LASIK手术与LASEK手术矫治屈光不正的远期效果分析

发布时间：2018-01-17 16:34

  本文关键词：LASIK手术与LASEK手术矫治屈光不正的远期效果分析　出处：《中国医药指南》2016年34期 　论文类型：期刊论文

  更多相关文章： LASIK LASEK 屈光不正 远期效果

【摘要】：目的选择LASIK手术与LASEK手术矫治屈光不正的远期效果进行回顾性分析和探讨。方法选取我们医院2014年1月至2015年12月,用同一台准分子激光系统,由同一位手术医师,实施准分子激光手术矫治屈光不正的150例患者(240眼),将其作为本次的研究对象,患者分别采用准分子激光原位角膜磨镶术(LASIK)(观察组,120眼)以及准分子激光上皮瓣下磨镶术(LASEK)(对照组,120眼)进行治疗,根据患者所采用的不同准分子激光手术,分成观察组和对照组,患者治疗结束后,通过对其进行为期两年的随访,观察其裸眼视力、最佳矫正视力、术后并发症等情况。结果两组患者治疗后,其裸眼视力均有显著性提高,角膜瓣对位良好,未出现角膜瓣移位、层间异物、角膜上皮内生、偏心切削等并发症,通过对其进行2年随访,其中观察组患者术后6个月裸眼视力≥1.0有114眼(95%),≥0.6有120眼(100%),对照组患者术后6个月裸眼视力≥1.0有110眼(91.67%),≥0.6有116眼(96.67%),此外,两组患者最佳矫正视力比较,无差异(P0.05),不具有统计学意义。结论板层手术(LASIK)和表层手术(LASEK)两种不同的准分子激光手术对矫治屈光不正的疗效较为确切,患者的满意度较高,视力改善情况显著,且患者术后的并发症较少,在临床上具有极为重要的意义,今后值得继续推广和应用。
[Abstract]:Objective to retrospectively analyze and discuss the long-term effect of LASIK operation and LASEK operation in the correction of ametropia. Methods from January 2014 to December 2015 in our hospital. With the same excimer laser system, 150 patients with ametropia were treated by excimer laser with the same surgeon. The patients were treated with laser in situ keratomileusis (LASIKA) (observation group, 120 eyes) and LASEK (control group). 120 eyes were treated, according to the different excimer laser surgery, the patients were divided into the observation group and the control group. After the treatment, the patients were followed up for two years to observe their naked vision. Results after treatment, the uncorrected visual acuity of the two groups was significantly improved, the corneal flap was well aligned, no corneal flap displacement, interlaminar foreign body, corneal epithelium endogenetic. Eccentricity cutting and other complications were followed up for 2 years. In the observation group, 114 eyes (95 eyes) had visual acuity 鈮，

本文编号：1437083