,the CRT group demonstrated a statistically significant difference when compared to the Mouldway group(P<0.05).CONCLUSION:Ortho-k lenses represent a pragmatic strategy for mitigating the advancement of myopia.In contradistinction to ortho-k lenses utilizing the CRT design,those employing the VST design exhibited a more favorable impact regarding retarding AL elongation. 展开更多
关键词 MYOPIA ORTHOKERATOLOGY design axial length
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Axial length,vitreoretinal pathology,and anterior chamber depth can predict postoperative refractive outcomes in phacovitrectomy/silicone oil removal 被引量:2
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作者 Xu Chen He Zhao +6 位作者 Jia-Yun Ren Lu Wang Jun-Li Wan Bo Liu Nan Wu Xi Liu Yong Liu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第4期554-562,共9页
AIM:To evaluate the postoperative refractive prediction error(PE)and determine the factors that af fect the refractive outcomes of combined pars plana vitrectomy(PPV)or silicone oil removal(SOR)with cataract surgery.M... AIM:To evaluate the postoperative refractive prediction error(PE)and determine the factors that af fect the refractive outcomes of combined pars plana vitrectomy(PPV)or silicone oil removal(SOR)with cataract surgery.METHODS:The study is a retrospective,case-series study.Totally 301 eyes of 301 patients undergoing combined PPV/SOR with cataract surgery were enrolled.Eligible individuals were separated into four groups according to their preoperative diagnoses:silicone oil-filled eyes after PPV(group 1),epiretinal membrane(group 2),macular hole(group 3),and primary retinal detachment(RD;group 4).The variables af fecting postoperative refractive outcomes were analyzed,including age,gender,preoperative best-corrected visual acuity(BCVA),axial length(AL),keratometry average,anterior chamber depth(ACD),intraocular tamponade,and vitreoretinal pathology.The outcome measurements include the mean refractive PE and the proportions of eyes with a PE within±0.50 diopter(D)and±1.00 D.RESULTS:For all patients,the mean PE was-0.04±1.17 D,and 50.17%of patients(eyes)had a PE within±0.50 D.There was a significant difference in refractive outcomes among the four groups(P=0.028),with RD(group 4)showing the least favorable refractive outcome.In multivariate regression analysis,only AL,vitreoretinal pathology,and ACD were strongly associated with PE(all P<0.01).Univariate analysis revealed that longer eyes(AL>26 mm)and a deeper ACD were correlated with hyperopic PE,and shorter eyes(AL<26 mm)and a shallower ACD were correlated with myopic PE.CONCLUSION:RD patients have the least favorable refractive outcome.AL,vitreoretinal pathology,and ACD are strongly associated with PE in the combined surgery.These three factors affect refractive outcomes and thus can be used to predict a better postoperative refractive outcome in clinical practice. 展开更多
关键词 axial length vitreoretinal pathology anterior chamber depth intraocular lens pars plana vitrectomy silicone oil removal CATARACT combined surgery refractive error intraocular tamponade
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Axial length and anterior chamber indices in elderly population: Tehran Geriatric Eye Study 被引量:1
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作者 Hassan Hashemi Samira Heydarian +1 位作者 Alireza Hashemi Mehdi Khabazkhoob 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第11期1876-1882,共7页
AIM:To determine the normative distribution of axial length(AL),anterior chamber depth(ACD),anterior chamber volume(ACV),anterior chamber angle(ACA),and some of their associated factors in subjects aged 60 and over.ME... AIM:To determine the normative distribution of axial length(AL),anterior chamber depth(ACD),anterior chamber volume(ACV),anterior chamber angle(ACA),and some of their associated factors in subjects aged 60 and over.METHODS:In this cross-sectional study,160 clusters were sampled using multi-stage cluster sampling in Tehran,Iran.After a preliminary interview,the participants underwent optometric examinations including visual acuity and refraction measurement followed by slit lamp biomicroscopy.Finally,ocular imaging was done using the Pentacam AXL to measure AL,ACD,ACV,and ACA.RESULTS:A total of 4519 eyes of 2436 participants were evaluated,of whom 58.0%(n=1412)were female.The mean age of the subjects was 67.32±6.05y(range:60-95y).The mean AL,ACD,ACV,and ACA was 23.22 mm(23.18-23.27 mm),2.61 mm(2.59-2.62 mm),126.56 mm3(125.08-128.04 mm3),and 30.61°(30.3°-30.92°),respectively.In the multivariable model,after adjusting for the effect of both eyes,the longest and shortest AL was seen in myopic and hyperopic subjects,respectively.AL,ACD,ACV and ACA were significantly larger in men compared to women(P<0.001).Except ACA,other evaluated parameters showed an inverse correlation with age(P<0.001),however,this correlation was insignificant for AL(P=0.623).CONCLUSION:Normative value of AL,and other biometric parameters are specific for each ethnicity,age and sex group.Any alteration in these parameters and their effect on refraction should be considered in this age group,especially in case of cataract surgery. 展开更多
关键词 BIOMETRY ELDERLY axial length anterior chamber depth
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Axial length shortening in myopic children with Stickler syndrome after repeated low-level red-light therapy 被引量:1
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作者 Xiang-Hua Tang Meng-Ting Yu +2 位作者 Yin Hu Ming-Guang He Xiao Yang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第10期1712-1717,共6页
AIM:To report the myopia-controlling effect of repeated low-level red-light(RLRL)therapy in patients with Stickler syndrome(STL),an inherited collagenic disease typically presenting with early onset myopia.METHODS:Thr... AIM:To report the myopia-controlling effect of repeated low-level red-light(RLRL)therapy in patients with Stickler syndrome(STL),an inherited collagenic disease typically presenting with early onset myopia.METHODS:Three STL children,aged 3,7,and 11y,received RLRL therapy throughout the follow-up period of 17,3,and 6mo,respectively after exclusion of fundus anomalies.Data on best-corrected visual acuity(BCVA),intraocular pressure,cycloplegic subjective refraction,ocular biometrics,scanning laser ophthalmoscope,optical coherence tomography,genetic testing,systemic disease history,and family history were recorded.RESULTS:At the initiation of the RLRL therapy,the spherical equivalent(SE)of 6 eyes from 3 patients ranged from-3.75 to-20.38 D,axial length(AL)were from 23.88 to 30.68 mm,and BCVA were from 0.4 to 1.0(decimal notation).Myopia progression of all six eyes slowed down after RLRL therapy.AL in five out of the six eyes shortened-0.07 to-0.63 mm.No side effects were observed.CONCLUSION:Three cases of STL whose progression of myopic shift and AL elongation are successfully reduced and even reversed after RLRL therapy. 展开更多
关键词 Stickler syndrome axial length shortening MYOPIA repeated low-level red-light therapy
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Accuracy of axial length measurements from immersion B-scan ultrasonography in highly myopic eyes 被引量:9
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作者 Qing-Hua Yang Bing Chen +2 位作者 Guang-Hua Peng Zhao-Hui Li Yi-Fei Huang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2014年第3期441-445,共5页
AIM:To evaluate the accuracy of axial length(AL)measurements obtained from immersion B-scan ultrasonography(immersion B-scan)for intraocular lens(IOL)power calculation in patients with high myopia and cataracts.METHOD... AIM:To evaluate the accuracy of axial length(AL)measurements obtained from immersion B-scan ultrasonography(immersion B-scan)for intraocular lens(IOL)power calculation in patients with high myopia and cataracts.METHODS:Immersion B-scan,contact A-scan ultrasonography(contact A-scan),and the IOLMaster were used to preoperatively measure the AL in 102 eyes from 102 patients who underwent phacoemulsification and IOL implantation.Patients were divided into two groups according to the AL:one containing patients with22 mm≤AL【26 mm(group A)and the other containing patients with AL≥26 mm(group B).The mean error(ME)was calculated from the difference between the AL measurement methods predicted refractive error and the actual postoperative refractive error.RESULTS:Ingroup A,ALs measured byimmersion Bscan(23.48±1.15)didn’t differ significantly from those measured by the IOLMaster(23.52±1.17)or from those by contact A-scan(23.38±1.20).In the same group,the standard deviation(SD)of the mean error(ME)of immersion B-scan(-0.090±0.397 D)didn’t differ significantly from those of IOLMaster(-0.095±0.411 D)and contact A-scan(-0.099±0.425 D).In group B,ALs measured by immersion B-scan(27.97±2.21 mm)didn’t differ significantly from those of the IOLMaster(27.86±2.18 mm),but longer than those measured by Contact A-scan(27.75±2.23 mm,P=0.009).In the same group,the standard deviation(SD)of the mean error(ME)of immersion B-scan(-0.635±0.157 D)didn’t differ significantly from those of the IOLMaster(-0.679±0.359 D),but differed significantly from those of contact A-scan(-0.953±1.713 D,P=0.028).CONCLUSION:ImmersionB-scanexhibitsmeasurement accuracy comparable to that of the IOLMaster,and is thus a good alternative in measuring AL in eyes with high myopia when the IOLMaster can’t be used,and it is more accurate than the contact A-scan. 展开更多
关键词 axial length measurement IMMERSION ULTRASONOGRAPHY high myopia
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Comparison axial length measurements from three biometric instruments in high myopia 被引量:6
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作者 Xiao-Gang Wang Jing Dong +2 位作者 Yu-Lan Pu Hui-Jun Liu Qiang Wu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2016年第6期876-880,共5页
AIM: To compare the axial lengths (ALs) measured with Lenstar, IOLMaster and A-scan contact ultrasound (Ultrasound) in normal and high myopia (HM). METHODS: Eighty-four normal eyes and 49 HM eyes were include... AIM: To compare the axial lengths (ALs) measured with Lenstar, IOLMaster and A-scan contact ultrasound (Ultrasound) in normal and high myopia (HM). METHODS: Eighty-four normal eyes and 49 HM eyes were included. Three consecutive measurements were performed on each eye in the following order: Lenstar, IOLMaster, and Ultrasound. The repeatabilities of the AL measurements for each instrument were assessed by calculating the pooled coefficients of variation (CVs) of 18 eyes in each group. Comparisons between the HM and normal groups were made with independent sample t-tests. The inter-device agreements were evaluated with Bland-Altman analyses and paired two-tailed t-tests. RESULTS: For normal group, the CVs of the AL measurements taken with the Lenstar, IOLMaster and Ultrasound were 0.001%, 0.01% and 0.14%, respectively. The corresponding CVs for the HM group were 0.005%, 0.02% and 0.15%, respectively. There was significant difference between the Lenstar and the IOLMaster in normal group (P=0.031) but not in HM group (n=0.100). In the two groups, the Lenstar and the IOLMaster produced higher values than did the Ultrasound (all P〈 0.001). All three instruments exhibited good agreement in terms of AL values. For the intraocular lens (IOL) power calculation using SRK II formula, the Lenstar and the IOLMaster showed 0.5 D higher than Ultrasound in both groups (all P〈0.001). No significant difference existed between the Lenstar and the IOLMaster for the IOL power calculation in both normal (n=0.474) and HM group (P= 0.103). CONCLUSION: The three devices exhibited excellent intra-visit repeatabilities in the AL measurements. The AL and IOL power difference between partial coherence interferometry and ultrasound instruments should be noticed. 展开更多
关键词 axial length BIOMETRY REPEATABILITY intraocular lens high myopia
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Photopic pupil size change in myopic orthokeratology and its influence on axial length elongation 被引量:4
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作者 Meng-Jun Zhu Li Ding +4 位作者 Lin-Lin Du Jun Chen Xian-Gui He Shan-Shan Li Hai-Dong Zou 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第8期1322-1330,共9页
AIM:To explore the photopic pupil size behavior in myopic children undergoing overnight orthokeratology(ortho-k)over 1-year period and its effects on the axial elongation.METHODS:A total of 202 Chinese myopic children... AIM:To explore the photopic pupil size behavior in myopic children undergoing overnight orthokeratology(ortho-k)over 1-year period and its effects on the axial elongation.METHODS:A total of 202 Chinese myopic children were enrolled in this prospective clinical trial.Ninetyfive subjects in ortho-k group and eighty-eight subjects in spectacle group completed the 1-year study.Axial length(AL)was measured before enrollment and every 6mo after the start of ortho-k.The photopic pupil diameter(PPD)was determined using the Pentacam AXL and measured in an examination room with lighting of 300-310 Lx.Stepwise multiple linear regression analysis was used to identify variables contribution to axial elongation.RESULTS:Compared with spectacle group,the average 1-year axial elongation was significantly slower in the ortho-k group(0.25±0.27 vs 0.44±0.23 mm,P<0.0001).In ortho-k group,PPDs significantly decreased from 4.21±0.62 mm to 3.94±0.53 mm after 1mo of lens wear(P=0.001,Bonferroni correction)and the change lasts for 3-month visit.No significantly change during the other follow-up visits was found(P>0.05,Bonferroni correction).The 4.81 mm PPD may be a possible cutoff point in the ortho-k group.Subjects with PPD below or equal to 4.81 mm tended to have smaller axial elongation compared to subjects with PPD above 4.81 mm after 1-year period(t=-3.09,P=0.003).In ortho-k group,univariate analyses indicated that those with older age,greater degree of myopia,longer AL,smaller baseline PPD(PPDbaseline)experienced a smaller change in AL.In multivariate analyses,older age,greater AL and smaller PPDbaseline were associated with smaller increases in AL.In spectacle group,PPD tended to be stable(P>0.05,Bonferroni correction)and did not affect axial growth.CONCLUSION:PPDs experience significantly decreases at 1-month and 3-month ortho-k treatment.Children with smaller PPD tend to experience slower axial elongation and may benefit more from ortho-k. 展开更多
关键词 ORTHOKERATOLOGY MYOPIA axial length pupil diameter ACCOMMODATION
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Associations of lens thickness and axial length with outcomes of laser peripheral iridotomy 被引量:2
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作者 Ya-Meng Liu Die Hu +4 位作者 Long-Fang Zhou Jie Lan Cheng-Cheng Feng Xiao-Yun Wang Xiao-Jing Pan 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2021年第5期714-718,共5页
AIM:To investigate the association of axial length(AL),lens thickness(LT),and lens vault(LV)with postoperative anterior chamber angle metrics after laser peripheral iridotomy(LPI).METHODS:Prospective observational stu... AIM:To investigate the association of axial length(AL),lens thickness(LT),and lens vault(LV)with postoperative anterior chamber angle metrics after laser peripheral iridotomy(LPI).METHODS:Prospective observational study of 69 patients(97 eyes)were diagnosed as primary angle-closure suspect(PACS),primary angle closure(PAC)or primary angle-closure glaucoma(PACG).AL,LT,anterior central chamber depth(ACD),angle opening distance(AOD),trabecular iris angle(TIA),and angle recess area(ARA)were measured before and 1 wk after LPI.The association between AL,LT,LV with ACD,AOD,TIA,ARA were analyzed by comparing the differences between preoperative and postoperative measurements for anterior segment biometric parameters.RESULTS:ACD,AOD,TIA,and ARA were significantly increased after LPI(all P<0.05).Greater LT was significantly associated with greater postoperative increases in ACD,AOD,TIA,and ARA(all P<0.05).AL was not significantly associated with changes of anterior segment biometric parameters.Greater LV was significantly associated with greater postoperative increases in ACD,AOD,and TIA(all P<0.05),but was not significantly associated with changes of ARA.CONCLUSION:Greater baseline LT and LV measurements are associated with greater increases in anterior segment biometric parameters after laser peripheral iridotomy.AL are not associated with the change of anterior segment biometric parameters. 展开更多
关键词 laser peripheral iridotomy primary angleclosure glaucoma lens thickness axial length anterior chamber angle metrics
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Effect of axial length and anterior chamber depth on the peripheral refraction profile 被引量:2
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作者 Masoud Khorrami-Nejad Raha Moradi +1 位作者 Alireza Akbarzadeh Baghban Bahram Khosravi 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2021年第2期292-298,共7页
AIM:To evaluate the effect of axial length(AL)and anterior chamber depth(ACD)on peripheral refractive profile in myopic patients compared to emmetropic participants.METHODS:This cross-sectional study was conducted in ... AIM:To evaluate the effect of axial length(AL)and anterior chamber depth(ACD)on peripheral refractive profile in myopic patients compared to emmetropic participants.METHODS:This cross-sectional study was conducted in right eyes of 58 participants of whom 38 were emmetropic and 20 were myopic.Central and peripheral refraction were measured at 10°,20°,and 30°eccentricities in nasal and temporal fields using an open-field autorefractor.The Lenstar LS900 was used to measure ACD and AL.The participants were divided into three groups of short(<22.5 mm),normal(22.5-24.5 mm),and long eye(>24.5 mm)according to AL and three groups of low ACD(<3.00 mm),normal ACD(3.00-3.60 mm),and high ACD(>3.60 mm)according to ACD.RESULTS:The mean age of the participants was 22.26±3.09 y(range 18-30 y).The peripheral mean spherical refractive error showed a hypermetropic shift in myopic and emmetropic groups although this shift was more pronounced in the myopic group.The results showed significant changes in the spherical equivalent,J0,and J45 astigmatism in all gazes with an increase in eccentricity(P<0.001).The pattern of refractive error changes was more noticeable in long and short eyes versus normal AL eyes.Moreover,the pattern of peripheral refractive changes was much more prominent in the high ACD group versus the normal ACD group and in the normal ACD group versus the low ACD group.CONCLUSION:Peripheral refraction changes are greater in participants with AL values outside the normal range and deeper ACD values compared to participants with normal AL and ACD. 展开更多
关键词 anterior chamber depth axial length peripheral refraction
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Accuracy of segmented measurement of axial length in ultra-high myopia filled with silicone oil using immersion B-scan ultrasonography 被引量:1
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作者 Qing-Hua Yang Hong-Tao Zhang +6 位作者 Xiao-Qi Li Bing Chen Zhao-Hui Li Yi-Fei Huang Xin Jin Ying Zhang Li-Qiang Wang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第5期793-799,共7页
AIM:To evaluate the accuracy of segmented measurement of axial length(AL)in high myopia filled with silicone oil by immersion B-scan ultrasonography(immersion B-scan).METHODS:From June 2016 to June 2020,a total of 67 ... AIM:To evaluate the accuracy of segmented measurement of axial length(AL)in high myopia filled with silicone oil by immersion B-scan ultrasonography(immersion B-scan).METHODS:From June 2016 to June 2020,a total of 67 ultra-high myopia inpatients(67 eyes)who underwent silicone oil removal combined with cataract extraction and intraocular lens(IOL)implantation were retrospectively enrolled.The preoperative axial length(AL)of 31 patients with severe cataract were segmented measured using immersion B-scan(B-scan group)and another 36 patients with mild or moderate cataract were measured using IOLMaster 500(IOLMaster group).The post-operative ALs in two groups were both measured using IOLMaster 500.The IOL power was calculated with Haigis formula.The differences in ALs between pre-and post-surgery,as well as the postoperative refractive spherical equivalent,absolute refractive error,the prediction deviation of postoperative refraction and best corrected visual acuity(BCVA)were compared.RESULTS:The pre-and post-operative ALs were 30.46±1.63 mm(range 28.09-33.51 mm)and 30.42±1.70 mm(range 28.03-33.90 mm)in B-scan group(t=0.644,P=0.542)and 30.51±1.21 mm(range 28.03-33.90 mm)and 30.43±1.27 mm(range 28.54-33.50 mm)in IOLMaster group(t=1.843,P=0.074),respectively.Three months after surgery,BCVA were 0.45±0.13(range 0.3-0.9)and 0.44±0.20(range 0.2-1.0)in B-scan and IOLMaster group respectively(t=0.086,P=0.932).There was no significant difference of the postoperative spherical equivalent(-3.11±0.65 D vs-3.21±0.51 D,t=0.671,P=0.505)and the absolute refractive error(0.589±0.340 vs 0.470±0.245 D,t=1.615,P=0.112)between two groups.In B-scan group,absolute refractive error within±0.50 D was found in 18 eyes(58.1%),within±1.00 D in 26 eyes(83.9%),and within±1.50 D in 31 eyes(100%).In IOLMaster group,absolute refractive error within±0.50 D was found in 23 eyes(63.9%),within±1.00 D in 34 eyes(94.4%),and within±1.50 D in 36 eyes(Z=0.757,P=0.449).CONCLUSION:The segmented measurement of ALs by immersion B-scan shows comparable measurement accuracy with that of IOLMaster 500 in ultra-high myopia patients with severe cataract secondary to silicone oil filling and can obtain an ideal postoperative refractive state. 展开更多
关键词 high myopia axial length immersion B-ultrasound IOLMASTER silicone oil CATARACT
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Evaluation of axial length/total corneal refractive power ratio as a potential marker for ocular diagnosis of Marfan’s syndrome in children 被引量:1
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作者 Tian-Hui Chen Ai-Zhu Miao +6 位作者 Yu-Liang Wang Min Zhang Jia-Hui Chen Jia-Lei Zheng Michael Deng Ying-Hong Ji Yong-Xiang Jiang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2021年第8期1218-1224,共7页
AIM:To investigate whether the axial length(AL)/total corneal refractive power(TCRP)ratio is a sensitive and simple factor that can be used for the early diagnosis of Marfan’s syndrome(MFS)in children.METHODS:The rel... AIM:To investigate whether the axial length(AL)/total corneal refractive power(TCRP)ratio is a sensitive and simple factor that can be used for the early diagnosis of Marfan’s syndrome(MFS)in children.METHODS:The relationship between the AL/TCRP ratio and the diagnosis of MFS for 192 eyes in 97 children were evaluate.The biological characteristics,including age,sex,AL,and TCRP,were collected from medical records.Receiver operating characteristic(ROC)curve analysis was performed to investigate whether the AL/TCRP ratio effectively distinguishes MFS from other subjects.The Youden index was used to re-divide the whole population into two groups according to an AL/TCRP ratio of 0.59.RESULTS:Of 96 subjects(mean age 7.46±3.28 y)evaluated,56(110 eyes)had a definite diagnosis of MFS in childhood based on the revised Ghent criteria,41(82 eyes)with diagnosis of congenital ectopia lentis(EL)were included as a control group.AL was negatively correlated with TCRP,with a linear regression coefficient of-0.36(R2=0.08).A significant correlation was found between age and the AL/TCRP ratio(P=0.023).ROC curve analysis showed that the AL/TCRP ratio distinguished MFS from the other patients at a threshold of 0.59.MFS patients were present in 24/58(41.38%)patients with an AL/TCRP ratio of≤0.59 and in 34/39(87.18%)patients with an AL/TCRP ratio of>0.59.CONCLUSION:An AL/TCRP ratio of>0.59 is significantly associated with the risk of MFS.The AL/TCRP ratio should be measured as a promising marker for the prognosis of children MFS.Changes in the AL/TCRP ratio should be monitored over time. 展开更多
关键词 axial length total corneal refractive power ratio DIAGNOSIS Marfan’s syndrome CHILDREN
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Association between axial length and toric intraocular lens rotation according to an online toric back-calculator 被引量:1
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作者 Jennifer L.Patnaik Malik Y.Kahook +4 位作者 John P.Berdahl David R.Hardten Brandie D.Wagner Leonard K.Seibold Brent A.Kramer 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第3期420-425,共6页
AIM: To assess the relationship between axial length(AL) and intraocular lens(IOL) rotation among eyes receiving a toric IOL and subsequently entered into an online toric back-calculator database.METHODS: Retrospectiv... AIM: To assess the relationship between axial length(AL) and intraocular lens(IOL) rotation among eyes receiving a toric IOL and subsequently entered into an online toric back-calculator database.METHODS: Retrospective analysis of data collected online via astigmatismfix.com, a freely available online toric back-calculator where surgeons enter pre-and postoperative information to help manage residual postoperative astigmatism.Included records were deemed valid with entry of AL and IOL orientation between January 2017 and March 2019.Rotation was determined by a difference of ≥5° between pre-operative intended IOL orientation and actual post-operative IOL orientation.Frequency and magnitude of rotation are presented with means and associated standard deviation(SD).Linear regression models of this association are presented.RESULTS: Records of 6752 eyes were included in the analysis, of which 74.8% were determined to have a rotated IOL.The magnitude of rotation increased with each millimeter(mm) increase in AL with a mean rotation of 13.3°(SD: 12.8°) for eyes with AL 20-20.9 mm and a maximum mean rotation of 30.6°(SD: 30.3°) among eyes with AL 29-29.9 mm.General linear modeling demonstrated a significant association(P<0.0001) with a parameter estimate of 1.19(standard error: 0.159) and R;of 0.0083.CONCLUSION: Analysis from an online database indicates that toric IOLs inserted into eyes with longer AL are more likely to rotate and to rotate more degrees from the target axis.The findings from this study are clinically relevant for surgeons implanting toric IOLs. 展开更多
关键词 cataract surgery toric lens axial length ROTATION
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Ultrasonic Evaluation of the Lens Thickness to Axial Length Factor in Primary Closure Angle Glaucoma 被引量:2
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作者 Youlin Qi Department of Ophthalmology, Qingdao Municipal Hospital Qingdao 266011, China 《眼科学报》 1993年第1期12-14,共3页
Ultrasonic biometry was done in 232 normal eyes and 138 eyes with primary angle closure glaucoma (ACG), using Ultrascan Digital B System IV (10 MHz). The ratio between the lens thickness and the axial length (lens thi... Ultrasonic biometry was done in 232 normal eyes and 138 eyes with primary angle closure glaucoma (ACG), using Ultrascan Digital B System IV (10 MHz). The ratio between the lens thickness and the axial length (lens thickness to axial length factor, LAF) was evaluated as a biometric index for assessing the eye with primary ACG in Chinese. LAF of 2.00 was found to be ideal point of demarcation between ACG and normal eyes (i.e., lens thickness equals to 1/5 of axial length). It appears that LAF is helpful i... 展开更多
关键词 ultrasonic biometry lens thickness to axial length factor angle closure glaucoma anterior chamber depth
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Distribution of Axial Length, Anterior Chamber Depth and Lens Thickness of Pre-Operative Cataract Patients in Indonesian Population 被引量:1
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作者 Titiek Ernawati Maharani Kartika Anggraeni +1 位作者 Kevin Anggakusuma Hendrawan Rianti Wulandari Pratiwi 《Open Journal of Ophthalmology》 2020年第4期288-296,共9页
<strong>Purpose:</strong> Biometry measurement of pre-operative cataract patients plays<span "=""> a major role in calculating intraocular lens power. This study aimed to review and de... <strong>Purpose:</strong> Biometry measurement of pre-operative cataract patients plays<span "=""> a major role in calculating intraocular lens power. This study aimed to review and determine the distribution of biometry components, such as axial length (AL), anterior chamber depth (ACD), and lens thickness (LT) of pre-operative cataract patient in Indonesian population. <b>Methods: </b>A cross-sectional study data w</span>ere obtained from 2015-2018 cataract surgery at Prima Husada Citra Hospital, Surabaya, East Java, Indonesia. A total of 1295 eyes with cataract was included in the study based on their medical record. We analyzed the data using descriptive analysis and correlated<span "=""> each variable using the Spearman’s Rho analysis. <b>Results: </b>Mean AL, LT and ACD was 23.81 </span>± 1.46 mm, 4.49 ± 0.55 mm, 3.25 ±<span "=""> 0.70 mm respectively. Male has longer AL and deeper ACD with (<i>p</i> < 0.001), while LT was found thicker in female (<i>p</i></span><span "=""> </span>=<span "=""> </span><span "="">0.005). The increase of AL was accompanied by ACD (<i>r</i> = 0.457;<i>p</i> < 0.001) and a thinner LT (<i>r </i>= </span><span "=""><span style="color:#4F4F4F;">&#45;</span>0.101;<i>p</i> < 0.001). <b>Conclusions: </b>LT is increased with age while AL and ACD are shortened with age. There was a positive correlation between AL and ACD, but a</span>n inverse correlation between AL and LT. 展开更多
关键词 Anterior Chamber Depth axial length CATARACT Lens Thickness
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Change in foveal position based on age and axial length in high myopic eyes
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作者 Qian Zhang Kaddie Kwok Chen +1 位作者 Wei-Feng Liu Guo-Fu Huang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2018年第5期844-847,共4页
AIM:To evaluate the influence of age and axial length(AL) on the position of the fovea in patients with high myopia(HM).METHODS:In this prospective study,96 patients(186 eyes) with HM were consecutively recrui... AIM:To evaluate the influence of age and axial length(AL) on the position of the fovea in patients with high myopia(HM).METHODS:In this prospective study,96 patients(186 eyes) with HM were consecutively recruited from the Third Affiliated Hospital of Nanchang University.DRI-OCT Atlantis,fundus imaging,and IOL Master were used in this study.Three indices were measured:the distance between the fovea and the optic nerve head(ONH) center(DFO),the vertical distance between the fovea and the horizontal line pass of the ONH center(VDFO),and the horizontal distance between the fovea and the vertical line pass of the ONH center(HDFO).These measurements were used to analyze the effects of different age groups(A1,A2,A3 groups) and AL(AL1,AL2,AL3,AL4 groups) on these indices.RESULTS:The results showed that there was no statistical significance in DFO among the age and AL groups(F=0.46,0.37;P=0.62,0.76,respectively).In HDFO,there was also no statistical significance among the age and AL groups(F=0.10,0.48;P=0.90,0.69,respectively).In VDFO,however,the difference in the age and AL groups was statistically significant(F=3.21,3.12;P=0.04,0.02,respectively).Thus,VDFO were correlated with age and AL(r=0.21,0.23,all P〈0.01),while HDFO and DFO were not correlated with age and AL(r=0.30,P〉0.05).CONCLUSION:In high myopia,the foveal position changes mainly in the vertical direction along with factors of age and AL. 展开更多
关键词 high myopia foveal position age axial length
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Variations of OCT measurements corrected for the magnification effect according to axial length and refractive error in children
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作者 Inmaculada Bueno-Gimeno Enrique España-Gregori +2 位作者 Andres Gene-Sampedro Juan Carlos Ondategui-Parra Carlos J.Zapata-Rodriguez 《Journal of Innovative Optical Health Sciences》 SCIE EI CAS 2018年第1期123-137,共15页
Purpose:The aim of this paper was to examine the distribution of macular,retinal nerve fiber layer(RNFL)thickness and optic disc parameters of myopic and hyperopic eyes in comparison withemmetropic control eyes and to... Purpose:The aim of this paper was to examine the distribution of macular,retinal nerve fiber layer(RNFL)thickness and optic disc parameters of myopic and hyperopic eyes in comparison withemmetropic control eyes and to investigate their variation according to axial length(AL)andspherical equivalent(SE)in healthy children.Methods:This study included 293 pairs of eyes of 293children(145 boys and 148 girks),ranging in age from 6 to 17 years,Subjects were dividedaccording to SE in control(emmetropia,99 children),myopia(100 children)and hyperopia(94children)groups and according to axial AL in 68 short(<22.00 mm,68),medium(from≥22.00 mmto 25.00 mm,189)and long eyes(>25.00 mm,36).Macular parameters,RNFL thickness and opticdisc morphology were assessed by the Cirrus^(TM) HD-OCT.AL was measured using the IOL-Mastersystem.Littmann's formula was used for calculating the corrected AL-related ocular magnification.Results Mean age(±SD)was 10.84±3.05 years;mean(±SD)SE was+0.14±0.51 D(range from8.75 to+8.25 D)and mean AL(±SD)was 23.12±1.49.Average RNFL thickness,averagemacular thickness and macular volume decreased as AL and myopia increased.No correlationsbetween AL/SE and optic disc parameters were found after correcting for magnification effect.Conclusions:AL and refractive error affect measurements of macular and RNFL thickness inhealthy children.To make a correct interpretation of ocT measurements,ocular magnificationeffect should be taken into account by clinicians or OCT manufacturers. 展开更多
关键词 axial length refractive error CHILDREN OCT measurements magnification fect
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Factors associated with axial length elongation in high myopia in adults
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作者 Hong Kyu Kim Sung Soo Kim 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2021年第8期1231-1236,共6页
AIM:To investigate the association of axial length(AL)and ocular factors on AL elongation.METHODS:A retrospective chart review of patients who underwent two or more AL examinations for more than two years.Totally 4 gr... AIM:To investigate the association of axial length(AL)and ocular factors on AL elongation.METHODS:A retrospective chart review of patients who underwent two or more AL examinations for more than two years.Totally 4 groups were divided according to initial AL(<24 mm,24-26 mm,26-28 mm,≥28 mm).Initial fundus photograph was used to find risk factors associated AL elongation.RESULTS:The mean age of the patients was 47.21±7.79 y.AL remained almost unchanged in the groups with AL<24 mm and 24≤AL<26 mm.On the contrary,AL increased by 0.011 mm/y in the group with 26≤AL<28 mm and 0.035 mm/y in the group with AL≥28 mm(P<0.001).In high myopia,AL elongation increased in eye with longer AL(r=0.003,P=0.024),female gender(r=0.014,P=0.019),eye with larger peripapillary chorioretinal atrophic area(r=0.002,P=0.019),and smaller vascular arcade angle(r=-0.004,P=0.006).The risk of elongation 0.03 mm/y in high myopia was increased in female gender(P=0.040),and gradually increased in eye with large peripapillary chorioretinal atrophy area(P<0.01).CONCLUSION:AL elongate significantly in the eye with longer AL,female gender,and the eye with larger atrophic area and smaller arcade angle on fundus photography. 展开更多
关键词 axial length elongation fundus photography high myopia myopic complication
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Changes in axial length after vitrectomy for rhegmatogenous retinal detachment combined with choroidal detachment
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作者 Ji-Peng Li Jun Xu Meng Zhao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第8期1290-1295,共6页
AIM:To report the postoperative axial length(AL)changes in rhegmatogenous retinal detachment combined with choroidal detachment(RRD-CD)patients.METHODS:The medical records of 97 consecutive patients from January 2015 ... AIM:To report the postoperative axial length(AL)changes in rhegmatogenous retinal detachment combined with choroidal detachment(RRD-CD)patients.METHODS:The medical records of 97 consecutive patients from January 2015 to December 2018 were reviewed.Patients included were divided into RRD-CD and RRD only groups.All patients had received AL measurements before pars plana vitrectomy(PPV)and before silicone oil removal(SOR).The changes in AL of the two groups were compared.In addition,the potential factors related to AL changes were analyzed.RESULTS:AL elongation after PPV was 1.01 mm[interquartile range(IQR):0.37,1.79;P=0.02]in the RRD-CD group,which was greater than in RRD only group(0.15 mm,IQR:0.04,0.41;P<0.001).AL increased 0.06 mm per 1 mm Hg intraocular pressure changes in the RRD-CD group(R2=0.11,P=0.03).RRD-CD patient was 11.42 times(3.54-46.80)more likely to experience post-PPV AL elongation of more than 1 mm[P<0.001,Akaike information criterion(AIC)=92.33,area under the curve(AUC)=0.839].CONCLUSION:RRD-CD patients are very likely to have a postoperative elongation of AL.The primary intraoclular lens implantation using presurgery AL data may cause a significant refractive error in RRD-CD patients who underwent PPV. 展开更多
关键词 rhegmatogenous retinal detachment choroidal detachment axial length pars plana vitrectomy
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The binocular intraocular lens power difference in eyes with different axial lengths
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作者 Ming-Hui Deng Xiao-Gang Wang +1 位作者 Song Chen Xue-Feng Shi 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第6期924-931,共8页
AIM:To investigate the binocular intraocular lens(IOL)power difference in eyes with short,normal,and long axial lengths(AL)using Lenstar LS 900 optical biometry.METHODS:A total of 716(1432 eyes)participants were inclu... AIM:To investigate the binocular intraocular lens(IOL)power difference in eyes with short,normal,and long axial lengths(AL)using Lenstar LS 900 optical biometry.METHODS:A total of 716(1432 eyes)participants were included.The groups were categorized into short(group A:AL<22 mm),normal(group B:22 mm≤AL≤25 mm),and long AL groups(group C:AL>25 mm).The central corneal thickness(CCT),anterior chamber depth(ACD),lens thickness(LT),AL,anterior corneal keratometry,whiteto-white(WTW),pupil diameter(PD),as well as IOL power calculated using embedded Barrett formula were assessed.Bland-Altman plots were used to test the agreement of the binocular parameters.RESULTS:In group A,the CCT of the right eye was significantly thinner than that of the left eye(P=0.044)with a difference of-2±8μm[95%limits of agreement(LoA),-17.8 to 13.2μm].For group B,the PD and IOL power in the right eye were significantly lower than those of the left eye(P=0.001,<0.001)with a difference of-0.05±0.32 mm(95%LoA,-0.68 to 0.58 mm)and-0.18±1.01 D(95%LoA,-2.2 to 1.8 D).The AL of right eye was longer than that of the left eye(P=0.002)with a difference of 0.04±0.25 mm(95%Lo A,-0.45 to 0.52 mm).No significant difference was observed for all the binocular parameters in group C.The percentage of participants with binocular IOL power difference within±0.5 D were 62%(31/50),68.3%(339/496),and 38.8%(66/170)in groups A,B,and C,respectively.CONCLUSION:The binocular parameters related to IOL power are in good agreement,but the binocular IOL power difference of more than half of participants with long AL is more than 0.50 D. 展开更多
关键词 axial length intraocular lens power binocular difference
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