Comparison of three different instruments for vault measurements after implantable collamer lens implantationOA
AIM:To evaluate the differences and consistency of vault measurements obtained by Scheimpflug tomography(Pentacam),anterior segment optical coherence tomography(AS-OCT,CASIA II),and ultrasound biomicroscopy(UBM)following implantable collamer lens(ICL)V4c implantation.METHODS:Vault measurements were acquired using three modalities:Pentacam,CASIA II AS-OCT,and UBM.Repeated-measures analysis of variance was used to compare the vault values obtained by the three devices.The correlation and consistency of measurements among the three instruments were assessed using the Pearson correlation coefficient,intraclass correlation coefficient(ICC),and Bland-Altman plots.RESULTS:This retrospective study enrolled 210 myopic eyes of 210 patients(158 women and 52 men)who underwent ICL implantation:108 eyes had a myopic ICL V4c implanted,and 102 eyes had a toric ICL V4c implanted.The mean vault values measured by Pentacam,CASIA II,and UBM were 452.64±204.20μm,538.57±203.54μm,and 560.95±227.54μm,respectively,with statistically significant differences among the three groups(P<0.05).Pearson correlation analysis showed strong positive correlations between vault values measured by different instruments(all P<0.001).ICC results indicated good consistency among the three measurement modalities(all P<0.001).Stratified analysis revealed that when the vault value was≤250μm,the correlation and consistency of measurements across the three instruments were lower than those in the medium and high vault subgroups.CONCLUSION:Vault values measured by Pentacam are lower than those obtained by CASIA II and UBM,with UBM yielding the highest mean vault values.Measurements from the three instruments are not interchangeable but can serve as mutual references due to their significant correlation and good overall consistency.Pentacam and CASIA II demonstrate the highest consistency in vault measurement.Notably,when the vault value is≤250μm,the consistency between Pentacam and the other two instruments decreases significantly.
Bo-Liang Li;Ming-Rui Cheng;Wei-Teng Chang;Ya-Di Lei;Guang-Han Xu;Ming-Wei Li;Zhi-Wei Mao;Xun Chen;Xiao-Ying Wang
Fudan University Eye Ear Nose and Throat Hospital,Shanghai 200031,China Department of Ophthalmology,Sichuan Provincial People’s Hospital,University of Electronic Science and Technology of China,Chengdu 610072,Sichuan Province,ChinaFudan University Eye Ear Nose and Throat Hospital,Shanghai 200031,China Key Laboratory of Myopia and Related Eye Diseases,NHC and Chinese Academy of Medical Sciences,Shanghai 200031,China Shanghai Research Center of Ophthalmology and Optometry,Shanghai 200031,China State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science,Fudan University,Shanghai 200031,ChinaFudan University Eye Ear Nose and Throat Hospital,Shanghai 200031,China Key Laboratory of Myopia and Related Eye Diseases,NHC and Chinese Academy of Medical Sciences,Shanghai 200031,China Shanghai Research Center of Ophthalmology and Optometry,Shanghai 200031,China State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science,Fudan University,Shanghai 200031,ChinaFudan University Eye Ear Nose and Throat Hospital,Shanghai 200031,China Key Laboratory of Myopia and Related Eye Diseases,NHC and Chinese Academy of Medical Sciences,Shanghai 200031,China Shanghai Research Center of Ophthalmology and Optometry,Shanghai 200031,China State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science,Fudan University,Shanghai 200031,ChinaFudan University Eye Ear Nose and Throat Hospital,Shanghai 200031,China Key Laboratory of Myopia and Related Eye Diseases,NHC and Chinese Academy of Medical Sciences,Shanghai 200031,China Shanghai Research Center of Ophthalmology and Optometry,Shanghai 200031,China State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science,Fudan University,Shanghai 200031,ChinaFudan University Eye Ear Nose and Throat Hospital,Shanghai 200031,China Key Laboratory of Myopia and Related Eye Diseases,NHC and Chinese Academy of Medical Sciences,Shanghai 200031,China Shanghai Research Center of Ophthalmology and Optometry,Shanghai 200031,China State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science,Fudan University,Shanghai 200031,ChinaFudan University Eye Ear Nose and Throat Hospital,Shanghai 200031,China Key Laboratory of Myopia and Related Eye Diseases,NHC and Chinese Academy of Medical Sciences,Shanghai 200031,China Shanghai Research Center of Ophthalmology and Optometry,Shanghai 200031,China State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science,Fudan University,Shanghai 200031,ChinaFudan University Eye Ear Nose and Throat Hospital,Shanghai 200031,China Key Laboratory of Myopia and Related Eye Diseases,NHC and Chinese Academy of Medical Sciences,Shanghai 200031,China Shanghai Research Center of Ophthalmology and Optometry,Shanghai 200031,China State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science,Fudan University,Shanghai 200031,ChinaFudan University Eye Ear Nose and Throat Hospital,Shanghai 200031,China Key Laboratory of Myopia and Related Eye Diseases,NHC and Chinese Academy of Medical Sciences,Shanghai 200031,China Shanghai Research Center of Ophthalmology and Optometry,Shanghai 200031,China State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science,Fudan University,Shanghai 200031,China
医药卫生
implantable collamer lensvault measurementscheimpflug tomographyanterior segment optical coherence tomographyultrasound biomicroscopymeasurement consistency
《International Journal of Ophthalmology(English edition)》 2026 (3)
P.475-482,8
Supported by the National Natural Science Foundation of China(No.82171095)the Project of Shanghai Science and Technology(No.23XD1400500)the Research Fund of Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital(No.24QNPY049).
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