近视眼lasik术后屈光度客观评价的研究.docVIP

近视眼LASIK术后屈光度客观评价的研究 作者：周炜　何正瑞　郑洁　黄蕊　彭子春 【摘要】 　　目的：试图找一种简便、准确且不受调节影响的屈光状态判定方法，以佐证LASIK术后患者的视力表视力。方法：回顾分析400只接受LASIK手术的近视眼的资料。按照术前屈光不正等值镜度分4组（≤-3.00D,≤-6.00D,≤-9.00D,≤-12.00D）。按照角膜光区直径分4组（5.5,6.0,6.5,7.0mm）。分别用角膜屈光度、全眼屈光不正度和角膜地形图3种方法评价。结果：屈光不正度-6.00D以下和光区直径6.5mm以上者3方法的预期值和实测值的符合率在80%～95%。全眼屈光不正度检测法预期值和实测值的符合率较低，差异有显著性（χ 2检验，P ＜0.05)。屈光不正度-9.00D以上和光区直径6.0mm以下3方法的预期值和实测值的符合率在70%～80%，组间差异无显著性（χ 2检验，P ＞0.05）。结论：LASIK术后，-6.00D以下的近视眼用角膜屈光度预期值评估是简便可靠的，-9.00D以下的近视眼可用角膜地形图BFS预期值评价，电脑验光仪所得的屈光不正度受调节影响，有些眼偏差较大。 【关键词】 近视　LASIK　屈光　地形图 　　Objective evaluation of refractive power after LASIK for myopia Abstract AIM：To find out a simple and exact method estimating refraction without interference by accommodation，so as to help validating visual acuity after LASIK．METHODS： the data of 400 eyes underwent LASIK for myopia were reviewed．They were divided into 4 groups（≤-3.00D,≤-6.00D,≤-9.00D,≤-12.00D） according to the refractive error, and 4 groups （5.5mm，6.0mm，6.5mm，7.0mm） according to the ablation diameter．Three methods including cornea refractive power, total eye refraction, and corneal topography were used in the research. RESULTS：The coincident ratios between expect and measure value， measured with 3 methods， were 80%-95% in the eyes of refractive error below -6.00D and the eyes of ablation diameter above 6.5 mm. The coincident ratio of measure of the total eye refraction was lower than the other 2 methods, the difference was significant（χ2 test，P ＜0.05）. Coincident ratio between expect and measure value，measured with 3 methods ，were 70%-80% in both eyes of refractive error above -9.00D and eyes of ablation diameter below 6.0mm，the difference of 3 methods was no significant（χ2 test P ＞0.05）. CONCLUSION： After LASIK，evaluation of the eye below -6.00D by expect value of cornea refractive power is simple and exact， the eye below -9.00D can be evaluated by BFS of corneal topography. Refraction of the total eye from auto refractor is obvi