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准分子激光原位角膜磨镶术治疗中低度近视的临床研究

Excimer laser in situ keratomileusis (LA-SIK) for low to moderate myopia

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【作者】 陈跃国朱秀安吕玉环张志红王欣齐虹

【Author】 Chan Yue-guo...Ophthalmol CHN. -1997, 6(1) .-7~9 (De-partment of Ophthalmology, Third Teaching Hospi-tal, Beijing Medical University, Beijing 100083)

【机构】 北京医科大学第三临床医学院眼科!100083

【摘要】 目的评估准分子激光原位角膜磨镶术(LASIK)治疗中低度近视的安全性、有效性、稳定性及预测性。方法采用SCMD气动式角膜切割刀及SCHWINDKERATOM-F型准分子激光系统,对中低度近视(等值球镜-2.00D~6.00D,平均-4.61±0.98D)41例74只眼行LASIK手术,术后随访观察6个月以上。结果术后自觉症状轻微,无角膜雾状混浊及眼压升高。术后第1天即可获良好的裸眼视力,屈光度在术后1个月基本趋于稳定。术后6个月裸眼视力≥1.0者达94.6%,屈光度在±1.00D以内的达89.2%.在±0.50D以内的达62.2%,所有术眼的矫正视力均≥1.0。结论LASIK对于治疗中低度近视有很好的疗效,无明显并发症,对于远期结果尚需进一步观察。

【Abstract】 To evaluate the safety, efficacy, stability, and predictability of excimer laser in situ keratomileusis for low to moderate myopia. We studied 74 eyes of 41 patients with low to moderate myopia of spherical equiyalent of - 2 .0OD to - 6 .00D (average - 4. 61 ±0.98D) who receiyed LASIK. All patients have been followed up for 6 months or longer. Most eyes got good vision on the first day after operation,with mild symptoms. Neither haze nor intraocular pressure rise was found during the study period- The refraction tended to be stable 1 month post-operative1y. Uncorrected vision acuity was 1. 0 or better in 70 eyes (94.6%); 66 eyes (89.2%) had a refraction within±1 .00D; 46 eyes (62.2% ) had a refraction within±0. 50D in six months after surgery. All eyes had the spectacle best corrected yision acuity of 1. 0 or better. We could concluded that LASIK is an effective and good method to correct low to moderate myopia, with minimal com-plications. Further study is needed to observe the long term surgery results of LASIK.

【关键词】 激光手术近视/外科手术
【Key words】 Laser surgeryMyopia/surg
  • 【分类号】R778.11
  • 【被引频次】16
  • 【下载频次】33
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