Evaluation of visual quality of spherical and aspherical intraocular lenses by Optical Quality Analysis System

AIM： To evaluate the impact of spherical and aspherical intraocular lenses on the postoperative visual quality of age-related cataract patients using Optical Quality Analysis System （OQAS）. METHODS： Seventy-four eyes with age-related cataracts were randomly divided into spherical and aspherical lens implantation groups. Best-corrected visual acuity （BCVA） was measured preoperatively, one day, one week, two weeks, one month and two months after surgery. A biometric systems analysis using the OQAS objective scattering index （OSI） was performed. RESULTS： There were no significant differences in visual acuity （P〉0.05） before and after spherical and aspheric lens implantation. There was a negative linear correction between the OSI value and BCVA （t-=-0.634, P=-0.000）, and positive corrections between the OSI value and the lens LOCUS III value of nucleus color （NC）, nucleus opacity （NO）, cortex （C） and posterior lens capsular （P） （r=0.704, P=0.000; r=0.514, P=0.000; r=0.276, P=0.020; r=0.417, P=-0.000, respectively）. OSI values of spherical vs aspherical lenses were 11.5±3.6 vs 11.8±3.4, 4.1±0.9 vs 3.3±0.8, 3.5±0.9 vs 2.7±0.7, 3.3±0.8 vs 2.6±0.7, 3.2±0.7 vs 2.5±0.8, and 3.2±0.8 vs 2.50.8 before and ld, 1, 2wk, 1 and 2mo after surgery, respectively. All time points varied significantly （P〈0.01） between the two groups. CONCLUSION： Aspherical IOLs does not significantly affect visual acuity compared with spherical IOLs. The OSI value, was significantly lower in the aspherical lens group compared with the spherical lens. This study shows that objective visual quality of aspheric IOLs is better than that of the spherical lens by means of OQAS biological measurement method.

Optical biometry intraocular lens power calculation using different formulas in patients with different axial lengths

AIM: To investigate the predictability of intraocular lens (IOL) power calculation using the IOLMaster and different IOL power calculation formulas in eyes with various axial length (AL). METHODS: Patients were included who underwent uneventful phacoemulsification with IOL implantation in the Department of Ophthalmology, Far Eastern Memorial Hospital, Taipei, Taiwan, China from February 2007 to January 2009. Preoperative AL and keratometric values (Ks) were measured by IOLMaster optical biometry. Patients were divided into 3 groups based on AL less than 22mm (Group 1), 22-26mm (Group 2), and more than 26mm (Group 3). The power of the implanted IOL was used to calculate the predicted postoperative spherical equivalence (SE) by various formulas: the Haigis, Hoffer Q, Holladay 1, and SRK/T. The predictive accuracy of each formula was analyzed by comparing the difference between the actual and predicted postoperative SE (MedAE, median absolute error). All the patients had follow-up periods exceeding 3 months. RESULTS: Totally, there were 200 eyes (33 eyes in Group 1, 92 eyes in Group 2, 75 eyes in Group 3). In all patients, the Haigis had the significantly lower MedAE generated by the other formulas (P【0.05). In Group 1 to 3, the MedAE calculated by the Haigis was either significantly lower or comparable to those calculated by the other formulas.CONCLUSION: Compared with other formulas using IOLMaster biometric data, the Haigis formula yields superior refractive results in eyes with various AL.

Optical quality of toric intraocular lens implantation in cataract surgery

AIM: To analyze the optical quality after implantation of toric intraocular lens with optical quality analysis system.METHODS: Fifty-two eyes of forty-four patients with regular corneal astigmatism of at least 1.00 D underwent implantation of Acry Sof toric intraocular lens, including T3 group 19 eyes, T4 group 18 eyes, T5 group 10 eyes,T6 group 5 eyes. Main outcomes evaluated at 3mo of follow-up, included uncorrected distance visual acuity(UDVA), corrected distance visual acuity(CDVA), residual refractive cylinder and intraocular lens(IOL) axis rotation.Objective optical quality were measured using optical quality analysis system(OQAS Ⅱ, Visiometrics, Spain),included the cutoff frequency of modulation transfer function(MTFcutoff), objective scattering index(OSI),Strehl ratio, optical quality analysis system value(OV)100%, OV 20% and OV 9% [the optical quality analysis system(OQAS) values at contrasts of 100%, 20%, and 9%].RESULTS: At 3mo postoperative, the mean UDVA and CDVA was 0.18 ±0.11 and 0.07 ±0.08 log MAR; the mean residual refractive cylinder was 0.50 ±0.29 D; the mean toric IOL axis rotation was 3.62 ±1.76 degrees, the mean MTFcutoff, OSI, Strehl ratio, OV 100%, OV 20% and OV9% were 22.862 ±5.584, 1.80 ±0.84, 0.155 ±0.038, 0.76 ±0.18,0.77±0.19 and 0.78±0.21. The values of UDVA, CDVA, IOL axis rotation, MTFcutoff, OSI, Strehl ratio, OV100%,OV20% and OV9% depending on the power of the cylinder of the implantation were not significantly different(P 】0.05), except the residual refractive cylinder(P 【0.05).CONCLUSION: The optical quality analysis system was useful for characterizing the optical quality of Acry Sof toric IOL implantation. Implantation of an Acry Sof toric IOL is an effective and safe method to correct corneal astigmatism during cataract surgery.

Comparison of postoperative optical quality according to the degree of decentering of V4c implantable collamer lens

AIM：To evaluate the clinical outcomes of V4 c implantable collamer lens（Hole ICL） implantation with regard to the optical quality assessed according to different degrees of decentering.METHODS：This included 49 eyes that received conventional ICL and 94 eyes that received Hole ICL.The eyes that received Hole ICL were divided into three groups according to the degree of decentering：group 1,central hole within 1 hole diameter（HD） from the pupil center;group 2,central hole within 1 HD to 2 HD;and group 3,central hole within 2 HD to 3 HD.Visual acuity（VA）,intraocular pressure（IOP）,and spherical equivalent（SE） values were assessed at 1wk,1 and 3mo after surgery.The ocular modulation transfer function,Strehl ratio,objective scattering index,and higher order aberrations（HOAs） were measured for 4-mm pupils at 3mo after surgery.RESULTS：There were no significant differences in VA,IOP,and SE among the conventional and Hole ICL groups.With regard to HOAs,values for coma and spherical aberrations showed no differences.The total HOA and trefoil values were significantly higher in group 2 than in group 1（P=0.02,0.03,respectively）.There were no significant differences among groups with regard to other optical quality parameter at 3mo after surgery.CONCLUSION：Our results suggest that Hole ICL implantation provides satisfactory visual quality that is equivalent to that provided by conventional ICL,regardless of the presence of central hole and degree of decentering.

Double-distance propagation of Gaussian beams passing through a tilted cat-eye optical lens in a turbulent atmosphere

By using the extended Huygens-Fresnel diffraction integral and the method of expanding the aperture function into a finite sum of complex Caussian functions, an approximate analytical formula of the double-distance propagation for Caussian beam passing through a tilted cat-eye optical lens and going back along the entrance way in a turbulent atmosphere has been derived. Through numerical calculation, the effects of incidence angle, propagation distance, and structure constant on the propagation properties of a Gaussian beam in a turbulent atmosphere are studied. It is found that the incidence angle creates an unsymmetrical average intensity distribution pattern, while the propagation distance and the structure constant can each create a smooth and symmetrical average intensity distribution pattern. The average intensity peak gradually deviates from the centre, and the central average intensity value decreases quickly with the increase in incidence angle, while a larger structure constant can bring the average intensity peak back to the centre.

Comparison of optical quality after implantable collamer lens implantation and wavefront-guided laser in situ keratomileusis

AIM： To compare the optical quality after implantation of implantable collamer lens（ICL） and wavefront-guided laser in situ keratomileusis（WG-LASIK）.METHODS： The study included 40 eyes of 22 patients with myopia who accepted ICL implantation and 40 eyes of 20 patients with myopia who received WG-LASIK. Before surgery and three months after surgery, the objective scattering index（OSI）, the values of modulation transfer function（MTF） cutoff frequency, Strehl ratio, and the Optical Quality Analysis System（OQAS） values（OVs） were accessed. The higher order aberrations（HOAs） data including coma, trefoil, spherical, 2^（nd） astigmatism and tetrafoil were also obtained. For patients with pupil size 〈6 mm, HOAs data were analyzed for 4 mm-pupil diameter. For patients with pupil size ≥6 mm, HOAs data were calculated for 6 mm-pupil diameter. Visual acuity, refraction, pupil size and intraocular pressures were also recorded.RESULTS： In both ICL and WG-LASIK group, significant improvements in visual acuities were found postoperatively, with a significant reduction in spherical equivalent（P〈 0.001）. After the ICL implantation, the OSI decreasedslightly from 2.34±1.92 to 2.24±1.18 with no statistical significance（P=0.62）. While in WG-LASIK group, the OSI significantly increased from 0.68±0.43 preoperatively to 0.91±0.53 postoperatively（Wilcoxon signed ranks test, P=0.000）. None of the mean MTF cutoff frequency, Strehl ratio, OVs showed statistically significant changes in both ICL and WG-LASIK groups. In the ICL group, there were no statistical differences in the total HOAs for either 4 mmpupil or 6 mm-pupil. In the WG-LASIK group, the HOA parameters increased significantly at 4 mm-pupil. The total ocular HOAs, coma, spherical and 2^（nd） astigmatism were 0.12±0.06, 0.06±0.03, 0.00±0.03, 0.02±0.01, respectively. After the operation, these values were increased into 0.16±0.07, 0.08±0.05,-0.04±0.04, 0.03±0.01 respectively（Wilcoxon signed ranks test, all P〈0.05）. At 6 mm-pupil, the induction of total HOAs was not statistically significant in the WG-LASIK group. CONCLUSION： ICL implantation has a less disturbance to optical quality than WG-LASIK. The OQAS is a valuable complementary measurement to the wavefront aberrometers in evaluating the optical quality.

Repeatability of in-vitro optical quality measurements of intraocular lenses with a deflectometry technique effect of the toricity

AIM： To evaluate the repeatability of an optical device for measuring the Zernike coefficients of toric intraocular lenses（IOLs） and assess whether its toricity has any impact in its repeatability. METHODS： An experienced technician used the NIMO TR1504 to measure the Zernike coefficients 30 times for an aperture of 4.50 mm for all lenses included. The IOLs included were divided into two group： toric and nontoric ones. The cylindrical powers of the toric lenses included in the present study were 1.00, 1.50, 2.25, 3.00 and 3.75 D. Finally, the repeatability of the NIMO TR1504 was described in terms of within subject standard deviation（Sw） and repeatability limit. RESULTS： The Sw was smaller than 0.011 μm for both lens groups and all Zernike coefficients, and the difference between both groups was smaller than 0.004 μm for all Zernike coefficients. Regarding the repeatability limit, this value was smaller than 0.025 μm for the toric lens group, and smaller than 0.031 μm for the non-toric lens one for all Zernike coefficients. Furthermore, the maximum difference between both lens groups was 0.010 μm. CONCLUSION： The repeatability of the NIMO TR1504 to measure the optical quality is high and independent of the lens toricity. These results reflect that this system is robust and could be used to measure the in-vitro optical quality of either toric or non-toric IOLs.

Comparison of choroidal thickness in high myopic eyes after FS-LASIK versus implantable collamer lens implantation with swept-source optical coherence tomography

AIM:To investigate the changes in choroidal thickness(CT)in high myopic eyes after femtosecond laser-assisted in situ keratomileusis(FS-LASIK)surgery or central hole implantable collamer lens(ICL V4c)implantation using swept-source optical coherence tomography(SS-OCT).METHODS:We examined the right eyes of 116 patients with high myopia who were candidates for FS-LASIK surgery and ICL implantation.Sixty eyes underwent ICL V4c implantation and 56 eyes were subjected to FS-LASIK surgery.The CT was measured with SS-OCT.All data were recorded preoperatively and 2 h,1 wk,1 and 3 mo postoperatively.Other demographic information was collected,including age,sex,uncorrected visual acuity(UCVA),best corrected visual acuity(BCVA),spherical equivalent(SE),intraocular pressure(IOP)and axial length(AL).RESULTS:The UCVA improved in both groups and showed no significant differences between groups.There also were no significant differences between the two groups in postoperative BCVA and SE(P=0.581 and 0.203,respectively).The foveal CTs,inner nasal and outer nasal CTs were significantly thicker at 2 h postoperatively in both groups(P<0.05)but returned to baseline levels in 1 wk;after 1 mo,no significant differences were found relative to the preoperative values.At 3 mo in each group,nine regions showed variations in the CT as compared with preoperative thickening,but only the foveal and nasal area CTs preoperative differences were statistically significant(P<0.05).In addition,there was no significant difference in 9 regions of CT between the two groups at all follow-up times(P>0.05).CONCLUSION:The CTs after ICL implantation and FSLASIK surgery are significantly thicker than those before operation,especially in the foveal and nasal areas,but there is no significant difference between the two methods.

Measuring Topological Charges of Optical Vortices with Multi-Singularity Using a Cylindrical Lens

We present a simple method to measure the topological charges of optical vortices with multiple singularities. Using a cylindrical lens, a vortex beam can decay into a light field distribution with multiple separated dark holes, whose number just equals the topological charge of the input beam. This conclusion is then verified via experiments and numerical simulations of the propagation of vortex beams with multiple singulaxities. This method is also reliable to measure the topological charges of broadband vortex beams with different distributions of singularities, which does not resort to multiple beam interferometrie experiments.

Lens thickness assessment : anterior segment optical coherence tomography versus A-scan ultrasonography

AIMTo assess lens thickness measurements with anterior segment-optical coherence tomography (AS-OCT) in comparison with A-scan ultrasonography (A-scan US).METHODSThere were 218 adult subjects (218 eyes) aged 59.2&#x000b1;9.2y enrolled in this prospective cross-sectional study. Forty-three eyes had open angles and 175 eyes had narrow angles. Routine ophthalmic exam was performed and nuclear opacity was graded using the Lens Opacities Classification System III (LOCS III). Lens thickness was measured by AS-OCT (Visante OCT, Carl Zeiss Meditec, Dublin, CA, USA). The highest quality image was selected for each eye and lens thickness was calculated using ImageJ software. Lens thickness was also measured by A-scan US.RESULTSInterclass correlations showed a value of 99.7% for intra-visit measurements and 95.3% for inter-visit measurements. The mean lens thickness measured by AS-OCT was not significantly different from that of A-scan US (4.861&#x000b1;0.404 vs 4.866&#x000b1;0.351 mm, P=0.74). Lens thickness values obtained from the two instruments were highly correlated overall (Pearson correlation coefficient=0.81, P&#x0003c;0.001), and in all LOCS III specific subgroups except in grade 5 of nuclear opacity. Bland-Altman analysis revealed a 95% limit of agreement from -0.45 to 0.46 mm. Lens thickness difference between the two instruments became smaller as the lens thickness increased and AS-OCT yielded smaller values than A-scan US in thicker lens (&#x003b2;=-0.29, P&#x0003c;0.001)CONCLUSIONAS-OCT-derived lens thickness measurement is valid and comparable to the results obtained by A-scan US. It can be used as a reliable noncontact method for measuring lens thickness in adults with or without significant cataract.

An all-silicone zoom lens in an optical imaging system

An all-silicone zoom lens is fabricated. A tunable metal ringer is fettered around the side edge of the lens. A nylon rope linking a motor is tied, encircling the notch in the metal ringer. While the motor is operating, the rope can shrink or release to change the focal length of the lens. A calculation method is developed to obtain the focal length and the zoom ratio. The testing is carried out in succession. The testing values are compared with the calculated ones, and they tally with each other well. Finally, the imaging performance of the all-silicone lens is demonstrated. The all-silicone lens has potential uses in cellphone cameras, notebook cameras, micro monitor lenses, etc.

Design of Large-aperture and Wide-band Optical Lens

The design of a large-aperture and wide-band optical lens for camera is presented. By utilizing the atmospheric window of infrared light, clear images can be achieved in the dark or poor visibility conditions. To use near-infrared and visible light to obtain images, the charge coupled device(CCD) is adopted as the image sensor of the lens with the center wavelength of 880 nm, which operates at the wavelength range from 400 nm to 1 000 nm. After calculating the parameters of optical lens, Sunnah type is selected as the initial structure. Through the optimization of optical design software ZEMAX, the lens obtains an excellent imaging performance. The modulation transfer function(MTF) can be more than 0.3 at the spatial frequency of 110 lp/mm, and the maximum distortion can be less than 0.1%.

Effect of size and indium-composition on linear and nonlinear optical absorption of InGaN/GaN lens-shaped quantum dot

Based on the Schr ¨odinger equation for envelope function in the effective mass approximation, linear and nonlinear optical absorption coefficients in a multi-subband lens quantum dot are investigated. The effects of quantum dot size on the interband and intraband transitions energy are also analyzed. The finite element method is used to calculate the eigenvalues and eigenfunctions. Strain and In-mole-fraction effects are also studied, and the results reveal that with the decrease of the In-mole fraction, the amplitudes of linear and nonlinear absorption coefficients increase. The present computed results show that the absorption coefficients of transitions between the first excited states are stronger than those of the ground states. In addition, it has been found that the quantum dot size affects the amplitudes and peak positions of linear and nonlinear absorption coefficients while the incident optical intensity strongly affects the nonlinear absorption coefficients.

Optical Modeling and Analysis of Peripheral Optics of Contact Lenses

Background: Degraded peripheral vision has been hypothesized to be a stimulus for the development of foveal refractive error. Contact lenses have been widely used to correct central vision, but their impacts on peripheral vision are still unknown. The purpose of this study was to use optical model software to evaluate the peripheral optics of rigid gas permeable (RGP) and soft contact lenses (SCLs) in isolation. This will better assist us in understanding their peripheral optical performances on human eyes. Methods: An optical design software package (Zemax EE) was used to model peripheral optics of Menicon RGP lens and Acuvue 2 SCLs. Profiles of sphero-cylindrical power and major higher-order aberrations were computed in 10osteps out to 40o off-axis eccentricity for –3.0 D central focal power contact lens. The results of optical modeling were analyzed and compared with previously published experimental data. Results: –3.0 D RGP lenses and SCLs had –1.4 D and –2.0 D dioptric power at 40o eccentricity, respectively. The reduced dioptric power in the periphery of the analyzed contact lenses quantitatively matched with the reduced amount of hyperopic field curvature found from experimental data when these contact lenses fitted on human eyes. Cylindrical power increased to 0.3 D ~ 0.4 D at 40o eccentricity for both lens types. In addition, both contact lens types produced higher order aberrations, namely 1.2 μm coma and 0.15 μm spherical aberration at 40o eccentricity. Conclusions: Compared to SCLs, RGP lenses with equal focal power had less dioptric power in the periphery. Both RGP lenses and SCLs produced the same amount of major higher-order aberrations with increasing of the field angle. Some of these results can be used to predict and understand the peripheral optical performance of contact lenses on human eyes.

Design of Quasi-Optical Lens Antenna for W-Band Short Range Passive Millimeter-Wave Imaging

A quasi-optical dielectric lens used for W-band focal plane array passive imaging has been developed. The imaging system requires the lens to form beam spot with 3 dB width less than 35 mm at distance of 3500 mm. The powerful optical design software ZEMAX was utilized to design the contours of the lens, and numerical method based on ray tracing and Huygens’ Principle was processed to verify the design result. Measurement result shows that the 3 dB width of the beam spot formed by the lens is 34 mm at distance of 3460 mm, and the beam pattern on imaging plane are equally arranged and the intensity decreases only 0.55 dB while the object lateral deviation increases to 300 mm.

Effect of femtosecond laser-assisted lens surgery on the optic nerve head and the macula

AIM: To evaluate the effect of femtosecond laser-assisted lens surgery(FLALS;cataract surgery or refractive lens exchange) on the structure of the optic nerve head and the macula.METHODS: This prospective longitudinal study included healthy eyes undergoing FLALS. Eyes with glaucoma or any other ocular disease that could alter optical coherence tomography results were excluded. Retinal nerve fiber layer(RNFL), Bruch’s membrane opening-minimum rim width(BMO-MRW) and macular thickness(MT) were measured preoperatively, 1 and 6 mo after surgery using spectral-domain optical coherence tomography(SD-OCT). Changes between preoperative and postoperative values were evaluated.RESULTS: A total of 87 eyes of 46 patients were included in this study. Preoperative RNFL, BMO-MRW and MT in microns(μm) were 100.77±10.39, 330.31±49.99 and 276.30±33.39, respectively. Postoperative RNFL, BMO-MRW and MT were 104.74±11.55, 348.32±54.05 and 279.83±22.65 1 mo after surgery and 102.93±11.17, 343.11±53.4 and 278.90±22.19 6 mo after surgery, respectively;which equals an increase of 3.93%, 5.45% and 1.27%,respectively, 1 mo after surgery, and 2.14%, 3.87% and 0.94% 6 mo after surgery. The differences between the preoperative and the postoperative RNFL and BMO-MRW values were statistically significant(P<0.001). Regarding MT values, there were not statistically significant differences(P=0.26).CONCLUSION: Our study suggests that FLALS does not have a negative impact on the structural status of the optic nerve head in healthy eyes, assessed by SD-OCT. There is a slight increase in the values of RNFL, BMO-MRW and MT 1 mo and 6 mo after surgery.

A multi-photon(7×7)-focus 3D laser printer based on a 3D-printed diffractive optical element and a 3D-printed multi-lens array

One of the challenges in the field of multi-photon 3D laser printing lies in further increasing the print speed in terms of voxels/s.Here,we present a setup based on a 7×7 focus array(rather than 3×3 in our previous work)and using a focus velocity of about 1 m/s(rather than 0.5 m/s in our previous work)at the diffraction limit(40×/NA1.4 microscope objective lens).Combined,this advance leads to a ten times increased print speed of about 108 voxels/s.We demonstrate polymer printing of a chiral metamaterial containing more than 1.7×10^(12) voxels as well as millions of printed microparticles for potential pharmaceutical applications.The critical high-quality micro-optical components of the setup,namely a diffractive optical element generating the 7×7 beamlets and a 7×7 lens array,are manufactured by using a commercial two-photon grayscale 3D laser printer.

Wave Optics and Image Formation in Gravitational Lensing

We investigate image formations in gravitational lensing systems using wave optics. Applying the Fresnel-Kirchhoff diffraction formula to waves scattered by a gravitational potential of a lens object, we demonstrate how images of source objects are obtained directly from wave functions without using a lens equation for gravitational lensing. As an example of image formation in gravitational lensing, images of a point source by a point mass gravitational lens are presented. These images reduce to those obtained by a ray tracing method in the geometric optics limit.

Supracapsular implantation with optic capture of posterior chamber intraocular lens in Chinese children with aphakic after traumatic cataract

Background:To assess the safety and efficacy of supracapsular implantation with optic capture of the posterior chamber intraocular lens in Chinese children with aphakic after traumatic cataract.Methods:It was a retrospective case series study.Fifteen cases(15 eyes)Chinese children received supracapsular implantation with optic capture of the posterior chamber intraocular lens.Pre-and post-operative visual acuities were recorded.Intra-and post-operative complications were observed.The follow-up period ranged from 7 to 43(28.7±7.2)months.Results:Implantation of optic capture of the posterior chamber intraocular lens was successfully performed in 15 eyes.The best corrected visual acuity(BCVA)ranged from 0.3 to 1.0(0.61±0.19).No optic axis opaque was found in 15 eyes with optic capture.The major complications of optic capture were iris posterior synechia and intraocular lens(IOL)precipitates.Intraocular dislocation was found in one case three weeks after the operation.Conclusions:Supracapsular implantation with optic capture of the posterior chamber intraocular lens is safe and effective for the treatment of traumatic cataract in Chinese children.

浸润式A型超声法与Lenstar光学生物测量仪在不同类型白内障眼测量的晶状体厚度值的差异及其临床意义

背景白内障是全球致盲眼病的主要原因，手术是目前治疗白内障的主要手段，因此术前参数的精准测量对提高术后视觉质量有重要意义。目的比较浸润式A型超声与Lenstar光学生物测量仪对不同类型白内障晶状体厚度（LT）进行测量时结果的差异，分析两种检测方法的一致性，探讨超声测量在对不同类型和不同核硬度的白内障患者进行LT测量时是否需要改变声速参数。方法采用诊断试验可靠性评价方法，分别应用浸润式A型超声和Lenstar光学生物测量仪（Lenstar测量仪）于2013年9月至2014年5月在天津市眼科医院对130例143眼单纯白内障患者进行LT测量，按照白内障类型不同分为核性白内障组50例60眼、后囊下性白内障组40例40眼和皮质性白内障组43例43眼；核性白内障组患眼根据Emery核硬度分级标准亚分为Ⅱ级核白内障14例20眼、Ⅲ级核白内障17例20眼和Ⅳ级核白内障19例20眼，采用配对t检验法对2种方法测量的LT值的差异进行比较；采用Bland—Altman图对2种测量方法的测量值进行一致性分析。结果浸润式A型超声法对核性白内障眼测量的LT值为（4．85±0．39）mm，明显高于Lenstar测量仪的测量值（4．74±0．37）mm，差异有统计学意义（t=3．020，P=0．004），2种测量方法间对后囊下性白内障眼和皮质性白内障眼测量的LT值差异均无统计学意义（t=1．015，P=0．316；t=1．275，P=0．209）。浸润式A型超声法对Ⅱ、Ⅲ、Ⅳ级核白内障患者测量的LT值均明显高于Lenstar测量仪的测量值，差异均有统计学意义（t=2．175、2．378、2．383，均P〈0．05）。浸润式A型超声法与Lenstar测量仪在后囊下性白内障眼测得的LT值一致性较好，95％一致性界限（LoA）为-0．21-0．18mm，而在核性白内障眼和皮质性白内障眼中2种测量方法测得的LT值一致性较差，95％LoA分别为-0．64-0．43mm和-0．50-0．41mm。浸润式A型超声与Lenstar测量仪在Ⅱ、Ⅲ、Ⅳ级核白内障眼测得的LT值一致性均较差，95％一致性界限分别为-0．31-0．22mm、-0．32-0．24mm和-1．09-0．62mm。结论浸润式A型超声法与Lenstar测量仪在测量不同类型白内障的LT值时存在一定差异，浸润式A型超声法测量值较高，提示浸润式A型超声法测量不同类型白内障LT时不能简单地使用统一的平均声速参数，采用浸润式A型超声对具有不同核硬度的核性白内障患者进行LT测量时也应当考虑改变声速参数。