准分子激光原位角膜磨镶术治疗远视的疗效观察.PDFVIP

维普资讯 628 ChinOphthalRes，December2003，Vo1．21，No．6 · 临床 研 究 · 准分子激光原位角膜磨镶术治疗远视的疗效观察 聂晓丽 刘苏冰 辛宝莉 唐秀侠 汪 洋 Clinicaleffectivenessoflaserinsitukeratomileusisforhyperopia NieXiaoli，LiuSubing，XinBaoli，eta1．ChinesePeople’sArmedPoliceForceGeneralHospitalof Henan，Zhengzhou450052 Abstract Objective Toevaluatetheclinicalresultsoflaserinsitukeratomileusis(LASIK)treatinghyperopia． Methods Ninety eyesof47 patientsreceived LASIK forhyperopiawith orwithoutastigmatism wereprospectivelyanalyzed ． Keracor217C exeimerlaserwasusedinallcases．About9．5mm diameterand130— 160I ． Lm thickkeratectomieswasmadewi|h Hansatomemicrokeratomes．The ofllow—up period wasmore than 1 year． Results Preoperative uncorrected visualacuity (UCVA)were0．1—1．0，andcorrectedvisualacuity(CVA)0．15—1．2．Thesphericalerrorrangedfrom +0．75to+8．75D．46 eyesofthem hadtheastigmatism from +0．75to+3．00DC．andthereadingtimewaslessthen20 minutesin allpatientsin preoperation．Postoperatively，theUCVAwas0．5orbetterofr74eyes(82．2％)，0．8orbetterfor61eyes(67．8％)，and1．0or betterofr47eyes(52．2％)．UCVAimprovedmorethan1linein14eyes(15．5％)．Themeansphericalequivalentwas一1．50 to +1．25D withtheaveragevalue0．23±0．89D．Readingtimewasmorethan1hour． Conclusion LASIK isastableand safewayofrthetreatmentofhyperopia． Keywords hyperopia laserinsitukeratomileusis treatment 摘要 目的 探讨用准分子激光原位角膜磨镶术 (LASIK)治疗远视的安全性、有效性和稳定性。 方法 应用美国 CHIRON公司的Keracorl17C型准分子激光机远视程序治疗远视及合并散光的患者47例 (90眼)，术中用 Hansatome板 层角膜刀做直径 9．5mm，厚度 130～160 m角膜瓣。术后观察视力及屈光度改变，所有患者随访 1年 以上。 结果 患 者术前裸眼视力0．1～1．0，平均0．30±0．19，矫正视力0．15～1．2，平均0．74±0．24，屈光度+0．75～+8．75DS，