准分子激光屈光性角膜切削术治疗近视和近视散光3年疗效分析.PDF

2001, 26( 6) BULL HUNAN MED UNIV 553 3 刘双珍, 吴小影, 王平宝, 谭星平, 胡生发 ( 中南大学湘雅医院眼科激光中心, 长沙 410008) [ ] 目的: 评价准分子激光角膜切削术(photorefoactive keratecomy, PRK) 治疗近 近 散光的远期疗效方 法: 按术前屈光度将209 例(377 例) 屈光度为 150~ 160D 的患者分为二组, 低中度组( I 组) 为 150~ 600D(238 眼) , 高度组( II 组) 为 625~ 1600D( 139 眼) 应用美国Visx20/ 20 准分子激光仪对上述二组患者行PRK 治疗, 并 对患者术后3 年的屈光度 力角膜屈光力角膜厚度并发症进行随访观察结果:I 组II 组中屈光度 1D 者分 别占945% 和619% ; 200D 分别占0% , 237% 术后裸眼 力 05 者在I 组II 组中分别占996% 和799% ; 10 者分别占853% ,482% 角膜屈光力两组均在术后6 个月稳定, 角膜上皮下雾状混浊O 级在I 组II 组分别为 100% 和986% , 术后眼压两组均正常结论: 准分子激光屈光性角膜切削术治疗近 近 散光效果肯定, 尤对低中 度患者疗效更佳 [ ] 眼疾病; 准分子激光; 角膜切削术; 远期疗效 [ ] R77963 [] A [ ] 2001) 0655303 Analysis on three year follow up results of excimer laser photorefractive keratectomy in treatment for myopia and myopic astigmatism LIU Shuangzhen, WU Xiaoyin, WANG Pingbao, et al ( Op hthalmic Laser Center, X iangy a H osp ital , Central South University , Changsha 410008, China ) Abstract: Obj ective To evaluate the efficacy of excimer laser photorefractive keratectomy(PRK) on my opia and myopia astigmatism. Methods PRK was performed with VISXC20/ 20 on 377 eyes of 209 patients. Treated eyes were divided into two groups, according to their conditions before operation: Group I included 238 eyes ( 1. 50 to 6. 00 D) ; Group II, 139 eyes ( 6. 25 to 16. 00 D) . All patientswere followed up for more than three years. Results Percentages of uncorrected visual acuity ( UCVA) 10/ 20 and 20/ 20 were 996% and 853% in Group I, and 79. 9% and 48. 2% in Group II respectively. Percentage of diopter 1. 00 in Group I was 94. 5%, and 61. 9% in Group II. The rate of corneal haze o