Accuracy of axial length measurements from immersion B-scan ultrasonography in highly myopic eyes

<b>AIM:</b>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.<b>METHODS:</b>Immersion B-scan, contact A-scan ultr...

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Main Authors: Qing-Hua Yang, Bing Chen, Guang-Hua Peng, Zhao-Hui Li, Yi-Fei Huang
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2014-06-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4067656/
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author Qing-Hua Yang
Bing Chen
Guang-Hua Peng
Zhao-Hui Li
Yi-Fei Huang
author_facet Qing-Hua Yang
Bing Chen
Guang-Hua Peng
Zhao-Hui Li
Yi-Fei Huang
author_sort Qing-Hua Yang
collection DOAJ
description <b>AIM:</b>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.<b>METHODS:</b>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 with 22 mm≤AL&lt;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.<b>RESULTS:</b>In group A, ALs measured by immersion B-scan (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, <i>P=</i>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, <i>P=</i>0.028).<b>CONCLUSION:</b>Immersion B-scan exhibits measurement 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.
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spelling doaj.art-7face8d0ccba4105a5010ed59c31634b2022-12-21T23:57:02ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982014-06-017344144410.3980/j.issn.2222-3959.2014.03.10Accuracy of axial length measurements from immersion B-scan ultrasonography in highly myopic eyesQing-Hua Yang0Bing Chen1Guang-Hua Peng2Zhao-Hui Li3Yi-Fei Huang4Department of Ophthalmology, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing 100853, ChinaDepartment of Ophthalmology, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing 100853, ChinaDepartment of Ophthalmology, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing 100853, ChinaDepartment of Ophthalmology, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing 100853, ChinaDepartment of Ophthalmology, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing 100853, China<b>AIM:</b>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.<b>METHODS:</b>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 with 22 mm≤AL&lt;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.<b>RESULTS:</b>In group A, ALs measured by immersion B-scan (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, <i>P=</i>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, <i>P=</i>0.028).<b>CONCLUSION:</b>Immersion B-scan exhibits measurement 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.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4067656/axial lengthmeasurementimmersionultrasonographyhigh myopiahigh myopia
spellingShingle Qing-Hua Yang
Bing Chen
Guang-Hua Peng
Zhao-Hui Li
Yi-Fei Huang
Accuracy of axial length measurements from immersion B-scan ultrasonography in highly myopic eyes
International Journal of Ophthalmology
axial length
measurement
immersion
ultrasonography
high myopia
high myopia
title Accuracy of axial length measurements from immersion B-scan ultrasonography in highly myopic eyes
title_full Accuracy of axial length measurements from immersion B-scan ultrasonography in highly myopic eyes
title_fullStr Accuracy of axial length measurements from immersion B-scan ultrasonography in highly myopic eyes
title_full_unstemmed Accuracy of axial length measurements from immersion B-scan ultrasonography in highly myopic eyes
title_short Accuracy of axial length measurements from immersion B-scan ultrasonography in highly myopic eyes
title_sort accuracy of axial length measurements from immersion b scan ultrasonography in highly myopic eyes
topic axial length
measurement
immersion
ultrasonography
high myopia
high myopia
url http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4067656/
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AT bingchen accuracyofaxiallengthmeasurementsfromimmersionbscanultrasonographyinhighlymyopiceyes
AT guanghuapeng accuracyofaxiallengthmeasurementsfromimmersionbscanultrasonographyinhighlymyopiceyes
AT zhaohuili accuracyofaxiallengthmeasurementsfromimmersionbscanultrasonographyinhighlymyopiceyes
AT yifeihuang accuracyofaxiallengthmeasurementsfromimmersionbscanultrasonographyinhighlymyopiceyes