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应用虹膜识别技术测量准分子激光角膜原位磨镶术中瞳孔中心移位和眼球旋转 被引量:4

Measurement of pupil displacement and ocular cyclotorsion using iris registration in LASIK
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摘要 目的探讨准分子激光角膜原位磨镶术(LASIK)中应用虹膜识别技术测量因瞳孔直径变化和体位改变引起的瞳孔中心移位和眼球旋转。方法术前通过Zywave波阵面像差仪和术中Technolas217z准分子激光机中虹膜识别软件测量81眼的瞳孔中心移位距离和眼球旋转角度。结果瞳孔直径由4.5—5.5mm散大至6.0—7.5mm,瞳孔中心水平方向(X轴)移位(55.81±56.25)μm、范围为0~244μm,垂直方向(Y轴)移位(74.01±53.75)μm,范围为5—246μm,矢量方向移位(99.65±67.32)μm,范围为12—260μm,眼球旋转1.15°±0.98°、范围为0—4.34°。体位改变引起的瞳孔中心水平方向(X轴)移位(59.23±51.38)μm、范围为0~244μm,垂直方向(Y轴)移位(73.12±56.08)μm、范围为1—250μm,矢量方向移位(100.04±64.68)μm、范围为13—265μm,眼球旋转3.81°±2.75°、范围为0—9.9。,其中27只眼(33.33%)的眼球旋转超过5°。右眼和左眼因瞳孔直径和体位改变引起的瞳孔中心移位和眼球旋转角度之间差异均无统计学差异。结论瞳孔直径变化和体位改变均可以导致瞳孔中心移位和眼球旋转,应用虹膜识别技术可以准确测量和校正移位距离和旋转度数。 Objective To analyze the pupil centroid shift and ocular cyclotorsion caused by pupil diameter changing and body position changing in LASIK. Methods Zywave wavefront aberrometer was performed preoperatively and the iris recognition software of the Technolas 217z excimer laser was performed in- traoperatively on 81 eyes to measure the distance of the pupil centrid shift and the degrees of ocular cy clotorsion caused by the change of pupil diameter and body position. Results The pupil diameter changed from 4.5 -5.5mm to 6.0-7.5mm. In the horizontal direction(X axis) the distance of pupil centroid shift was (55.81 ~56.25) I^m, the range was (0 -244) Ixm. In the vertical direction (Y axis)the distance was (74.01±53.75)μm, the range was (5 -246) μm. In the direction of vector the distance was(99.65 ± 67.32)μm , the range was( 12 -260)μm. The degrees of ocular cyclotorsion was 1.15°±0.98μm, the range was 0°±4.34°. In the horizontal direction( X axis), the distance of pupil centroid shift caused by body position changing was(59.23 ±51.38) μm. The range was(0-244) μm. In the vertical direction ( axis) the distance was (73.12 ±56.08 )±m. The range was (1 ± 250) μm. In the direction of vector the dis- tance was ( 100.04 ± 64.68 ) μm. The range was ( 13± 265 ) μm. The degree of ocular cyclotorsion was 3.81 °± 2.75°, the range was 0 ° ±9.9 °. The degree of cycloduction of 27eyes (33.33 % ) was over 5°. There was no statistically significant difference between the distance of the pupil centroid shift and the degrees of ocular cyclotorsion in both the right eyes and the left eyes caused by pupil diameter changing and body posi- tion changing. Conclusions Pupil diameter changing and body position changing can cause the pupil cen- troid shift and ocular cyclotorsion preoperatively and intraoperatively. The technology of iris recognition can be used to measure and regulate the displacement distance and the ocular cyclotorsion degrees exactly.
出处 《中华眼外伤职业眼病杂志》 2012年第6期427-430,共4页 Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词 角膜磨镶术 激光原位 虹膜识别 瞳孔移位 眼球旋转 Keratomileusis , laser in situ Iris registration Pupil displacement Ocular cyclotorsion
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参考文献15

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同被引文献36

  • 1韩晓彦,马自勤,程凌云,成霄黎.准分子激光原位角膜磨镶术中瞳孔中心移位及眼球旋转的研究[J].眼视光学杂志,2008,10(6):457-460. 被引量:3
  • 2顾国贞,吕雪漫,曲新,袁毅,王为,左宏,徐杰.1038眼LASIK术中应用虹膜定位技术校正眼球旋转及瞳孔中心移位的研究[J].中国实用眼科杂志,2007,25(9):964-967. 被引量:9
  • 3李海燕,孙同,谭勇.角膜屈光手术中眼球旋转和瞳孔中心移位的测量[J].眼科新进展,2007,27(11):836-838. 被引量:14
  • 4Prakash G, Agarwal A, Kumar DA, et al. Surface ablation with iris recognition and dynamic rotational eye tracking-based tissue saving treatment with the Technolas 217z excimer laser [ J]. J Re- fract Surg, 2011,27(3) :223-231.
  • 5Chang J. Cyclotorsion during laser in situ keratomileusis [ Jl. J Cataract Refract Surg ,2008,34(10) :1720-1726.
  • 6Park SH, Kim M, Joo CK. Measurement of pupil centroid shift pupil and cyelotorsional displacement using iris registration. Oph- thalmologica, 2009,223 ( 3 ) : 166-171.
  • 7Tomita M, Watabe M, Yukawa S, et al. Supplementary effect of static cyelotorsion compensation dynamic with cyclotorsion compen- sation on the refractive and visual outcomes of laser in situ kerato- mileusis for myopic astigmatism I J ] : J Cataract Refract Surg, 2013,39(5 ) :752-758.
  • 8Arba-Mosquera S, Arbelaez MC . Three-month clinical outcomes with static and dynamic cyclotorsion correction using the Schwind Amaris [ J ] . C 2011,30 (9):951-957.
  • 9NarvOez J, Brucks M, Zimmerman G, et al. Intraoperative cyclo- rotation and pupil centroid shift during LASIK and PRK[ J]. J Cat- aract Refract Surg, 2012,28 ( 5 ) :353-357.
  • 10Neuhann IM, Lege BA, Bauer M,et al. Static and dynamic rota- tional eye tracking during LASIK treatment of myopic astigmatism with the Zyoptix laser platform and Advanced Control Eye Tracker [J:. J Cataract Refract Surg ,2010,26(1 ) : 17-27.

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