中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
11期
1406-1409
,共4页
吴艺%夏朝霞%冯志贞%陈向华
吳藝%夏朝霞%馮誌貞%陳嚮華
오예%하조하%풍지정%진향화
近视%LASIK%Verisyse虹膜固定人工晶状体%超声乳化
近視%LASIK%Verisyse虹膜固定人工晶狀體%超聲乳化
근시%LASIK%Verisyse홍막고정인공정상체%초성유화
Myopia%LASIK%Verisyse IOL%Phacoemulsification
目的 报道不同手术方式治疗近视的临床效果.方法 临床病例对照研究.对2004年10月至2009年9月在广东省第二人民医院眼科收治的1652例(3059只眼)近视患者,按近视程度分级为A、B、C、D四组,具体为中低度近视(＜-6.00)、高度近视(-6.00～-12.00 D)、超高度近视(＞-12.00 D)、合并有白内障的近视,分别对应行LASEK或Epi-LASIK、LASIK、Verisyse虹膜固定人工晶状体植入术及超声乳化白内障吸除联合人工晶状体植入术,观察术后视力、残余屈光度、散光及并发症等情况.结果 术后裸眼视力0.3～0.5为31只眼(1.0％),0.6～0.8为289只眼(9.4％),≥1.0为2739只眼(89.5％);术后视力达到或超过术前最佳矫正视力眼数为2948只眼(96.4％);残余屈光134只眼(4.4％);1年后术前术后散光度数比较差异无统计学意义(t =-1.060,P=0.28);16例屈光回退发生在LASIK术式,术后高眼压6例、晶状体位置异常及脱位3例见于C组;玻璃体溢出3例见于D组患者.结论 根据近视程度分级及合并症分类,选择最佳近视矫正术式是必要和可行的.
目的 報道不同手術方式治療近視的臨床效果.方法 臨床病例對照研究.對2004年10月至2009年9月在廣東省第二人民醫院眼科收治的1652例(3059隻眼)近視患者,按近視程度分級為A、B、C、D四組,具體為中低度近視(＜-6.00)、高度近視(-6.00～-12.00 D)、超高度近視(＞-12.00 D)、閤併有白內障的近視,分彆對應行LASEK或Epi-LASIK、LASIK、Verisyse虹膜固定人工晶狀體植入術及超聲乳化白內障吸除聯閤人工晶狀體植入術,觀察術後視力、殘餘屈光度、散光及併髮癥等情況.結果 術後裸眼視力0.3～0.5為31隻眼(1.0％),0.6～0.8為289隻眼(9.4％),≥1.0為2739隻眼(89.5％);術後視力達到或超過術前最佳矯正視力眼數為2948隻眼(96.4％);殘餘屈光134隻眼(4.4％);1年後術前術後散光度數比較差異無統計學意義(t =-1.060,P=0.28);16例屈光迴退髮生在LASIK術式,術後高眼壓6例、晶狀體位置異常及脫位3例見于C組;玻璃體溢齣3例見于D組患者.結論 根據近視程度分級及閤併癥分類,選擇最佳近視矯正術式是必要和可行的.
목적 보도불동수술방식치료근시적림상효과.방법 림상병례대조연구.대2004년10월지2009년9월재광동성제이인민의원안과수치적1652례(3059지안)근시환자,안근시정도분급위A、B、C、D사조,구체위중저도근시(＜-6.00)、고도근시(-6.00～-12.00 D)、초고도근시(＞-12.00 D)、합병유백내장적근시,분별대응행LASEK혹Epi-LASIK、LASIK、Verisyse홍막고정인공정상체식입술급초성유화백내장흡제연합인공정상체식입술,관찰술후시력、잔여굴광도、산광급병발증등정황.결과 술후라안시력0.3～0.5위31지안(1.0％),0.6～0.8위289지안(9.4％),≥1.0위2739지안(89.5％);술후시력체도혹초과술전최가교정시력안수위2948지안(96.4％);잔여굴광134지안(4.4％);1년후술전술후산광도수비교차이무통계학의의(t =-1.060,P=0.28);16례굴광회퇴발생재LASIK술식,술후고안압6례、정상체위치이상급탈위3례견우C조;파리체일출3례견우D조환자.결론 근거근시정도분급급합병증분류,선택최가근시교정술식시필요화가행적.
Objective To report different surgeries methods of its clinical effects in the treatment of high myopia.Methods The patients were divided into four groups according to their degree of myopia and related surgeries were done to each groups:low to moderate myopia (＜-6.00D)-LASEK,high myopia (-6.00D～-12.00D)-Epi-LASIK,super-high myopia (＞-12.00D)-verisyse IOL implantation and myopia with cataract-phacoemulsification of cataract extraction and IOL implantation.Post-operative visual acuity,remain refraction,astigmatism and complication were observed.Results Post-operative visual acuity 0.3～0.5 were in 31 eyes (1.0％),0.6～0.8 in 289 eyes (9.4％),≥1.0 in 2739 eyes (89.5％).Post-operative visual acuity equaled or better than best corrected pre-operative visual acuity was 2948 eyes (6.4％).Remained refraction was 134 eyes (4.4％).Comparision of pre-operative and post-operative refraction had no statistical significance (t =-1.060,P =0.28),10 refractive regression occurred in LASIK,6 post-operative intraocular hypertension and 3 dislocation of IOL occurred in group C,3 vitreous loss occurred in group D.Conclusions Selection of best corrective surgeries to myopia according to their degree and complication are essential and feasible.
