环视麻痹前后学龄儿童多光谱屈光地形图的重复性和一致性。

IF 2.9 4区 医学 Q3 ENGINEERING, BIOMEDICAL BioMedical Engineering OnLine Pub Date : 2024-11-04 DOI:10.1186/s12938-024-01300-5
Xiaoli Xu, Wansheng Zang, Anken Wang, Chenhao Yang
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引用次数: 0

摘要

研究背景本研究的目的是评估多光谱屈光地形图(MRT)在测量儿童环形屈光手术前后视网膜屈光度时的可重复性和一致性。这项研究的结果将为了解多光谱屈光地形图作为评估儿童患者视网膜屈光度的工具的准确性和可靠性提供有价值的见解:这项前瞻性研究招募了 7 至 18 岁的儿童。方法:这项前瞻性研究招募了 7 至 18 岁的儿童,在环形屈光手术前后使用多光谱屈光地形图(MRT)测量视网膜中央和周边屈光度三次。视网膜偏差值(RDV)用于描述视网膜的平均周边屈光不正。此外,还进行了客观屈光度(OR)和主观屈光度(SR)的测量:共有 60 名儿童接受了手术,平均年龄为(10.50 ± 1.81)岁。在进行屈光手术前,所有中心和周边视网膜屈光参数均显示出良好的重复性,其中偏心45°至53°视网膜偏差值(RDV 45-53)的类内相关系数(ICC)最低,为0.78。环形麻痹后,MRT 的重复性明显提高(RDV-I 的最低 ICC = 0.91)。中央屈光度和光学视网膜屈光度的 95% 一致性限值 (LoA) 在环形屈光手术前为 - 2.1 至 1.8 D,在环形屈光手术后为 - 1.69 至 0.27 D。中央屈光度和 SR 的 95% LoA 在环镜后为 - 1.57 到 0.36 D 之间。结论:结论:在测量中心屈光度方面,MRT 与自动屈光仪和经验丰富的验光师的一致性很高。此外,MRT 还能对学龄儿童在屈光环矫正前后的视网膜周边屈光度进行重复性良好的测量。
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Repeatability and agreement of multispectral refraction topography in school children before and after cycloplegia.

Background: The purpose of this study was to evaluate the repeatability and agreement of multispectral refraction topography (MRT) in measuring retinal refraction before and after cycloplegia in children. The results of this study will provide valuable insights into the accuracy and reliability of MRT as a tool for assessing retinal refraction in pediatric patients.

Methods: Children aged 7 to 18 years old were recruited for this prospective research. The central and peripheral retinal refraction was measured three times using multispectral refraction topography (MRT) before and after cycloplegia. The retinal deviation value (RDV) was used to describe the average peripheral refractive error of the retina. In addition, objective refraction (OR) and subjective refraction (SR) measurements were also performed.

Results: A total of 60 children with a mean age of 10.50 ± 1.81 years were enrolled. Before cycloplegia, all the central and peripheral retinal refraction parameters showed good repeatability with the lowest intraclass correlation coefficient (ICC) being 0.78 in the retinal deviation value from 45° eccentricity to 53° of the retina (RDV 45-53). After cycloplegia, the repeatability of MRT was significantly enhanced (lowest ICC = 0.91 in RDV-I). The 95% limits of agreement (LoA) of the central refraction and OR ranged from - 2.1 to 1.8 D before cycloplegia, and from - 1.69 to 0.27 D after cycloplegia. The 95% LoA of the central refraction and SR ranged from - 1.57 to 0.36 D after cycloplegia. All the 95% LoA demonstrated high agreement.

Conclusions: The MRT shows high agreement with autorefractometry and experienced optometrist in measuring central refraction. Additionally, the MRT provides good repeatable measurements of retinal peripheral refraction before and after cycloplegia in schoolchildren.

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来源期刊
BioMedical Engineering OnLine
BioMedical Engineering OnLine 工程技术-工程:生物医学
CiteScore
6.70
自引率
2.60%
发文量
79
审稿时长
1 months
期刊介绍: BioMedical Engineering OnLine is an open access, peer-reviewed journal that is dedicated to publishing research in all areas of biomedical engineering. BioMedical Engineering OnLine is aimed at readers and authors throughout the world, with an interest in using tools of the physical and data sciences and techniques in engineering to understand and solve problems in the biological and medical sciences. Topical areas include, but are not limited to: Bioinformatics- Bioinstrumentation- Biomechanics- Biomedical Devices & Instrumentation- Biomedical Signal Processing- Healthcare Information Systems- Human Dynamics- Neural Engineering- Rehabilitation Engineering- Biomaterials- Biomedical Imaging & Image Processing- BioMEMS and On-Chip Devices- Bio-Micro/Nano Technologies- Biomolecular Engineering- Biosensors- Cardiovascular Systems Engineering- Cellular Engineering- Clinical Engineering- Computational Biology- Drug Delivery Technologies- Modeling Methodologies- Nanomaterials and Nanotechnology in Biomedicine- Respiratory Systems Engineering- Robotics in Medicine- Systems and Synthetic Biology- Systems Biology- Telemedicine/Smartphone Applications in Medicine- Therapeutic Systems, Devices and Technologies- Tissue Engineering
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