J Korean Ophthalmol Soc > Volume 50(8); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(8):1226-1231.
DOI: https://doi.org/10.3341/jkos.2009.50.8.1226    Published online August 15, 2009.
Comparison of IOLMaster(R) and A-Scan Ultrasound: Change in Axial Length After Vitrectomy in Macular Disease.
Seung Won Lee, Young Gun Kim, Seung Jun Lee, Do Kyun Kim, Hyung Woo Kwak, Seung Young Yu
1Department of Ophthalmology, KyungHee University, School of Medicine, Seoul, Korea. syyu@khu.ac.kr
2Department of Ophthalmology, Kangwon National University, College of Medicine, Chuncheon, Korea.
3Department of Ophthalmology, Myugji Hospital, Goyang, Korea.
황반부 질환에 대한 유리체절제술 전후 레이저 간섭계와 초음파로 측정된 안축장 변화의 비교
이승원1 ㆍ김영균1 ㆍ이승준2 ㆍ김도균3 ㆍ곽형우1 ㆍ유승영1
Department of Ophthalmology, KyungHee University, School of Medicine1 , Seoul, Korea / Department of Ophthalmology, Kangwon National University, College of Medicine2 , Chuncheon, Korea / Department of Ophthalmology, Myugji Hospital3 , Goyang, Korea
Abstract
PURPOSE
To evaluate the differences between IOLMaster(R) and A-scans in changes in axial length after vitrectomy in patients with macular disease. METHODS: Using IOLMaster(R) and A-scans, we measured preoperative and postoperative axial length in 12 eyes with epiretinal membranes (ERM) and in 8 eyes with macular holes (MH). The relationship between the absolute error in axial length after vitrectomy and both methods was assessed using Mann-Whitney U test. The correlation to central macular thickness was evaluated by Spearman's correlation coefficient. RESULTS: In eyes with ERM and MH, preoperative and postoperative axial lengths obtained with both methods had no significant difference (p>0.05). The absolute error in axial length after vitrectomy was not significant using IOLMaster(R) (ERM: 0.07+/-0.05 mm, MH: 0.04+/-0.02 mm, p>0.05) but was significant using A-scan (ERM: 0.20+/-0.11 mm, MH: 0.30+/-0.07 mm, p<0.05). The correlation between the change of axial length after vitrectomy and the central macular thickness was poor (IOLMaster(R): ERM; correlation coefficient = -0.182, p>0.05, MH; correlation coefficient = -0.054, p>0.05, A-scan: ERM; correlation coefficient = -0.210, p>0.05, MH; correlation coefficient = -0.156, p>0.05). CONCLUSIONS: The IOLMaster(R) is more useful than the A-scan when measuring axial length without refractive errors after vitrectomy in eyes with macular disease.
Key Words: A-scan;Axial length;Central macular thickness;IOLMaster(R);Vitrectomy


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