정상과 부등시에서 펜타캠을 이용한 람다각의 측정
Measurement of Angle Lamda (λ) with Pentacam in Normal Controls and Anisometropia Patients
이상민, 유혜린,
소속 상세정보
이상민 ( Lee Sang-Min )
차의과학대학교 분당차병원 안과학교실
유혜린 ( Lew He-Len )
차의과학대학교 분당차병원 안과학교실
KMID : 1038920190180030086
Abstract
Purpose: To measure and compare angle lambda between normal controls and anisometropia patients.
Methods: We conducted a retrospective cross-sectional study including 134 normal controls and 34 anisometropia patients who visited our clinic with visual acuity test from April 2017 to January 2018. All patients underwent cycloplegic or manifest refraction. Classified as anisometropia group, when the difference in binocular spherical equivalent was greater than 2.0 diopter (D). The anterior segment of the eye and axial length were measured using Pentacam (Oculus, Wetzler, Germany) and IOL master 700 (Carl Zeiss Meditec AG, Oberkochen, Germany). The angle lambda was calculated by the law of cosine with the data from Pentacam.
Results: There was no significant difference in the mean age and sex ratio between control and anisometropic groups. The angle lambda of control and anisometropia group were 3.56 ± 1.69° and 2.87 ± 1.58° and the spherical equivalent were -0.19 ± 2.82 D and -2.30 ± 4.65 D. Correlations between the spherical equivalent and the angle lambda showed a positive correlation (correlation coefficient = 0.636, p < 0.01). There was no significant difference in axial length, anterior chamber depth and lens thickness between control and anisometropia group. Difference of angle lambda in anisometropia group was bigger than controls (p < 0.05).
Conclusions: There was positive correlation between angle lambda and spherical equivalent, which were in agreement with the results from previous studies. However, the angle lambda in this study was measured at monocular fixation and further studies will be need on angle lambda in binocular fixation.
키워드
Anisometropia; Angle lambda; Angle kappa; IOL master; Pentacam
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