Analysis of corneal biological parameters measured by IOL Master 700 and Pentacam in patients with cataract of different ages / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

@#AIM:To compare the difference, correlation and consistency of corneal biological parameters measured by IOL Master 700 and Pentacam before cataract extraction and intraocular lens implantation in different age groups.<p>METHODS: Cross-sectional study. A total of 87 cataract patients(162 eyes)in Weifang Eye Hospital from February to September 2020 were collected, including 44 males(80 eyes)and 43 females(82 eyes)(age 61.2±9.87 years). The patients were divided into four groups group A \〖17 cases(32 eyes), 40-50 years old\〗, group B \〖25 cases(47 eyes), 51-60 years old\〗, group C \〖28 cases(53 eyes), 61-70 years old\〗, and group D \〖17 cases(30 eyes), 71-80 years old\〗. The preoperative corneal biological parameters of cataract patients were measured by IOL Master 700 and Pentacam, and the flat axis corneal curvature(K1), steep axis corneal curvature(K2), mean corneal curvature(Km), corneal astigmatism, anterior chamber depth(ACD)and central corneal thickness(CCT)were recorded. The difference and correlation of measurement results between two kinds of biometric instruments in different age groups were analyzed. <p>RESULTS: Except for the corneal astigmatism in group C and K1 and corneal astigmatism in group D, there were significant differences between the two instruments(<i>t</i>=2.746, -2.582, 2.637, all <i>P</i><0.05), but there was no significant difference in other parameters among the four groups. Pearson correlation analysis showed that there was a good correlation between the two instruments in measuring the parameters of the four groups of patients. The results of Bland-Altman analysis showed that there was a good consistency between IOL Master 700 and Pentacam in measuring K1, K2, Km, corneal astigmatism, ACD and CCT in the four groups.<p>CONCLUSION:There was no significant difference between IOL Master 700 and Pentacam in the measurement of corneal biological parameters in cataract patients aged 40-60 years, but there was significant difference in astigmatism between 61-70 years old, astigmatism and K1 value in 71-80 years old patients. Pearson correlation analysis showed that there was a good correlation between the two instruments. Generally speaking, the consistency of the two kinds of examination equipment is good, and the corneal astigmatism and corneal curvature should be selected by comprehensive analysis of the data.