飞秒激光与SBK治疗近视的临床观察.docVIP

精品论文 参考文献 飞秒激光与SBK治疗近视的临床观察 （江苏大学附属人民医院眼科/镇江康复眼科医院 江苏镇江 212002） 【摘要】 目的：分析飞秒激光LASIK治疗近视效果。方法：选取近视病例50例（98眼），随机分为对照组（25例49眼）与观察组（25例49眼），对照组采取机械刀SBK治疗，观察组采取飞秒激光LASIK治疗，对比两组治疗效果。结果：术后6个月，观察组屈光度、UCVAge;1.0无明显差异（P＞0.05）。两组C7垂直彗差增幅无明显差异（P＞0.05）；观察组C8水平彗差、C12四阶球差、高阶像差增幅低于对照组（P＜0.05）。观察组平均厚度与预设厚度差值低于对照组（P＜0.05）。结论：飞秒激光制作角膜瓣厚度均一性好，高阶像差变化小，术后视觉质量好。 【关键词】 近视；飞秒激光；LASIK机械刀；SBK 【中图分类号】R77 【文献标识码】A 【文章编号】1007-8231（2015）11-0008-03 Clinical observation of femtosecond laser and SBK in treatment of myopia Wu Denglei, Zhang Qin, Zhang Minxian. Department of Ophthalmology，the Affiliated Peoplersquo;s Hospital of Jiangsu University. Ophthalmologic Hospital of Zhenjiang Rehabilitation,Zhenjiang,Jiangsu 212002,China 【Abstract】Objective To analyze the effect of femtosecond laser LASIK treatment of myopia. Methods 50 cases of myopia cases (98) were randomly divided into a control group (25 cases of 49) with the observation group (25 cases 49 eyes) in the control group received mechanical knife SBK treatment, observation group take femtosecond laser LASIK treatment, compared two groups of treatment. Results After 6 months, the observation group refraction, UCVAge;1.0 no significant difference (Pgt; 0.05). Before and after surgery, an increase of two C7 vertical coma was no significant difference (Pgt; 0.05); two horizontal coma C8, C12 fourth order spherical aberration, higher-order aberrations increase was lower than in the control group (P lt;0.05). The average thickness of the observation group and the control group, the difference is below a preset thickness (P lt;0.05). Conclusion The femtosecond laser corneal flap thickness uniformity, small changes in higher-order aberrations, good visual quality. 【Key words】Myopia;Femtosecond laser LASIK;Mechanical knife SBK 目前，准分子激光角膜原位磨镶术（LASIK）是手术治疗近视常用方式，疼痛轻，术后恢复快。LASIK主要步骤为制作角膜瓣，角膜瓣制作会对LASIK安全、效果产生直接影响。传统制作角膜瓣方法主要应用自动机械角膜板层刀，安全快速[1-4]。随着科学技术水平进步，机械角膜板层刀技术成熟，且制瓣厚度薄，可分为平推式与旋转式机械角膜板层刀，其中平推式机械角膜板层