浅析眼内屈光手术对高度近视患者视功能的影响.docVIP

精品论文 参考文献 浅析眼内屈光手术对高度近视患者视功能的影响 黑龙江省牡丹江绥芬河市人民医院 157399 【摘 要】 目的：研究分析眼内屈光手术对高度近视患者视功能的影响。方法：此次研究的对象是选取本院2009年3月-2011年3月30例（60只眼）经综合验光仪确诊为高度近视患者，将其临床资料进行回顾性分析，分别采用两种不同的治疗方法，即透明晶状体摘除术（CLE）和有晶状体眼的人工晶状体植入术（IOL）。分别对患者治疗前1个月与治疗后1个月的视力、立体视觉、屈光度的情况进行对比分析。结果：30例高度近视患者在治疗前的裸眼视力平均为（0.11plusmn;0.07），矫正视力后平均最佳为（0.79plusmn;0.15）；经治疗，裸眼视力平均为（0.92plusmn;0.07），矫正视力后平均最佳为（1.25plusmn;0.32）；患者治疗后裸眼视力与最佳矫正视力均有显著提升，差异具有统计学意义（Plt;0.05）。所有高度近视患者在治疗后均获得远、近立体视，与治疗前相比，治疗后远、近立体视具有显著改善，差异均具有统计学意义（Plt;0.01）。在屈光度方面，治疗后比治疗前屈光度患者参差度明显减小，差异有统计学意义（Plt;0.05）。结论：眼内屈光手术可使高度近视患者重新获得清晰视力，有效矫正屈光不正，减小双眼间的屈光差异，具有改善立体视觉的效果。 　　【关键词】 眼内屈光手术；高度近视；立体视觉 　　[Abstract] Objective：To study the effect of intraocular refractive surgery on visual function of patients with high myopia. Methods：the research object is selected in our hospital in 2009 March to 2011 March 30 cases（60 eyes）diagnosed by synthetical optometry instrument for high myopia patients，their clinical data were retrospective analysis，two different treatment methods were used，namely the transparent lens extraction（CLE）and phakic intraocular lens implantation（IOL）. The visual acuity，stereo vision and refraction were compared between the 1 months before treatment and 1 months after treatment. Results：30 cases of patients with high myopia in uncorrected visual acuity before treatment the average（0.11 + 0.07），corrected visual acuity after mean best（0.79 + 0.15）；after treatment，uncorrected visual acuity averaged（+ 0.92 0.07），corrected visual acuity after average best（1.25 + 0.32）；after treatment in patients with uncorrected visual acuity and best corrected visual acuity was significantly improved，the difference is statistically significant（P lt; 0.05）. All patients with high myopia were treated with far and near stereo vision. Compared with before treatment，the far and near stereo vision showed significant improvement，and the difference was statistically significant（Plt;0.01）. In terms of diopter，after the treatment than treatment of diopter in patients with a