【摘要】 目的:探讨合并翼状胬肉的近视眼患者行LASIK的治疗方法、疗效、特殊性以及需要特别关注的问题。方法:1999-08/2007-03对21例39眼合并翼状胬肉的近视患者行LASIK治疗。对术前设计、术中情况以及手术疗效进行统计分析。结果:合并翼状胬肉的近视患者行LASIK治疗能够顺利完成。手术后翼状胬肉的生长无明显变化。手术后1d:视力≥1.0者34眼(87%),视力≥0.8者5眼(13%);手术后1a:视力≥1.0者36眼(92%),视力≥0.8者3眼(8%)。结论:合并翼状胬肉的近视患者行LASIK治疗疗效依然确切、安全可行。2a内LASIK手术对翼状胬肉的生长无明显影响。远期影响有待进一步观察,特别是翼状胬肉长入角膜瓣区域后,由于角膜表面应力的改变引起的屈光变化值得深入研究。更多还原

【Abstract】 AIM:To discuss therapeutic methods,curative effect,specificity and problems which need to be paied attention to in myopia patients with pterygium.·METHODS:Twenty-one myopia patients with pterygium(39 eyes) from August 1999 to March 2007 underwent laser assisted in situ keratomi leusis(LASIK) surgery. Preo-perative design,intraoperative condition and curative effect were performed statistical analysis. ·RESULTS:LASIK surgery was completed smoothly in myopia patients with pterygium. After surgery there were no obvious changes in pterygiums growth.1 day after surgery:Vision ≥1.0,34 eyes(87%) ;vision ≥0.8,5 eyes(13%) ;1 year after surgery:Vision ≥1.0,36 eyes(92%) ,vision ≥0.8,3 eyes(8%) .·CONCLUSION:Curative effect of LASIK for the treat-ment of myopia combined with pterygium is accurate,and it seems to be safe and feasible.There was no obvious influence of LASIK surgery on pterygium growth within 2 year.The long-term influences need to be observed furtherly,especially the change of refraction caused by the cornea surface stress change when the pterygium enters into the cornea flap region.更多还原