中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
4期
391-393
,共3页
匡丽晖%金敏%王小园%高宗银%杨为中%黄雄飞%朱远军%张柳%周传清%任秋实
劻麗暉%金敏%王小園%高宗銀%楊為中%黃雄飛%硃遠軍%張柳%週傳清%任鞦實
광려휘%금민%왕소완%고종은%양위중%황웅비%주원군%장류%주전청%임추실
角膜磨镶术%激光%屈光性角膜切削术%像差%非球面%治疗
角膜磨鑲術%激光%屈光性角膜切削術%像差%非毬麵%治療
각막마양술%격광%굴광성각막절삭술%상차%비구면%치료
Laser in situ Keratomileusis%Surgery%Aberrations%Aspheric%Treatment outcome
目的 评价ORK-CAM引导的准分子激光非球面切削个体化手术优化设计方案的有效性和安全性.方法 选取2003年和2008年在广州市第一人民医院激光中心就诊的平均等效球镜度、角膜像差没有明显差异的近视患者300例分为两组,其中优化方案组150例(300只眼)接受ORK-CAM引导的非球面个性化切削手术,传统方案组150例(300只眼)接受传统LASIK手术.进行两组患者术前和术后6个月裸眼视力、残余等效球镜度、角膜像差和Q值的比较.结果 术后6个月,2组患者裸眼视力差异无统计学意义(P＞0.05).术后6个月,2组患者术后残余等效球镜度均减少,但两组间变化值比较差异无统计学意义(均P ＞0.05)；两组患者角膜总体阶像差均方根值(RMS)、三阶像差均方根值(RMS3)、四阶像差均方根值(RMS4)、球差、慧差和Q值均增加,但优化方案组的增幅小于传统方案组,均P ＜0.05.结论 ORK-CAM引导的准分子激光非球面切削个体化手术优化设计方案能提高手术的有效性和安全性,能改善术后的视觉质量.
目的 評價ORK-CAM引導的準分子激光非毬麵切削箇體化手術優化設計方案的有效性和安全性.方法 選取2003年和2008年在廣州市第一人民醫院激光中心就診的平均等效毬鏡度、角膜像差沒有明顯差異的近視患者300例分為兩組,其中優化方案組150例(300隻眼)接受ORK-CAM引導的非毬麵箇性化切削手術,傳統方案組150例(300隻眼)接受傳統LASIK手術.進行兩組患者術前和術後6箇月裸眼視力、殘餘等效毬鏡度、角膜像差和Q值的比較.結果 術後6箇月,2組患者裸眼視力差異無統計學意義(P＞0.05).術後6箇月,2組患者術後殘餘等效毬鏡度均減少,但兩組間變化值比較差異無統計學意義(均P ＞0.05)；兩組患者角膜總體階像差均方根值(RMS)、三階像差均方根值(RMS3)、四階像差均方根值(RMS4)、毬差、慧差和Q值均增加,但優化方案組的增幅小于傳統方案組,均P ＜0.05.結論 ORK-CAM引導的準分子激光非毬麵切削箇體化手術優化設計方案能提高手術的有效性和安全性,能改善術後的視覺質量.
목적 평개ORK-CAM인도적준분자격광비구면절삭개체화수술우화설계방안적유효성화안전성.방법 선취2003년화2008년재엄주시제일인민의원격광중심취진적평균등효구경도、각막상차몰유명현차이적근시환자300례분위량조,기중우화방안조150례(300지안)접수ORK-CAM인도적비구면개성화절삭수술,전통방안조150례(300지안)접수전통LASIK수술.진행량조환자술전화술후6개월라안시력、잔여등효구경도、각막상차화Q치적비교.결과 술후6개월,2조환자라안시력차이무통계학의의(P＞0.05).술후6개월,2조환자술후잔여등효구경도균감소,단량조간변화치비교차이무통계학의의(균P ＞0.05)；량조환자각막총체계상차균방근치(RMS)、삼계상차균방근치(RMS3)、사계상차균방근치(RMS4)、구차、혜차화Q치균증가,단우화방안조적증폭소우전통방안조,균P ＜0.05.결론 ORK-CAM인도적준분자격광비구면절삭개체화수술우화설계방안능제고수술적유효성화안전성,능개선술후적시각질량.
Objective To estimate the validity and security of the optimized project of ORK-CAM guided customized aspheric laser in situ keratomiteusis (LASIK) surgery. Methods Three hundred patients (600 eyes) registered to the Laser Center of The First Municipal People's Hospital of Guangzhou in 2003 and 2008,comparable in mean spherical equivalent and corneal aberration,were randomly assigned to two groups to receive the ORK-CAM guided aspheric customized excimer laser surgery (optimized project group,150 patients,300 eyes) or conventional LASIK surgery (conventional project group,150 patients,300 eyes).Naked eye vision,spherical equivalent,corneal aberration and Q value were measured and compared between the two groups before and 6 months after the surgery. Results Six months after surgery,there were no statistical differences in naked eye vision (P ＞0.05).Both two groups had lowered spherical equivalent but these parameters were not comparable between two groups ifi both absolute value and reduction from baseline (all P ＞0.05).While RMS,RMS3,RMS4,SphA,Coma and Q value increased in both groups.Optimized project group had less increase in these parameters than conventional project group. Conclusion Compared with the conventional spheric surgery,ORK-CAM guided aspheric customized excimer laser surgery can increase the validity and security and improve the visual quality.
