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
10期
728-730
,共3页
虹膜识别%眼球旋转%散光%角膜磨镶术,激光原位
虹膜識彆%眼毬鏇轉%散光%角膜磨鑲術,激光原位
홍막식별%안구선전%산광%각막마양술,격광원위
Iris recognition%Eye cyclotorsion%Astigmatism%Keratomileusis,laser in situ
目的 评价实时虹膜识别技术在准分子激光原位角膜磨镶术(LASIK)矫正中高度近视性散光中的价值.方法 采用随机对照研究,接受实时虹膜识别引导LASIK手术的近视性散光49例(90眼)作为试验组,接受常规LASIK手术的近视性散光49例(91眼)作为对照组.对两组术后1个月、3个月、6个月的裸眼视力、最佳矫正视力、散光度、散光轴向等进行比较.结果 静态虹膜识别检测出眼球旋转偏移角度为2.83°±2.65°,动态虹膜识别检测眼球旋转变化范围为0°～6°.术后6个月时,试验组裸眼视力≥术前最佳矫正视力86眼(95.6％)多于对照组75眼(82.4％)(P＜0.01);试验组的平均散光(-0.29 ±0.23)D低于对照组(-0.45 ±0.31)D(P ＜0.05).术后6个月,试验组无散光眼40眼(44.4％)多于对照组26眼(28.6％)(P＜0.05);对照组斜轴散光明显增加.结论 实时虹膜识别技术能够有效校正LASIK术前和术中的眼球旋转偏差,使散光度数和轴向的治疗更加精确.
目的 評價實時虹膜識彆技術在準分子激光原位角膜磨鑲術(LASIK)矯正中高度近視性散光中的價值.方法 採用隨機對照研究,接受實時虹膜識彆引導LASIK手術的近視性散光49例(90眼)作為試驗組,接受常規LASIK手術的近視性散光49例(91眼)作為對照組.對兩組術後1箇月、3箇月、6箇月的裸眼視力、最佳矯正視力、散光度、散光軸嚮等進行比較.結果 靜態虹膜識彆檢測齣眼毬鏇轉偏移角度為2.83°±2.65°,動態虹膜識彆檢測眼毬鏇轉變化範圍為0°～6°.術後6箇月時,試驗組裸眼視力≥術前最佳矯正視力86眼(95.6％)多于對照組75眼(82.4％)(P＜0.01);試驗組的平均散光(-0.29 ±0.23)D低于對照組(-0.45 ±0.31)D(P ＜0.05).術後6箇月,試驗組無散光眼40眼(44.4％)多于對照組26眼(28.6％)(P＜0.05);對照組斜軸散光明顯增加.結論 實時虹膜識彆技術能夠有效校正LASIK術前和術中的眼毬鏇轉偏差,使散光度數和軸嚮的治療更加精確.
목적 평개실시홍막식별기술재준분자격광원위각막마양술(LASIK)교정중고도근시성산광중적개치.방법 채용수궤대조연구,접수실시홍막식별인도LASIK수술적근시성산광49례(90안)작위시험조,접수상규LASIK수술적근시성산광49례(91안)작위대조조.대량조술후1개월、3개월、6개월적라안시력、최가교정시력、산광도、산광축향등진행비교.결과 정태홍막식별검측출안구선전편이각도위2.83°±2.65°,동태홍막식별검측안구선전변화범위위0°～6°.술후6개월시,시험조라안시력≥술전최가교정시력86안(95.6％)다우대조조75안(82.4％)(P＜0.01);시험조적평균산광(-0.29 ±0.23)D저우대조조(-0.45 ±0.31)D(P ＜0.05).술후6개월,시험조무산광안40안(44.4％)다우대조조26안(28.6％)(P＜0.05);대조조사축산광명현증가.결론 실시홍막식별기술능구유효교정LASIK술전화술중적안구선전편차,사산광도수화축향적치료경가정학.
Objective To evaluate the application value of real time iris recognition in laser in situ keratomileusis (LASIK) for correction of moderate or high myopic astigmatism.Methods In this randomized controlled study,98 patients (181 eyes) with moderate or high myopic astigmatism were divided into two groups:the experimental group (49 cases,90 eyes) accepted real time iris recognize-guided LASIK,and the control group (49 cases,91 eyes) accepted conventional LASIK.The visual acuity,the best-corrected visual acuity,the degree and axis of astigmatism were compared between two groups at postoperative 1 month,3 months and 6 months.Results In the experimental group,static iris recognition detected that eye cyclotorsional misalignment was 2.83° ± 2.65°,dynamic iris recognition detected that the intraoperative cyclotorsional misalignment range was 0 ～ 6°.Six months after the operation,the naked vision of 86 eyes (95.6％) in the experimental group and 75 eyes (82.4％) in the control group surpassed the preoperative best-corrected visual acuity of each group (P ＜ 0.01 ).The degree of astigmatism in the experimental group (-0.29 ±0.23D) was significantly lower than that in the control group (-0.45 ±0.31D) (P ＜0.05).40 eyes (44.4％) in the experimental group and 26 eyes (28.6％) in the control group became non-astigmatism at 6 months after the operation.In the control group,oblique astigmatism increased significantly than that in the experimental group.Conclusion The real time iris recognition can compensate deviation from eye cyclotorsion,and it is a precise treatment for correction the degree and axis of astigmatism in LASIK.
