中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
6期
690-693
,共4页
陈静%韩苏宁%朱海萍%邓红燕
陳靜%韓囌寧%硃海萍%鄧紅燕
진정%한소저%주해평%산홍연
高度近视%前弹力层下角膜磨镶术%Epi-LASIK
高度近視%前彈力層下角膜磨鑲術%Epi-LASIK
고도근시%전탄력층하각막마양술%Epi-LASIK
High myopia%Sub-Bowman keratomileusis%Epipolis laser in situ keratomileusis
目的 探讨准分子激光前弹力层下角膜磨镶术(sub-Bowman keratomileusis,SBK)和机械法准分子激光上皮瓣下角膜磨镶术(epipolis laser in situ keratomileusis,Epi-LASIK)矫治高度近视的疗效.方法 对91例(182只眼)高度近视患者进行SBK或Epi-LASIK手术.其中53例(106只眼)行SBK术,38例(76只眼)行Epi-LASIK术.记录两组患者术后视力、残余屈光度、角膜上皮下. 雾状混浊(haze)情况,对结果进行统计学分析.结果 术后早期Epi-LASIK组有轻度或中度不适感.两组患者术后6个月经角膜地形图检查均无角膜扩张出现.术后1周时SBK组视力＞0.8眼数比例(77.4％)明显大于Epi-LASIK组(46.1％),两组比较差异有统计学意义(P＜0.05),术后早期SBK组较Epi-LASIK组视力恢复快；术后l、3、6个月SBK组视力≥0.8眼数比例(92.5％、95.3％、94.3％)与Epi-LASIK组(85.5％、94.7％、90.8％)比较差异无统计学意义(均为P＞0.05).术后1、3、6个月残余屈光度等效球镜SBK组[(-0.24±0A2)D、(-0.38±0.51)D、(-0.40±0A6) D]与Epi-LASIK组[(-0.32±0.40)D、(-0.44±0.60)D、(-0.52±0.55)D]比较差异无统计学意义(均为P ＞0.05).两组均无明显屈光回退发生.SBK组术后未见haze产生.Epi-LASIK组术后3个月2只眼出现0.5级haze,术后6个月haze消失.结论 SBK和Epi-LASIK矫正高度近视均安全、有效.SBK在早期视力恢复方面优于Epi-LASIK.
目的 探討準分子激光前彈力層下角膜磨鑲術(sub-Bowman keratomileusis,SBK)和機械法準分子激光上皮瓣下角膜磨鑲術(epipolis laser in situ keratomileusis,Epi-LASIK)矯治高度近視的療效.方法 對91例(182隻眼)高度近視患者進行SBK或Epi-LASIK手術.其中53例(106隻眼)行SBK術,38例(76隻眼)行Epi-LASIK術.記錄兩組患者術後視力、殘餘屈光度、角膜上皮下. 霧狀混濁(haze)情況,對結果進行統計學分析.結果 術後早期Epi-LASIK組有輕度或中度不適感.兩組患者術後6箇月經角膜地形圖檢查均無角膜擴張齣現.術後1週時SBK組視力＞0.8眼數比例(77.4％)明顯大于Epi-LASIK組(46.1％),兩組比較差異有統計學意義(P＜0.05),術後早期SBK組較Epi-LASIK組視力恢複快；術後l、3、6箇月SBK組視力≥0.8眼數比例(92.5％、95.3％、94.3％)與Epi-LASIK組(85.5％、94.7％、90.8％)比較差異無統計學意義(均為P＞0.05).術後1、3、6箇月殘餘屈光度等效毬鏡SBK組[(-0.24±0A2)D、(-0.38±0.51)D、(-0.40±0A6) D]與Epi-LASIK組[(-0.32±0.40)D、(-0.44±0.60)D、(-0.52±0.55)D]比較差異無統計學意義(均為P ＞0.05).兩組均無明顯屈光迴退髮生.SBK組術後未見haze產生.Epi-LASIK組術後3箇月2隻眼齣現0.5級haze,術後6箇月haze消失.結論 SBK和Epi-LASIK矯正高度近視均安全、有效.SBK在早期視力恢複方麵優于Epi-LASIK.
목적 탐토준분자격광전탄력층하각막마양술(sub-Bowman keratomileusis,SBK)화궤계법준분자격광상피판하각막마양술(epipolis laser in situ keratomileusis,Epi-LASIK)교치고도근시적료효.방법 대91례(182지안)고도근시환자진행SBK혹Epi-LASIK수술.기중53례(106지안)행SBK술,38례(76지안)행Epi-LASIK술.기록량조환자술후시력、잔여굴광도、각막상피하. 무상혼탁(haze)정황,대결과진행통계학분석.결과 술후조기Epi-LASIK조유경도혹중도불괄감.량조환자술후6개월경각막지형도검사균무각막확장출현.술후1주시SBK조시력＞0.8안수비례(77.4％)명현대우Epi-LASIK조(46.1％),량조비교차이유통계학의의(P＜0.05),술후조기SBK조교Epi-LASIK조시력회복쾌；술후l、3、6개월SBK조시력≥0.8안수비례(92.5％、95.3％、94.3％)여Epi-LASIK조(85.5％、94.7％、90.8％)비교차이무통계학의의(균위P＞0.05).술후1、3、6개월잔여굴광도등효구경SBK조[(-0.24±0A2)D、(-0.38±0.51)D、(-0.40±0A6) D]여Epi-LASIK조[(-0.32±0.40)D、(-0.44±0.60)D、(-0.52±0.55)D]비교차이무통계학의의(균위P ＞0.05).량조균무명현굴광회퇴발생.SBK조술후미견haze산생.Epi-LASIK조술후3개월2지안출현0.5급haze,술후6개월haze소실.결론 SBK화Epi-LASIK교정고도근시균안전、유효.SBK재조기시력회복방면우우Epi-LASIK.
Objective To evaluate the efficacy of sub-Bowman keratomileusis (SBK) and epipolis laser in situ keratomileusis (Epi-LASIK) for correcting high myopia. Methods Ninety-one patients (182 eyes) underwent SBK or Epi-LASIK surgery for correcting high myopia,including 53 patients (106 eyes) for SBK and 38 patients (76 eyes) for Epi-LASIK.Visual acuity,remained diopter and corneal haze were examined after operation.The results were analyzed statistically. Results Patients had different degree of uncomfortable feeling early time after Epi-LASIK.Both groups showed no keratectasia by corneal topography examination 6 months after operation.One week postoperatively,the proportion of visual acuity ≥0.8 for SBK (77.4％) was more than that for Epi-LASIK (46.1％) (P ＜ 0.05).No significant differences were found in that of SBK (92.5％,95.3％,94.3％)and that of Epi-LASIK (85.5％,94.7％,90.8％) one-month,three-months and six-months postoperatively (P ＞ 0.05).The recovery of visual acuity after SBK was quicker than Epi-LASIK.There was no statistic meaning of remained diopter between SBK [(-0.24±0.42)D,(-0.38±0.51)D,(-0.40±0.46)D]and Epi-LASIK [(-0.32±0.40)D,(-0.44±0.60)D,(-0.52±0.55)D] 1 month,3 months and 6 months postoperatively (P ＞ 0.05).Both groups showed no refractive regression after operation.Haze was not found in SBK group.0.5 degree of haze was found in 2 eyes after Epi-LASIK 3 months postoperatively,and was disappeared 6 months postoperatively. Conclusions SBK and Epi-LASIK are both safe and effective for correcting high myopia.SBK is superior to Epi-LASIK in respect of visual acuity recovery at early time.
