Volume 20 Issue 6
Jun.  2022
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GUO Juan-juan, JIANG Sheng-qun, LIU Chao, HU Jun-yan, SUN Yi-xue. The value of color Doppler ultrasound in screening cataract patients[J]. Chinese Journal of General Practice, 2022, 20(6): 1012-1015. doi: 10.16766/j.cnki.issn.1674-4152.002512
Citation: GUO Juan-juan, JIANG Sheng-qun, LIU Chao, HU Jun-yan, SUN Yi-xue. The value of color Doppler ultrasound in screening cataract patients[J]. Chinese Journal of General Practice, 2022, 20(6): 1012-1015. doi: 10.16766/j.cnki.issn.1674-4152.002512

The value of color Doppler ultrasound in screening cataract patients

doi: 10.16766/j.cnki.issn.1674-4152.002512
Funds:

 KJ2019A0349

  • Received Date: 2021-11-12
    Available Online: 2022-09-21
  •   Objective  To retrospectively analyze the difference of color Doppler ultrasound (color ultrasound), A-mode ultrasound (A ultrasound) and intraocular lens biometric instrument (IOLMaster 700) in preoperative ocular axis measurement of cataract patients, and explore whether color ultrasound and A ultrasound can replace IOLMaster 700.  Methods  A total of 100 senile cataract patients (100 eyes) who received cataract surgery in the Department of Ophthalmology of the First Affiliated Hospital of Bengbu Medical College from May 2020 to May 2021 were selected.All the enrolled patients underwent preoperative IOLMaster 700, A ultrasound and color ultrasound, and the axial length of both eyes (AL) of the same patient was measured and repeated for 5 times to obtain the average value.The AL values measured by IOLMaster 700, A ultrasound and color ultrasound were observed and compared.  Results  The AL measured by IOLMaster 700 was 23.75(22.91, 24.36) mm, the AL measured by A-ultrasound was 23.75(22.93, 24.36) mm, and the AL measured by color ultrasound was 23.80(22.98, 24.40) mm.The intra-group correlation coefficient ICC of the three devices was 0.998.The intra-group correlation coefficient (95%CI) was 0.997-0.999, indicating high consistency among the three devices.The Pearson correlation analysis showed that IOLMaster 700 was positively correlated with the AL value of Aultrasound measurement (r=0.999, P < 0.001).There was a positive correlation between IOLMaster 700 and AL value measured by color ultrasound (r=0.992, P < 0.001).There was a positive correlation between the AL values measured by A ultrasound and color ultrasound (r=0.994, P < 0.001).Blandaltman scatter results showed that the AL data of pairwise comparison between the three devices were in good agreement within the 95% difference range.  Conclusion  There was no significant difference between color Doppler ultrasound, Amode ultrasound and IOLMaster 700 in ocular axis measurement.Color Doppler ultrasound has high application value in preoperative screening of cataract patients in primary hospitals, and can be routinely used in preoperative ocular axis measurement of cataract.

     

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