中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
7期
852-855
,共4页
屈光参差%飞秒激光%LASIK%双眼视觉
屈光參差%飛秒激光%LASIK%雙眼視覺
굴광삼차%비초격광%LASIK%쌍안시각
Anisometropia%Femtosecond laser%LASIK%Binocular vision
目的 观察单眼行飞秒激光制瓣LASIK手术矫正屈光参差的临床疗效.方法 选择2011年6月至2012年12月在沈阳爱尔眼视光医院就诊的双眼屈光参差(双眼等效球镜度≥-2.50 D)患者54例(54只眼),近视屈光度较高眼行Femto-LDV飞秒激光制作角膜瓣LASIK矫正屈光不正;对术前及术后6个月视力、屈光度及双眼视功能检测进行随访研究.结果 术中及术后未出现角膜瓣并发症.术前两眼屈光参差-3.00～-4.75 D,平均为(3.66±0.62)D;术后屈光参差0.13～0.88 D,平均为(0.57±0.30)D.术前戴框架眼镜下近立体视正常者7例,术后6个月增至20例,差异有统计学意义(x2=12.98,P =0.001);术前未戴框架眼镜三级视功能(同时视、融合功能、远立体视)正常者分别为46例次、15例次、2例次,术后6个月三级视功能正常分别为51例次、50例次、35例次,手术后获得融合功能和远立体视者较术前显著增加(x2=31.24,P＜0.001; x2=31.03,P＜0.001).结论 飞秒激光制瓣LASIK手术治疗近视性屈光参差,不但能提高患眼的视力,同时还增加双眼物像的融合,对恢复双眼单视功能具有重要意义.
目的 觀察單眼行飛秒激光製瓣LASIK手術矯正屈光參差的臨床療效.方法 選擇2011年6月至2012年12月在瀋暘愛爾眼視光醫院就診的雙眼屈光參差(雙眼等效毬鏡度≥-2.50 D)患者54例(54隻眼),近視屈光度較高眼行Femto-LDV飛秒激光製作角膜瓣LASIK矯正屈光不正;對術前及術後6箇月視力、屈光度及雙眼視功能檢測進行隨訪研究.結果 術中及術後未齣現角膜瓣併髮癥.術前兩眼屈光參差-3.00～-4.75 D,平均為(3.66±0.62)D;術後屈光參差0.13～0.88 D,平均為(0.57±0.30)D.術前戴框架眼鏡下近立體視正常者7例,術後6箇月增至20例,差異有統計學意義(x2=12.98,P =0.001);術前未戴框架眼鏡三級視功能(同時視、融閤功能、遠立體視)正常者分彆為46例次、15例次、2例次,術後6箇月三級視功能正常分彆為51例次、50例次、35例次,手術後穫得融閤功能和遠立體視者較術前顯著增加(x2=31.24,P＜0.001; x2=31.03,P＜0.001).結論 飛秒激光製瓣LASIK手術治療近視性屈光參差,不但能提高患眼的視力,同時還增加雙眼物像的融閤,對恢複雙眼單視功能具有重要意義.
목적 관찰단안행비초격광제판LASIK수술교정굴광삼차적림상료효.방법 선택2011년6월지2012년12월재침양애이안시광의원취진적쌍안굴광삼차(쌍안등효구경도≥-2.50 D)환자54례(54지안),근시굴광도교고안행Femto-LDV비초격광제작각막판LASIK교정굴광불정;대술전급술후6개월시력、굴광도급쌍안시공능검측진행수방연구.결과 술중급술후미출현각막판병발증.술전량안굴광삼차-3.00～-4.75 D,평균위(3.66±0.62)D;술후굴광삼차0.13～0.88 D,평균위(0.57±0.30)D.술전대광가안경하근입체시정상자7례,술후6개월증지20례,차이유통계학의의(x2=12.98,P =0.001);술전미대광가안경삼급시공능(동시시、융합공능、원입체시)정상자분별위46례차、15례차、2례차,술후6개월삼급시공능정상분별위51례차、50례차、35례차,수술후획득융합공능화원입체시자교술전현저증가(x2=31.24,P＜0.001; x2=31.03,P＜0.001).결론 비초격광제판LASIK수술치료근시성굴광삼차,불단능제고환안적시력,동시환증가쌍안물상적융합,대회복쌍안단시공능구유중요의의.
Objective To evaluate the clinical effect of monocular laser in situ keratomileusis flap made by femtosecond laser for myopic anisometropia.Methods Fifty-four patients with myopic anisometropia (binocular spherical equivalent of greater than 2.50D) had LASIK flap made by Femto-LDV femtosecond laser in all their myopic eyes for higher from June 2011 to December 2012 in Shenyang Aier Ophthalmic Hospital.Visual acuity,myopic spherical equivalent diopters and binocular visual function by synoptophore were analyzed preoperative and 6 months postoperative.Results The complications of corneal flap didn't appear in operation and postoperative.Before LASIK,binocular myopic anisometropia diopters refraction was-3.00～-4.75D,mean (3.66±0.62)D.After LASIK,binocular myopic anisometropia diopters refraction was 0.13～0.88D,mean (0.57±0.30)D.Before LASIK,7 cases of glasses-corrected patients obtained normal short distance stereopsis visions and 20 cases of LASIK-treated patients obtained normal short distance stereopsis visions (x2-12.98,P 0.001).Forty-six cases of patients and 51 cases of LASIK-treated patients obtained simultaneous binocular vision; 15 cases of patients and 50 cases of LASIK-treated patients obtained combine visions; 2 cases of patients and 35 cases of LASIK-treated patients obtained long distance stereopsis visions.There was great significance among combined,and long distance stereopsis visions (x2-31.24,P ＜0.001; x2 31.03,P ＜0.001).Conclusions For correction of monocular myopic anisometropia,LASIK not only improves the eyes with visual acuity,at the same time provides good visual results.It is very important to the recovery of the binocular visual function.
