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准分子激光原位与上皮瓣下角膜磨镶术对角膜中央知觉恢复的影响

Impact of laser in situ keratomileusis and laser-assisted subepithelial keratomileusis on the recovery of central corneal perceptivity

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【作者】 曾云肖红霞刘磊桂红李鸿翎代骄阳梁辉付邦翠郑小杏

【Author】 ZENG Yun,XIAO Hong-xia,LIU Lei,GUI Hong,LI Hong-ling,DAI Jiao-yang,LIANG Hui,FU Bang-cui,ZHENG Xiao-xing. Department of Ophthalmology,the Second Peoples’ Hospital,Jingmen 448000,China

【机构】 湖北省荆门市第二人民医院眼科华中科技大学同济医学院附属同济医院眼科

【摘要】 目的比较准分子激光原位角膜磨镶术(laser in situ keratomileusis,LASIK)与激光上皮瓣下角膜磨镶术(laser-assisted subepithelial keratomileusis,LASEK)治疗近视对角膜中央知觉的影响。方法观察2008年1月至2009年1月行LASIK与LASEK的患者共566例(1132眼),其中LASIK者1032眼,LASEK者100眼,分别于术前1周,术后1周,1、3、6、12个月检测角膜中央知觉。结果两种手术后角膜知觉均下降,LASIK组术后1周检查均无知觉,6~12个月角膜中央知觉恢复到术前水平;LASEK组术后1周20眼角膜知觉为50~100mm,3个月均恢复到术前水平。结论LASEK术后角膜知觉恢复较LASIK术后快。

【Abstract】 Objective To compare the impact of laser in situ keratomileusis(LASIK) and laser-assisted subepithelial keratomileusis(LASEK) for myopias on the recovery of central corneal perceptivity.Methods One thousand one hundred and thirty-two eyes from 566 patients with myopia were treated with LASIK(1 032 eyes) or LASEK(100 eyes) from January 2008 to January 2009.The central corneal perceptivity was measured before and 1 week,1 month,3 months,6 months and 12 months after the operation respectively.Results The central corneal perceptivity of both groups all decreased after the operation.It was not detected 1 week after LASIK and returned to the preoperative level during 6 to 12 months postoperation.In contrast,20 eyes regained percepticity by 50 to 100 mm 1 week after LASEK and it returned to the preoperative levels in all eyes 3 months later.Conclusions The restoration of corneal percptivity after LASEK was faster than LASIK.

  • 【文献出处】 中国眼耳鼻喉科杂志 ,Chinese Journal of Ophthalmology and Otorhinolaryngology , 编辑部邮箱 ,2009年05期
  • 【分类号】R779.63
  • 【被引频次】4
  • 【下载频次】25
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