中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
Chinese Journal of ocular trauma and occupational eye disease
2015年
8期
624-626
,共3页
屈光手术%前弹力层下角膜磨镶术,机械板层刀制瓣%效果
屈光手術%前彈力層下角膜磨鑲術,機械闆層刀製瓣%效果
굴광수술%전탄력층하각막마양술,궤계판층도제판%효과
Refractive surgery%Sub-Bowman's keratomileusis%Efficacy
目的 观察机械板层刀制作角膜瓣的前弹力层下角膜磨镶术矫正近视的安全性和有效性.方法 32例(64眼)均采用OUP-SBK刀制作角膜瓣,随访3个月,观察手术的并发症、记录术后视力和屈光度,对角膜瓣的厚度采用前段OCT进行测量,并对数据进行统计学分析.结果 使用OUP-SBK刀制作的角膜瓣中央平均厚度为(101.87 ±4.12) μm.1 mm、2 mm处上下方对应的点厚度差异无统计学意义(P＞0.05).术中4眼角膜瓣边缘出血,术后1眼周边部微皱折,术后视力均达到术前矫正视力,屈光度范围为-0.50 D-+1.00 D.结论 机械板层刀制作角膜瓣的前弹力层下角膜磨镶术矫正近视安全有效,手术效果稳定.
目的 觀察機械闆層刀製作角膜瓣的前彈力層下角膜磨鑲術矯正近視的安全性和有效性.方法 32例(64眼)均採用OUP-SBK刀製作角膜瓣,隨訪3箇月,觀察手術的併髮癥、記錄術後視力和屈光度,對角膜瓣的厚度採用前段OCT進行測量,併對數據進行統計學分析.結果 使用OUP-SBK刀製作的角膜瓣中央平均厚度為(101.87 ±4.12) μm.1 mm、2 mm處上下方對應的點厚度差異無統計學意義(P＞0.05).術中4眼角膜瓣邊緣齣血,術後1眼週邊部微皺摺,術後視力均達到術前矯正視力,屈光度範圍為-0.50 D-+1.00 D.結論 機械闆層刀製作角膜瓣的前彈力層下角膜磨鑲術矯正近視安全有效,手術效果穩定.
목적 관찰궤계판층도제작각막판적전탄력층하각막마양술교정근시적안전성화유효성.방법 32례(64안)균채용OUP-SBK도제작각막판,수방3개월,관찰수술적병발증、기록술후시력화굴광도,대각막판적후도채용전단OCT진행측량,병대수거진행통계학분석.결과 사용OUP-SBK도제작적각막판중앙평균후도위(101.87 ±4.12) μm.1 mm、2 mm처상하방대응적점후도차이무통계학의의(P＞0.05).술중4안각막판변연출혈,술후1안주변부미추절,술후시력균체도술전교정시력,굴광도범위위-0.50 D-+1.00 D.결론 궤계판층도제작각막판적전탄력층하각막마양술교정근시안전유효,수술효과은정.
Objective To observe the safety and efficacy of sub-Bowman's keratomileusis (SBK) using mechanical microkeratome for correcting myopia.Methods Flaps for the SBK treatments were created using Moria microkeratome in 64 eyes of 62 patients.The follow-up time was 3 months.The refractive and visual results,and complication were observed.The flap thickness was assessed with anterior segment optical coherence tomography and data was analysed with statistical method.Results The mean central corneal flap thickness was (101.87 ± 4.12) μm at 3 month after aurgery.There was no statistically significant difference between 1 mm and 2 mm contralateral point (P ＞ 0.05).There was no other complications except intraoperative corneal limbal bleeding in 4 eyes and corneal flap microfolds in 1 eye.Postoperatively,all eyes reached preoperative best corrected distance visual acuity.The mean spherical equivalent was (-0.12 ± 0.45) D(range from-0.50D to + 1.00D).Conclusion Sub-Bowman' s keratomileusis with mechanical microkeratome is safe,predictable,and stable.
