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医药学论文:小光斑飞点扫描式准分子激光LASIK治疗高度近视

来源: 2017-10-18 15:41

 

关键词:近视;准分子激光
【摘要】 目的 评价小光斑飞点扫描式准分子激光LASIK治疗高度近视的效果。方法 采用德国SCHWIND ESIRIS准分子激光机对364例(721眼)高度近视进行了LASIK治疗。切削模式采用单区或多区切削,切削总量为78~187μm。随访3~12个月,观察术后视力、屈光度和并发症等情况。结果 术后裸眼视力≥1.0者,术后1天、3个月时分别为72.0%(519/721)、81.7%(589/721);术后屈光度在±1.00D以内者,术后1天、3个月时分别为:89.7%(647/721)、90.7%(654/721)。主要的并发症有:偏中心切削3眼(0.42%)、瓣位置偏离5眼(0.69%)、角膜上皮植入5眼(0.69%)、眩光15眼(2.08%)。结论 小光斑飞点扫描式准分子激光LASIK治疗高度近视的临床效果安全有效,但是需要切削较多的角膜组织。
【关键词】 近视;准分子激光
The clinical effect of high myopia treated with LASIK by a small optical zones flying-spot scanner machine
YAO Da-qiang,SHA Xiang-yin,YE Cui-yu,et al.Department of Ophthalmology,The Second Affiliated Hospital,Guangzhou Medical College,Guangzhou 510260,China
【Abstract】 Objective To evaluate the clinical effect of high myopia treated with LASIK by a small optical zones flying-spot scanner machine.Methods 364 cases (721 eyes) of high myopia were treated with LASIK by the SCHWIND ESIRIS laser machine with small optical flying-spot scanner.The ablation zone was single-zone or multi-zone.The ablation depth was range of 78~187μm.All cases were followed up for 3~12 months.The changes of their visual acuities,subjective manifest refraction and complications were observed.Results Postoperatively,at one day and 3 month the visual acuities were 1.0 or better in 72.0%(519/721) and 81.7%(589/721).The diopter within ±1.00 was 89.7%(647/721) and 90.7%(654/721)respectively.The complications include:decentral ablation 3 eyes (0.42%),decentral flap 5 eyes (0.69%),epithelial ingrowth 5 eyes(0.69%),glare 15 eyes(2.08%).Conclusion The clinical effect of high myopia treated with LASIK by a small optical zones flying-spot scanner machine was safety and efficacy,although it needs more corneal tissues. 

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