CAJ | 학술논문

目的观察调节训练法治疗准分子激光原位角膜磨镶术(Laser in situ keratomileusis,LASIK)后患者视疲劳的临床效果.方法选择行LASIK术后3个月仍有视疲劳症状的患者28例,年龄34～45岁(平均38.32岁),进行调节灵敏度训练(即±1.0 D、±2.0 D反转透镜),每日2次,每次15 min.15 d为一疗程,一般为2个疗程.观察治疗前后视疲劳评分及调节灵敏度.结果 LASIK术后患者视疲劳评分治疗前为10.04±0.22,治疗后为4.00±0.15,治疗后较治疗前显著降低有统计学意义(P＜0.05).调节灵敏度治疗前为( 5.27±1.22) cpm,治疗后为(8.98±1.69) cpm,治疗后较治疗前明显提高,差异显著有统计学意义(P＜0.05).结论调节灵敏度是一种简单、有效的调节与双眼视觉训练方法,能改善LASIK术后患者视疲劳症状.
목적 관찰조절훈련법치료준분자격광원위각막마양술(Laser in situ keratomileusis,LASIK)후환자시피로적림상효과.방법 선택행LASIK술후3개월잉유시피로증상적환자28례,년령34～45세(평균38.32세),진행조절령민도훈련(즉±1.0 D、±2.0 D반전투경),매일2차,매차15 min.15 d위일료정,일반위2개료정.관찰치료전후시피로평분급조절령민도.결과 LASIK술후환자시피로평분치료전위10.04±0.22,치료후위4.00±0.15,치료후교치료전현저강저유통계학의의(P＜0.05).조절령민도치료전위( 5.27±1.22) cpm,치료후위(8.98±1.69) cpm,치료후교치료전명현제고,차이현저유통계학의의(P＜0.05).결론 조절령민도시일충간단、유효적조절여쌍안시각훈련방법,능개선LASIK술후환자시피로증상.
Objective To observe the clinical efficacy of accommodative training on asthenopia after Laser in situ keratomileusis (LASIK). Methods Twenty-eight patients with asthenopia 3months after LASIK (from 34 to 45 years old) were enrolled.Accommodative facility training was performed 2 times a day,every 15 minutes by ±1.0D or ±2.0D flip lenses.Fifteen days were a course and 2 courses were suggested.The asthenopia score and accommodative facility before and after treatment were measured. Results The asthenopia score of patients after LASIK were 10.04±0.22 before treatment and 4.00±0.15 after treatment.There was a significantly decreased (P ＜0.05).The accommodative facility training were 5.27±1.22cpm (cycles per minute) before treatment and 8.98±1.69cpm after treatment.There was a statistically significant different (P ＜0.05) and the accommodative facility training after treatment were improved. Contusions The accommodative facility training is a simple and effective training on accommodative and binocular dysfunctions,which alleviate asthenopic symptoms after LASIK.