CAJ | 학술논문

目的探讨大龄近视患者行准分子激光上皮下角膜磨镶术(LASEK)的手术设计特点,分析其术后疗效.方法年龄≥35岁的近视患者共58例(114眼),根据单眼视的原则,结合患者不同的视力要求,按需制订手术方案,行LASEK,术后3 d、1周、1个月、3个月、6个月复查并分析相关指标.结果术后3 d,71眼(62.28%)角膜修复较好;术后1个月,所有患者视力达到或超过术前矫正视力,术后6个月复查视力稳定;术后3个月,63眼(55.26%)泪膜破裂时间低于正常,至术后6个月,均恢复正常;术后满意度逐渐提高.结论 LASEK对年龄≥35岁的近视患者疗效显著,结合单眼视原则,按需制订手术方案,可达到较高的满意度.
목적 탐토대령근시환자행준분자격광상피하각막마양술(LASEK)적수술설계특점,분석기술후료효.방법 년령≥35세적근시환자공58례(114안),근거단안시적원칙,결합환자불동적시력요구,안수제정수술방안,행LASEK,술후3 d、1주、1개월、3개월、6개월복사병분석상관지표.결과 술후3 d,71안(62.28%)각막수복교호;술후1개월,소유환자시력체도혹초과술전교정시력,술후6개월복사시력은정;술후3개월,63안(55.26%)루막파렬시간저우정상,지술후6개월,균회복정상;술후만의도축점제고.결론 LASEK대년령≥35세적근시환자료효현저,결합단안시원칙,안수제정수술방안,가체도교고적만의도.
Objective To study the characteristic of operation design and analyze curative effect of laser sub-epithelial keratomileusis (LASEK) on low and midrange myopia in aged patients. Method Fiftyeight patients ( 114 eyes) no less than 35 years old were treated with LASEK by monoblepsis. The subjects were examined and analyzed at 3 days, 7 days, 1 month,3 months and 6 months after operation. Results Seventy-one corneas(62.28%) recovered well at 3 days after operation. At 1 month after operation, the acuity of vision of all patients achieved or exceeded corrected vision before operation,and lasted to 6 months after operation. The break up time of 63 eyes were lower than normal at 3 months after operation,but 6 months after operation all of them recovered to normal. The satisfaction of patients raised gradually. Conclusions LASEK is effective for no less than 35 years old myopic patients. Make operation plan refer to monoblepsis and patients' needs can receive more satisfaction.