中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
9期
1145-1147
,共3页
张暹梅%辛延峰%冯海元%阮芬儿%徐平儿
張暹梅%辛延峰%馮海元%阮芬兒%徐平兒
장섬매%신연봉%풍해원%원분인%서평인
近视%准分子激光原位角膜磨镶术%角膜%屈光度
近視%準分子激光原位角膜磨鑲術%角膜%屈光度
근시%준분자격광원위각막마양술%각막%굴광도
Myopia%LASIK%Cornea%Diopter
目的 探讨准分子激光原位角膜磨镶术(laser in situ keratomileusis,LASIK)治疗近视2年疗效.方法 对2007年3月至2009年4月在杭州师范大学附属医院眼科就诊的500例996只近视眼进行LASIK治疗,按术前预矫等效球镜屈光度分为3组,Ⅰ组:-1.50～-6.00 D,Ⅱ组:-6.10～-10.00 D,Ⅲ组:-10.10～-14.00 D,术后随访2年.结果 术后2年,Ⅰ组:裸眼视力≥0.5和≥1.0分别为100％和96.03％,术后屈光度±0.50 D、±1.00 D以内者分别占87.03％和94.98％,术后散光±1.00 D以内者占97.91％.Ⅱ组:裸眼视力≥0.5和≥1.0分别为100％和84.12％,术后屈光度±0.50 D、±1.00 D以内者分别占83.89％和91.00％,术后散光±1.00 D以内者占94.79％.Ⅲ组:裸眼视力≥0.5和≥1.0分别为89.58％和75.00％,术后屈光度±0.50 D、±1.00 D以内者分别占64.58％和76.04％,术后散光±1.00 D以内者占87.50％.结论 采用LASIK治疗近视具有良好安全性、有效性、可预测性和稳定性.
目的 探討準分子激光原位角膜磨鑲術(laser in situ keratomileusis,LASIK)治療近視2年療效.方法 對2007年3月至2009年4月在杭州師範大學附屬醫院眼科就診的500例996隻近視眼進行LASIK治療,按術前預矯等效毬鏡屈光度分為3組,Ⅰ組:-1.50～-6.00 D,Ⅱ組:-6.10～-10.00 D,Ⅲ組:-10.10～-14.00 D,術後隨訪2年.結果 術後2年,Ⅰ組:裸眼視力≥0.5和≥1.0分彆為100％和96.03％,術後屈光度±0.50 D、±1.00 D以內者分彆佔87.03％和94.98％,術後散光±1.00 D以內者佔97.91％.Ⅱ組:裸眼視力≥0.5和≥1.0分彆為100％和84.12％,術後屈光度±0.50 D、±1.00 D以內者分彆佔83.89％和91.00％,術後散光±1.00 D以內者佔94.79％.Ⅲ組:裸眼視力≥0.5和≥1.0分彆為89.58％和75.00％,術後屈光度±0.50 D、±1.00 D以內者分彆佔64.58％和76.04％,術後散光±1.00 D以內者佔87.50％.結論 採用LASIK治療近視具有良好安全性、有效性、可預測性和穩定性.
목적 탐토준분자격광원위각막마양술(laser in situ keratomileusis,LASIK)치료근시2년료효.방법 대2007년3월지2009년4월재항주사범대학부속의원안과취진적500례996지근시안진행LASIK치료,안술전예교등효구경굴광도분위3조,Ⅰ조:-1.50～-6.00 D,Ⅱ조:-6.10～-10.00 D,Ⅲ조:-10.10～-14.00 D,술후수방2년.결과 술후2년,Ⅰ조:라안시력≥0.5화≥1.0분별위100％화96.03％,술후굴광도±0.50 D、±1.00 D이내자분별점87.03％화94.98％,술후산광±1.00 D이내자점97.91％.Ⅱ조:라안시력≥0.5화≥1.0분별위100％화84.12％,술후굴광도±0.50 D、±1.00 D이내자분별점83.89％화91.00％,술후산광±1.00 D이내자점94.79％.Ⅲ조:라안시력≥0.5화≥1.0분별위89.58％화75.00％,술후굴광도±0.50 D、±1.00 D이내자분별점64.58％화76.04％,술후산광±1.00 D이내자점87.50％.결론 채용LASIK치료근시구유량호안전성、유효성、가예측성화은정성.
Objective To evaluate the effects of LASIK (laser in situ keratomileusis,LASIK)treating myopia.Methods LASIK operation was performed on 500 nearsighted patients (996 eyes) and divided these patients into 3 groups according to the predicted equivalent diopter before operation,group Ⅰ in the range of-1.50～-6.00D,group Ⅱ in the range of-6.10～-10.00D,group Ⅲ in the range of-10.10～-14.00D,then followed up these patients for 2 years after LASIK operation.Results Compared with corrected vision before operation,the best corrected vision after operation was not below 2 lines two years after LASIK operation.Group Ⅰ∶ The percentages of average naked vision ≥0.5 and ≥1.0 were 100％ and 96.03％ respectively,the percentages of myopia diopter in the range of ±0.50D and ±1.00 D were 87.03％ and 94.98％ respectively; the percentage of postoperative astigmatism in the range of ± 1.00 D was 96.03％.Group Ⅱ∶ The percentages of average naked vision ≥≥0.5 and ≥≥1.0 were 100％ and 84.12％ respectively; the percentages of myopia diopter in the range of±0.50D and ±1.00 D were 83.89％ and 91.0％ respectively; the percentage of postoperative astigmatism in the range of ±1.00 D was 94.79％.Group Ⅲ∶ The percentages of average naked vision ≥0.5 and ≥ 1.0 were 89.6％ and 75％ respectively; the percentages of myopia diopter in the range of ±0.50D and ±1.00 D were 64.58％ and 76.04％ respectively; the percentage of postoperative astigmatism in the range of ±1.00 D was 87.5％.There was no any patient had second LASIK operation.Conclusions Use LASIK to treat myopia can achieve a safe,effective,predicable and stable result.
