LASIK术中瞳孔中心移位观察探究.docVIP

LASIK术中瞳孔中心移位观察探究 　 作者：李耀宇　邱岩　邱怀雨　邸玉兰　翟国光　屈哲 【摘要】 　　目的：探讨LASIK手术中患者所发生的瞳孔中心移位的特点。方法：LASIK手术患者203例394眼术前应用VISX波前像差仪在暗室中进行虹膜照相检查，显示术前瞳孔直径。LASIK术中利用VISX S4-IR激光机进行虹膜定位检查，显示术中的瞳孔直径，以及瞳孔缩小后的中心移位情况。结果：在暗室中右眼平均瞳孔直径为6.9±2.1mm，左眼瞳孔直径为6.8±2.3mm；术中394眼瞳孔均缩小，右眼瞳孔平均为3.25±0.48（2.3~4.7）mm，左眼瞳孔平均为3.16±0.57（1.9~4.7)mm，术中左眼瞳孔直径较右眼明显偏小。术中394眼均发生了瞳孔中心移位，其中，85.2%右眼瞳孔中心向上方移位，平均移位距离为x=0.18mm，y=0.16mm；71.0%瞳孔中心向鼻上方移位。76.7%左眼瞳孔中心向上方移位，平均移位距离为x=-0.31mm，y =0.11mm；75.6%瞳孔中心向鼻上方移位。结论：LASIK手术时患者瞳孔较暗光时明显缩小，此时有一定程度的瞳孔中心移位。 【关键词】 准分子激光手术　瞳孔直径　瞳孔中心移位 　　The observation of shift in pupil center locations during LASIK Abstract AIM: To study the pupil diameter and pupil center location shift characteristics between the WaveScan wavefront examine and surgery during LASIK. · METHODS: The pupil camera of Visx WaveScan wavefront device was used to obtain images of 394 eyes (203 patients) before refractive laser surgery. Additionally, an infrared camera was mounted on the Visx Star S4-IR excimer laser system to obtain another image immediately before the laser was fired. After surgery, the two images were compared to determine the pupil diameter and center locations between the measurement and surgery. RESULTS: The mean diameter of pupil was 6.9±2.1mm in right eye and 6.8±2.3mm in left eye as the pupil dilated in the dark room. The mean diameter of pupil was 3.25±0.48mm in right eye and 3.16±0.57mm in left eye immediately before the laser was fired. The diameter of left eyes was smaller than that of right ones. Pupil center shift between the measurement and surgery occurred in all the eyes. Pupil center location was shifted to its superior and superior-nasal in 85.21% and 71% of right eyes, respectively, with the mean shift distance: x =0.18mm, y=0.16mm. Pupil center location was shifted to its superior and superior-nasal in 76.7% and 75.6% of left eyes, respectively, with the mean shift distance: x=-0.31mm, y=0.11mm. CONCLUSION: As the pupil diameter from large to small, pupil center shift between the mea