准分子激光原位角膜磨镶术后屈光稳定性动态观察.docVIP

准分子激光原位角膜磨镶术后屈光稳定性动态观察【摘要】 目的 探讨准分子激光原位角膜磨镶术(LASIK)后屈光稳定性和屈光度数回退的原因。方法 将486例(798只眼)近视患者按屈光度数分为A组492眼(-1．25~-6．00D)和B组306眼(-6．25~-20．00D)行LASIK矫正，随访4年,对术前、术后视力、屈光度数、角膜厚度和角膜激光切削区范围进行统计学分析。结果 屈光度数:A组术后4年正常术眼的屈光度数为(+0．50~-0．75D)者441眼(占89．63%),回退术眼的屈光度数为(+1．35±-0．35D)者51眼(占10．37%);B组正常术眼的屈光度数为(+0．50~-0．75D)者192眼,回退术眼的屈光度数为(+1．35±-0．35D)者114眼。两组中回退术眼的平均屈光度数比较,差异有统计学意义。角膜厚度:A组术后正常术眼角膜厚度为447．58±31．64 μm,回退术眼角膜厚度为486．58±35．46 μm,二者比较差异有统计学意义;B组中正常术眼角膜厚度为436．57±25．54 μm,回退术眼角膜厚度为441．38±24．53 μm,二者比较差异无统计学意义。角膜激光切削区范围:A组正常术眼切削区直径为5．98±0．37 mm,回退术眼切削区直径为4．65±0．48 mm,二者比较差异有统计学意义;B组正常术眼切削区直径为5．55±0．84 mm,回退术眼切削区直径为4．25±0．36 mm,二者比较差异有统计学意义 。结论 LASIK可有效治疗-1．25．00~-20．00D的近视。高度近视、角膜厚度偏薄和激光切削直径较小者，术后易出现屈光度数回退。 【关键词】屈光稳定性；准分子激光原位角膜磨镶术 An analysis of regression after laser in situ keratomileusis for treatment of myopia LI Jian-wen,LIU Jun,LIU Xiao-jun.Department of Ophthalmology,DalangHospitalofDongguan,Guangdong Province 52377,China 【Abstract】 Objective To evaluatetheregressionrelevant reasonsoflaserin situ keratomileusis(LASIK)for treatment of myopia.Methods 798 eyes of486 patients with myopia who receivedLASIK were studied.Theyweredivided into 2 groups according to preoperative diopters(-1．25--6．25D in 492eyes，-6．25-20．00D in 306 eyes).the mean follow-up was 48 months，and the results ofthepostoperativevisual acuity，refractive diopter，corneal thickness and the diameter of the ablation zone were statistically analyzed.Results Refraction number:group A after four years,the normal number of refraction of the eye(+0．50-0．75 D),441(89．63%),the rollback of refraction of the eye(+1．35±-0．35D),51(10．37%).In group B of the eyes of the normal number of refraction(+0．50-0．75 D),192,the rollback of refraction of the eye(+1．35±-0．35D),114．2 regression in the eyes of the average number of refraction,there were significant differences.Corneal thickness:group A after normal thickness of the cornea for 447．58±31．64 μm,rollback of the cornea thickness of 486．58±35．46 μm,the difference wa