低中度及高度近视LASIK术后视觉质量比较.docVIP

低中度及高度近视LASIK术后视觉质量比较[摘要] 目的 对比研究低中度和高度近视两组准分子激光原位角膜磨镶术(LASIK)手术前后客观视力、像差、对比敏感度、眩光敏感度的差别,以综合评价术前屈光度对LASIK术后视觉质量的影响。方法 对行LASIK术的66例(132眼)按等效屈光度(SE)分为两组:低中度近视组(68眼),SE0.05);术后3个月内彗差、球差高度近视组高于低中度近视组(P0.05)。(3)术前,两组在空间高频区(18.0 c#8226;d-1)对比敏感度有差异,低中度近视组优于高度近视组(P0.05)。?结论 (1)近视LASIK术后早期的视觉质量低中度近视组优于高度近视组;(2)术后视觉质量的恢复高度近视组慢于低中度近视组;(3)两组术后中晚期均拥有良好的视觉质量。? [关键词]准分子激光原位角膜磨镶术;像差;对比敏感度;眩光敏感度? [中图分类号] R778.1 [文章标识码] A [文章编号] 1671-7562(2009)04-0254-04?? Comparison of visual function after laser in situ keratomileusis between? moderate myopia and high myopia?? JIANG Yun-jia?1,LI Yi-zhuang?2,QIAN Tao?2,WU Zhi-feng?1,SUN Song?1 (1.Department of Ophthalomology,Wuxi No.2 People’s Hospital,Wuxi 214000,China;2.Department of ?Ophthalomology,Nanjing Drum Tower Hospital,Nanjing University,Nanjing 210008,China)?? Abstract:Objective To evaluate the effect of diopter correction on visual function after laser in situ keratomileusis (LASIK) by comparing moderate myopia with high myopia.Method Sixty-six patients 132 eyes were divided into 2 groups based on spherical equivalent:moderate myopia group(?-6.00 D,68 eyes) and high myopia group(≥?-6.00 D,64 eyes).Visual activity,aberration,contrast sensitivity and glare sensitivity were measured by phoropter,ARK?-10000 wavefront analyzer,and CSV-1000E with glare respectively.Results (1)Best spectacle-correct visual acuity was better in moderate myopia group before and after LASIK(P0.05).After LASIK,total coma and total spherical aberration were higher in high myopia group(?P0.05).(3)Contrast sensitivity was better in moderate myopia group at spatial frequency 18.0 c#8226;d-1 before LASIK(P0.05).Conclusions (1)The disturbance of visual function after LASIK is more prevalent in patients with high myopia.(2)The visual function recovery occurs slower in patients with high myopia.(3)After a period of recovery time,visual function is found good in both groups. Key words:laser in situ keratomileusis;aberration;contrast