CAJ | 학술논문

目的:探讨应用单眼视原理采用传导性角膜成形术(Conductive keratoplasty, CK)治疗老视的临床效果、安全性及可预测性.方法:选择31例(40眼)有明显老视症状的患者,术前屈光度球镜+0.50～+2.50D,散光≤+0.75D,采用CK进行治疗,术后预期目标屈光度主导眼矫正为0.00～-0.50D,非主导眼术后目标屈光度为-1.50～-2.50D,且近视力≥0.5(J3),术后随访1a以上.结果:术后1a双眼裸眼远视力≥0.8且近视力≥0.5(J3)或近视力≥0.33(J4)者分别为61.3%,74.2%;与术前相比均有显著性差异(P<0.01);术后1a等效球镜屈光度与预期目标差值在±0.50D、±1.00D以内者分别为45.0%,82.5%;术后1a术眼散光度在±1.00D以内者为87.5%;术后双眼各空间频率对比敏感度与术前相比较差异无统计学意义(P>0.05);术后1a无最佳矫正视力下降,无严重干眼症的发生;术后1a 90.3%的患者表示满意.结论:应用单眼视原理采用CK治疗老视取得了较好的临床疗效,但其远期疗效和稳定性有待进一步观察.
목적:탐토응용단안시원리채용전도성각막성형술(Conductive keratoplasty, CK)치료로시적림상효과、안전성급가예측성.방법:선택31례(40안)유명현로시증상적환자,술전굴광도구경+0.50～+2.50D,산광≤+0.75D,채용CK진행치료,술후예기목표굴광도주도안교정위0.00～-0.50D,비주도안술후목표굴광도위-1.50～-2.50D,차근시력≥0.5(J3),술후수방1a이상.결과:술후1a쌍안라안원시력≥0.8차근시력≥0.5(J3)혹근시력≥0.33(J4)자분별위61.3%,74.2%;여술전상비균유현저성차이(P<0.01);술후1a등효구경굴광도여예기목표차치재±0.50D、±1.00D이내자분별위45.0%,82.5%;술후1a술안산광도재±1.00D이내자위87.5%;술후쌍안각공간빈솔대비민감도여술전상비교차이무통계학의의(P>0.05);술후1a무최가교정시력하강,무엄중간안증적발생;술후1a 90.3%적환자표시만의.결론:응용단안시원리채용CK치료로시취득료교호적림상료효,단기원기료효화은정성유대진일보관찰.