中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
7期
505-507
,共3页
角膜磨镶术,原位,激光,准分子%大龄%近视%效果
角膜磨鑲術,原位,激光,準分子%大齡%近視%效果
각막마양술,원위,격광,준분자%대령%근시%효과
Keratomileusis,in situ,laser,eximer%Older%Myopia%Effect
目的 探讨准分子激光原位角膜磨镶术(LASIK)矫正大龄近视的安全性和疗效.方法 对76例(150眼)接受LASIK手术的大龄(40-49岁)近视进行随访,评价手术的安全性和手术后1个月、3个月、6个月的疗效.结果 所有手术均顺利完成,149眼获得预期的裸眼视力.手术后1个月、3个月、6个月:干眼的发生率分别为46.1％(35例)、30.3％(23例)、22.4％(17例)；夜视觉干扰症状的发生率分别为26.0％(39眼)、17.33％(26眼)、12.0％(18眼)；近距离阅读困难或视疲劳的发生率分别为59.21％(45例)、46.05％(35例)、26.32％(20例).手术后6个月,有5例(6.58％)近距离阅读时需配戴老视镜.结论 对大龄近视患者,LASIK手术是一种安全有效的校治方法.干眼、夜视觉干扰、术后老视仍是有待解决的问题.
目的 探討準分子激光原位角膜磨鑲術(LASIK)矯正大齡近視的安全性和療效.方法 對76例(150眼)接受LASIK手術的大齡(40-49歲)近視進行隨訪,評價手術的安全性和手術後1箇月、3箇月、6箇月的療效.結果 所有手術均順利完成,149眼穫得預期的裸眼視力.手術後1箇月、3箇月、6箇月:榦眼的髮生率分彆為46.1％(35例)、30.3％(23例)、22.4％(17例)；夜視覺榦擾癥狀的髮生率分彆為26.0％(39眼)、17.33％(26眼)、12.0％(18眼)；近距離閱讀睏難或視疲勞的髮生率分彆為59.21％(45例)、46.05％(35例)、26.32％(20例).手術後6箇月,有5例(6.58％)近距離閱讀時需配戴老視鏡.結論 對大齡近視患者,LASIK手術是一種安全有效的校治方法.榦眼、夜視覺榦擾、術後老視仍是有待解決的問題.
목적 탐토준분자격광원위각막마양술(LASIK)교정대령근시적안전성화료효.방법 대76례(150안)접수LASIK수술적대령(40-49세)근시진행수방,평개수술적안전성화수술후1개월、3개월、6개월적료효.결과 소유수술균순리완성,149안획득예기적라안시력.수술후1개월、3개월、6개월:간안적발생솔분별위46.1％(35례)、30.3％(23례)、22.4％(17례)；야시각간우증상적발생솔분별위26.0％(39안)、17.33％(26안)、12.0％(18안)；근거리열독곤난혹시피로적발생솔분별위59.21％(45례)、46.05％(35례)、26.32％(20례).수술후6개월,유5례(6.58％)근거리열독시수배대로시경.결론 대대령근시환자,LASIK수술시일충안전유효적교치방법.간안、야시각간우、술후로시잉시유대해결적문제.
Objective To investigate the safety and effect of laser assisted in situ keratomileusis (LASIK)for older myopes.Methods 76 older myopic patients(150 eyes)received LASIK and were followed up,the surgical safety and the effect at 1 month,3 month and 6 month after operation were evaluated.Results All of the LASIK were done successfully,149 eyes got prospective uncorrected vision.At 1 month,3 month and 6 month after surgery,the rate of dry eye were 46.1％(35 cases),30.3 ％(23 cases),22.4％(17 cases)respectively ; the rate of night vision disturbance were 26.0％(39 eyes),17.33％(26eyes),12.0％(18 eyes);the rate of near reading disturbance or visual fatigue were 59.21％(45 cases)、46.05％(35 cases)、26.32％(20 cases).six months after LASIK,hypenopia appeared in 5 cases.Conclusion For older myopes,LASIK is a safety and effective surgery.Dry eye,night vision disturbance and postoperative hyperopia are still problems.
