评估晶状体混浊的 pentacam、iTrace 和 LOCS III 参数之间的相关性。

Liu Li, Ying-Jie Li, Miao Liu, Yu Jin
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摘要

目的探讨iTrace视觉功能分析仪、Pentacam三维眼前节分析系统和晶状体混浊分类系统III(LOCS III)在评估老年性白内障(ARC)患者晶状体混浊中的诊断价值:选取2019年5月至2021年4月在匿名医院住院的129例ARC患者作为研究对象。通过 LOCS III 分级、iTrace 和前节分析评估晶状体混浊程度:Pentacam核分期(PNS)等级与核颜色(NC)密切相关(r = 0.537,P 0.05),与核乳白(NO)中度相关(r = 0.473,P 0.05)。3 毫米核区的综合密度(IntDen)与 NC(r = 0.548,p 0.05)和 NO(r = 0.539,p 0.05)密切相关。3 毫米区域的晶状体功能障碍指数(DLI)与 NC(r=-0.252,P 0.05)、NO(r=-0.239,P 0.05)和后囊下白内障(r=-0.271,P 0.05)呈负相关。PNS与3毫米区域的DLI呈弱负相关(r=-0.219,P 0.05),3毫米核心区域的IntDen与3毫米区域的DLI呈弱负相关(r=-0.291,P 0.05):综合使用 iTrace、前节分析和 LOCS III 可能有助于客观评估晶状体不同区域的不透明度。
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Correlations among parameters of pentacam, iTrace, and LOCS III in assessing lens opacity.

Objectives: To investigate the diagnostic value of iTrace visual function analyzer, Pentacam 3D anterior segment analysis system and Lens Opacities Classification System III (LOCS III) in assessing lens opacity in patients with age-related cataract (ARC).

Methods: A total of 129 patients with ARC admitted to Anonymized from May 2019 to April 2021 were selected as the research objects. The degree of lens opacity was evaluated by LOCS III classification, iTrace and anterior segment analysis.

Results: The Pentacam nucleus staging (PNS) grade was strongly correlated with nuclear color (NC) (r = 0.537, p < 0.05) and moderately correlated with nuclear opalescence (NO) (r = 0.473, p < 0.05). The integrated density (IntDen) in 3-mm nuclear region was strongly correlated with NC (r = 0.548, p < 0.05) and NO (r = 0.539, p < 0.05). The dysfunctional lens index (DLI) in 3-mm area was negatively correlated with NC (r=-0.252, p < 0.05), NO (r=-0.239, p < 0.05) and posterior subcapsular cataract (r=-0.271, p < 0.05). PNS was weakly negatively correlated with the DLI in 3-mm area (r=-0.219, p < 0.05), and IntDen in 3-mm core area was weakly negatively correlated with the DLI in 3-mm area (r=-0.291, p < 0.05).

Conclusion: A combination of iTrace, anterior segment analysis and LOCS III may be beneficial in objectively assessing the opacity of different regions of the lens.

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