屈光参差性弱视患者LASIK术后矫正视力和立体视觉的变化
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Change of corrected vision and stereo vision in anisometropic patients after LASIK
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    摘要:

    目的:探讨屈光参差性弱视患者在准分子激光原位角膜磨镶术(laser-assisted in situ keratomileusis,LASIK)治疗弱视中矫正视力和立体视觉的变化。

    方法:回顾性分析屈光参差性弱视患者84例84眼临床资料,分析不同性别、年龄、屈光参差性弱视类型患者治疗前和治疗后3、6mo,1a矫正视力和立体视觉的变化,分析矫正视力与立体视觉的相关性。

    结果:患者84 例84眼经LASIK术治疗3、6mo,1a后矫正视力较治疗前提高,立体视锐度值较治疗前降低(P<0.05)。男性患者与女性患者治疗后3、6mo,1a矫正LogMAR视力和立体视锐度值差异无统计学意义(P>0.05)。年龄<30岁组治疗后3、6mo,1a矫正视力明显高于年龄≥30岁组(P<0.05)。远视性屈光参差性弱视患者治疗后3、6mo,1a立体视锐度值较近视性屈光参差性弱视患者显著下降(P<0.05),而两组患者治疗后矫正LogMAR视力比较无统计学差异(P>0.05)。屈光参差性弱视患者在LASIK术治疗过程中矫正视力的提高与立体视力下降值无显著相关性(P>0.05)。

    结论:LASIK术能有效改善屈光参差性弱视患者矫正视力及立体视觉,但患者治疗过程中矫正视力和立体视觉受年龄与弱视类型影响。

    Abstract:

    AIM: To investigate the change of corrected vision and stereo vision in anisometropic patients after laser in situ keratomileusis(LASIK).

    METHODS: The clinical data of 84 cases of anisometropic children(84 eyes)were retrospective analyzed. The changes of corrected visual acuity and stereopsis of different gender, age, type of amblyopia in children anisometropic before treatment, after treatment for 3, 6mo and 1a were analyzed. The stereoscopic vision correction correlation were analyzed.

    RESULTS: Corrected Log MAR visual acuity and stereopsis of 84 patients after LASIK surgery treatment for 3mo, and 1a later significantly decreased than before treatment(P<0.05). The corrected Log MAR visual acuity and stereopsis of male and female after treatment for 3, 6mo and 1a was not statistically significant(P>0.05). Corrected visual acuity of age <30 group for 3, 6mo and 1a was significantly lower than the age ≥30 group(P<0.05). After 3, 6mo and 1a stereo vision with hyperopic anisometropia amblyopia decreased more than that with myopic anisometropia amblyopia(P<0.05), but corrected Log MAR visual acuity after treatment was no statistically significant difference(P>0.05). Improved correctted vision of anisometropic patients after LASIK surgery had no connection with the decrease of stereo vision(P>0.05).

    CONCLUSION: LASIK surgery can improve visual acuity in patients with anisometropia amblyopia, but the course of treatment of visual acuity and stereopsis affected by age and type of amblyopia.

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刘长辉,魏栋栋,梁玲.屈光参差性弱视患者LASIK术后矫正视力和立体视觉的变化.国际眼科杂志, 2017,17(8):1519-1522.

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  • 收稿日期:2016-11-29
  • 最后修改日期:2017-06-27
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  • 在线发布日期: 2017-07-24
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