山东大学耳鼻喉眼学报

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超高度近视行准分子激光上皮下角膜
磨镶术治疗远期疗效观察

王景新1,谷保民2,张立莉1,肖平1,刘建茹1,王丽英1
  

  1. (1. 保定市第一中心医院眼科准分子激光室, 河北 保定 071000;
    2. 聊城市光明眼科医院眼科, 山东 聊城252000)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-04-16 发布日期:2009-04-16

WANG Jingxin1, GU Baomin2, ZHANG Lili1, XIAO Ping1, LIU Jianru1, WANG Liying1
  

  1. (Department of Ophthalmology, 1. Baoding First Central Hospital, Baoding 071000, Hebei, China;
    2. Liaocheng Guangming Eye Hospital, Liaocheng 252000, Shandong, China)
  • Received:1900-01-01 Revised:1900-01-01 Online:2009-04-16 Published:2009-04-16

摘要: 目的探讨准分子激光上皮下角膜磨镶术(LASEK)治疗超高度近视(≥-10.00D)的远期效果。方法收集2003年12月~2006年1月在我院行LASEK的超高度近视患者83例151只眼,观察25~49个月,平均(35.34±6.45)月;术前裸眼视力0.01~0.1,平均0.053±0.025,最佳矫正视力0.5~1.2;平均0.998±0.145,术前屈光度-10.00~-14.50D,平均(-11.01±1.19)D。 结果术后25~49个月回访,裸眼视力0.2~1.5,平均1.01±0.26,≥1.0者120眼占79.47%,≥0.6者142眼占94.04%,haze 6眼,0.5级5眼,1级1眼。结论LASEK治疗超高度近视的远期疗效安全可靠,疗效稳定,并发症少,是治疗超高度近视较好的术式之一。

关键词: 准分子激光上皮下角膜磨镶术, 超高度近视, 远期疗效

Abstract: To evaluate the longterm effect of laser subepithelial keratomileusis(LASEK) for superhigh myopia(≥-10.00?D). MethodsEightythree cases (151 eyes)of superhigh myopia who had been treated with LASEK in our hospital from December 2003 to January 2006 were followed up from 25 to 49 months (mean 35.34±6.45 months). Before the operations, visual acuity, the best corrected visual acuity, and diopter was 0.010.1(mean 0.053±0.025), 0.51.2(mean 0.098±0.145), and -10.00~-14.50D(mean -11.01±1.19D), respectively. ResultsAfter the operations, visual acuity was 0.21.5 (mean 1.01±0.26), and was 1.0 or better in 120 eyes (79.47%), and 0.6 or better in 142 eyes (94.04%). In addition, 5 eyes had a 0.5level Haze and 1 eye had a 1level Haze. ConclusionLASEK is an effective and good method to correct superhigh myopia and is stable and safe with satisfactory visual acuity and less complication.

中图分类号: 

  • R828.7
[1] 刘文静. TransPRK与LASEK对薄角膜近视眼术后视力、屈光度及角膜生物力学性能的影响[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 70-74.
[2] 孙 欣,季文樾 . KTP激光治疗喉癌的远期疗效[J]. 山东大学耳鼻喉眼学报, 2007, 21(5): 393-395 .
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