准分子激光原位角膜磨镶术治疗近视眼远期疗效分析
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Long-term clinical evaluation of laser in situ keratomileusis for myopia
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    摘要:

    目的:评价准分子激光原位角膜磨镶术(LASIK)治疗近视眼的远期疗效。

    方法:对接受LASIK治疗近视术后≥8a的患者术前及术后的裸眼视力、屈光度、角膜曲率、角膜厚度及并发症等情况进行回顾性分析。按术前屈光度数分3组:A组-1.00~ -6.00D者92眼,B组-6.25~-10.00D者68眼,C组≥-10.00D者27眼。

    结果:术后≥8a三组裸眼视力≥1.0者依次为73.9%,52.9%,22.2%,平均屈光度数分别为-0.21±0.06,-0.54±0.12,-2.33±0.36D。术后≥8a屈光度在±1.00D范围内占83.4%,±0.50D范围内占59.4%,A组与B,C组分别比较,差异有统计学意义(P<0.05)。术后≥8a屈光度与术后1a比较,屈光度回退≥1.00D占9.09%。

    结论:LASIK治疗近视手术安全有效、预测性好,远期疗效稳定; 特别是对于低中度近视眼患者可获得更为满意的治疗效果。

    Abstract:

    AIM:To evaluate the long-term effect of laser in situ keratomileusis(LASIK)in the treatment of myopia.

    METHODS:A retrospective analysis of the uncorrected visual acuity(UCVA), refractive diopters, corneal curvature, central corneal thickness and postoperative complications were performed for the people who has accepted the operation for at least 8 years. The patients were divided into three groups according to their degree of preoperative myopia: -1.00~-6.00D of 92 eyes were in group A; -6.25~-10.00D of 68 eyes in group B; ≥-10.00D of 27 eyes in group C.

    RESULTS: More than 8 years after the operation, the UCVA≥1.0 were 73.9%, 52.9% and 22.2% and the refractive diopters were -0.21±0.06D, -0.54±0.12D, -2.33±0.36D in each group. The residual refractive error within ±1.00D was 83.4% and within ±0.50D was 59.4%. There were significant differences between group A and group B/C(P<0.05). More than 8 years after LASIK compared with that one year after the operation, the refractive regression more than 1.00D accounted for 9.09%.

    CONCLUSION: LASIK for the treatment of myopia is safe, effective, predictable and stable. Especially for the low to moderate myopia patients who can obtain more satisfactory treatment effect.

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刘香琼,李婧,易村犍.准分子激光原位角膜磨镶术治疗近视眼远期疗效分析.国际眼科杂志, 2013,13(10):1986-1988.

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  • 收稿日期:2013-07-11
  • 最后修改日期:2013-09-12
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  • 在线发布日期: 2013-09-23
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