摘要
目的:比较常规准分子激光原位角膜磨镶术(laser in situ keratomileusis,LASIK)和波前像差引导的LASIK手术后(wavefront and iris locating guided-LASIK,WG-LASIK)近视患者的疗效以及角膜前表面像差的变化。方法:随机选取2011年10月~2011年12月在我院行手术治疗的患者100例200眼,排除手术禁忌证后,按球镜屈光度分成低度(≤-3.00D)和中度(-3.00D^-6.00D)。每组患者随机分成2组,一组行波前像差LASIK,另一组行常规LASIK。分别在术后1个月、3个月随访患者的裸眼视力、波前像差检查。结果:在低度和中度患者中,LASIK组和WG-LASIK组术后视力在1个月和3个月均达到术前水平,两组间差异无统计学意义(P>0.05)。在低、中度近视组,LASIK组和WGLASIK组在术后1个月时彗差、球差及总的高阶像差均较术前有所增加。至术后3个月时彗差、球差及总的高阶像差均未恢复至术前水平。在中度近视组,LASIK组和WG-LASIK组间彗差、球差及总的高阶像差的差异有统计学意义(P<0.05)。结论:波前像差引导的LASIK手术能有效的矫正近视和散光。并且其视觉质量优于传统的LASIK手术。
Objective： To compare the clinical effects and its influence on aberrations in the anterior corneal surface between wavefront and iris locating guided-LASIK and traditional LASIK for myopia. Methods： One hundred cases of myopia （200 eyes） were enrolled and presented into two groups according to their diopters of spherical refracti-ve error （low： less than 3.00D; middle： from 3.00D to 6.00D）. Each group was subdivided into two groups again according to surgery they underwent, LASIK or WG-LASIK. Naked vision and Wavefront aberrations were detected 1 and 3 months after the surgery. Results： In both ditional low and middle groups, the visual acuity recovered to pre-operation visual acuity 1 and 3 months after the surgery, no significant difference was observed between the two groups. In the low group, comatic aberra- tion, spherical aberration and higher order aberration all increased 1 month after the surgery and the three indicators didn＇t recovered to the pre-operation level. In the middle group, significant difference in eomatic aberration, spherical aberration and higher order aberration were observed （P〈0.05）. Conclusion： WGLASIK is effective on correcting myopia and astigmatism, and the therapeutic effect is better than the tra- ditional LASIK.
出处
《海南医学院学报》
CAS
2013年第11期1589-1591,共3页
Journal of Hainan Medical University
基金
中国高校医学期刊临床专项资金项目(112210870)~~
