虹膜识别引导的个体化LASIK与传统LASIK治疗近视散光眼术后波前像差的对比研究

山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (01): 57-60.

虹膜识别引导的个体化LASIK与传统LASIK治疗近视散光眼术后波前像差的对比研究

季鹏，毕宏生，王兴荣，马晓华，李海燕，王宝晶，王桂敏，范华

山东中医药大学眼科中心；山东施尔明眼科医院，济南 250002

收稿日期:2009-10-16 修回日期:2009-12-03 出版日期:2010-02-16 发布日期:2010-02-16
通讯作者: 毕宏生(1960- ),男,主任医师,博士生导师,主要从事白内障和屈光手术的研究。
作者简介:季鹏（1976- ），男，主治医师，硕士研究生，主要从事角膜屈光手术、眼表疾病的研究。 Email：ji6605@126.com

Comparison of wave-front aberration changes in iris-recognition combined with wavefront-guided LASIK and Planoscan-LASIK

JI Peng, BI Hongsheng, WANG Xingrong, MA Xiaohua, LI Haiyan, WANG Baojing, WANG Guimin, FAN Hua

Eye Center of Shandong University of Traditional Chinese Medicine，Shandong Shierming Eye Hospital, Jinan 250002, China

Received:2009-10-16 Revised:2009-12-03 Online:2010-02-16 Published:2010-02-16

摘要/Abstract

摘要：

目的评价虹膜识别定位下波前像差引导的个体化LASIK治疗近视性散光眼术后波前像差的变化。方法采用随机对照研究，对接受LASIK治疗近视性散光眼的患者97人采用随机表分为两组，Zyoptix组49人（98眼）采用虹膜识别定位下波前像差引导的个体化LASIK治疗，Planoscan组48人（96眼）采用传统LASIK治疗，采集术前和术后6个月患者视力，屈光度和波前像差数据，比较两种手术对术后眼波前像差的影响。结果术前两组的球镜度、柱镜度、瞳孔直径6mm区的总体波前像差均方根值（RMS）、高阶像差RMS、三阶彗差三叶草像差和四阶球差RMS差异均无统计学意义(P＞0.05)。术后6个月各观察值与术前比较差异有统计学意义(P＜0.01)。术后6个月两组间比较柱镜度，瞳孔直径6mm的总体波前像差、总体高阶像差、三叶草像差和四阶球差的RM S，Zyoptix组均小于Planoscan组差异有统计学意义(P＜0.05)，两组球镜度、瞳孔直径6mm去四阶球差总体高阶像差和三阶彗差RMS值差异无统计学意义(P＞0.05)。结论虹膜识别定位下波前像差引导的个体化LASIK治疗近视性散光眼术后降低波前像差效果要优于传统LASIK手术。

关键词: 角膜磨镶术，激光原位; 虹膜; 波前像差

Abstract:

Objective To evaluate the change of wave-front aberration 6 months after iris-recognition combined with wave-front-guided LASIK and Planoscan-LASIK for myopic astigmatism. Methods In this prospective contrast study，97 patients （194 eyes） with myopic astigmatism were divided into two groups: the Zyoptix group (49 patients, 98eyes) accepted iris-recognition combined with wave-front-guided LASIK and the Planoscan group (48 patients, 96 eyes) accepted Planoscan-LASIK. By comparing the collected data of diopter and wave-front aberration of the two groups, the influence of the two kinds of operations on wave-front aberration were studied. Results The preoperative refraction and wave-front aberration of the Zyoptix group and the Planoscan group were not significantly different There were significant differences in refraction and wave-front aberration between the two groups 6 months after operation, but no significant differences were found in the 3rd coma aberration and spherical-degree. Conclusions Iris-recognition combined with wavefront-guided LASIK for myopic astigmatism is superior to PlanoscanLASIK,

Key words: Keratomileusis, laser in situ； Iris； Wavefront aberration

中图分类号:

R779.63

季鹏，毕宏生，王兴荣，马晓华，李海燕，王宝晶，王桂敏，范华. 虹膜识别引导的个体化LASIK与传统LASIK治疗近视散光眼术后波前像差的对比研究[J]. 山东大学耳鼻喉眼学报, 2010, 24(01): 57-60.

JI Peng, BI Hongsheng, WANG Xingrong, MA Xiaohua, LI Haiyan,WANG Baojing, WANG Guimin, FAN Hua. Comparison of wave-front aberration changes in iris-recognition combined with wavefront-guided LASIK and Planoscan-LASIK[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(01): 57-60.

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