国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
9期
1536-1538
,共3页
常规切削%非球面切削%波前引导切削%LASIK%治疗近视%术后视觉质量
常規切削%非毬麵切削%波前引導切削%LASIK%治療近視%術後視覺質量
상규절삭%비구면절삭%파전인도절삭%LASIK%치료근시%술후시각질량
conventional cutting%aspheric cutting%wavefront guided cutting%LASIK%myopia treatment%postoperative visual quality
目的：对比分析非球面切削、波前引导切削与常规切削LASIK治疗近视的术后视觉质量。<br> 方法：从本院2007-01/2009-12收治的行LASIK手术治疗的近视患者当中选取90例180眼为研究对象，按照切削方式的不同按自愿非随机选择原则分为3组：非球面切削组、波前引导切削组和常规切削组；每组均包括低度近视(屈光度≤-3.00D)、中度近视(-3.25~-6.00D)、高度近视(-6.25~-9.00 D )各10例20眼。对比分析术后3组患者的裸眼视力、角膜 Q 值、高阶像差( RMS值)等视觉质量参数以及患者视觉满意度。<br> 结果：不同激光切削方式术后的裸眼视力均达到1.0以上，组间差异均无显著性(P=0.26)；术后角膜Q值均有所增加，但非球面切削组明显小于常规切削组和波前引导切削组( P<0.05)；术后各组的高阶像差RMS值均较术前增加，非球面切削组和波前引导切削组明显小于常规切削组(P<0.05)，非球面切削组和波前引导切削组两组间差异无显著性意义；术后3组患者均感到满意，非球面切削组视觉非常满意度要高于另外两组，但差异不具有统计学意义(P=0.57)。<br> 结论：常规切削、非球面切削、波前引导切削LASIK治疗近视均能够取得较好的视觉质量，其中非球面切削的临床应用效果更好。
目的：對比分析非毬麵切削、波前引導切削與常規切削LASIK治療近視的術後視覺質量。<br> 方法：從本院2007-01/2009-12收治的行LASIK手術治療的近視患者噹中選取90例180眼為研究對象，按照切削方式的不同按自願非隨機選擇原則分為3組：非毬麵切削組、波前引導切削組和常規切削組；每組均包括低度近視(屈光度≤-3.00D)、中度近視(-3.25~-6.00D)、高度近視(-6.25~-9.00 D )各10例20眼。對比分析術後3組患者的裸眼視力、角膜 Q 值、高階像差( RMS值)等視覺質量參數以及患者視覺滿意度。<br> 結果：不同激光切削方式術後的裸眼視力均達到1.0以上，組間差異均無顯著性(P=0.26)；術後角膜Q值均有所增加，但非毬麵切削組明顯小于常規切削組和波前引導切削組( P<0.05)；術後各組的高階像差RMS值均較術前增加，非毬麵切削組和波前引導切削組明顯小于常規切削組(P<0.05)，非毬麵切削組和波前引導切削組兩組間差異無顯著性意義；術後3組患者均感到滿意，非毬麵切削組視覺非常滿意度要高于另外兩組，但差異不具有統計學意義(P=0.57)。<br> 結論：常規切削、非毬麵切削、波前引導切削LASIK治療近視均能夠取得較好的視覺質量，其中非毬麵切削的臨床應用效果更好。
목적：대비분석비구면절삭、파전인도절삭여상규절삭LASIK치료근시적술후시각질량。<br> 방법：종본원2007-01/2009-12수치적행LASIK수술치료적근시환자당중선취90례180안위연구대상，안조절삭방식적불동안자원비수궤선택원칙분위3조：비구면절삭조、파전인도절삭조화상규절삭조；매조균포괄저도근시(굴광도≤-3.00D)、중도근시(-3.25~-6.00D)、고도근시(-6.25~-9.00 D )각10례20안。대비분석술후3조환자적라안시력、각막 Q 치、고계상차( RMS치)등시각질량삼수이급환자시각만의도。<br> 결과：불동격광절삭방식술후적라안시력균체도1.0이상，조간차이균무현저성(P=0.26)；술후각막Q치균유소증가，단비구면절삭조명현소우상규절삭조화파전인도절삭조( P<0.05)；술후각조적고계상차RMS치균교술전증가，비구면절삭조화파전인도절삭조명현소우상규절삭조(P<0.05)，비구면절삭조화파전인도절삭조량조간차이무현저성의의；술후3조환자균감도만의，비구면절삭조시각비상만의도요고우령외량조，단차이불구유통계학의의(P=0.57)。<br> 결론：상규절삭、비구면절삭、파전인도절삭LASIK치료근시균능구취득교호적시각질량，기중비구면절삭적림상응용효과경호。
AIM: To analyze the differences of postoperative visual quality among LASIK guided by wavefront aberration, aspheric cutting and conventional cutting. <br> METHODS: From our hospital between January 2007 and December 2009, the independent line during LASIK surgery in 90 patients ( 180 eyes ) with myopia as the research subjects. According to the different way of cutting and the voluntary principle of nonrandom selection, the patients were divided into three groups:aspheric cutting group, wavefront guided cutting group and conventional cutting group. Each group included low myopia (diopter:≤-3. 00D), moderate myopia (diopter:-3.25~-6.00D), high myopia (diopter: -6.25~-9.00D) and 10 cases (20 eyes). Postoperative uncorrected visual acuity, corneal Q value, higher-order aberrations ( RMS value) and visual quality parameters, such as patients with visual satisfaction were compared and analyzed among three groups. <br> RESULTS: Postoperative uncorrected visual acuity was 1. 0 or more after surgery with three different laser cutting modes, without significant difference between groups ( P=0. 26). Postoperative corneal Q value increased, it was smaller in aspheric cutting group than other two groups, with a statistically significant difference (P<0. 05). The high-order aberration RMS values of three groups was increased compared with preoperative, it was significantly smaller in aspheric cutting group and wavefront guided cutting group than that in conventional cutting group ( P<0. 05 ). There was no significant difference between aspheric cutting group and wavefront guided cutting group (P>0. 05). All patients were satisfied after surgery, it was was obviously higher in aspheric cutting group than other two groups, with no statistical significance (P=0. 57)CONCLUSION:Conventional, aspheric and wavefront guided cutting in LASIK for the treatment of myopia are able to obtain a better visual quality and clinical application, while the effect of aspheric cutting is better.
