飞秒激光制瓣下虹膜定位联合波前像差引导个体化手术临床疗效分析.docVIP

飞秒激光制瓣下虹膜定位联合波前像差引导个体化手术临床疗效分析 　　【摘要】 目的：分析飞秒激光制作角膜瓣下的虹膜定位联合波前像差引导的个体化激光手术治疗屈光不正的临床效果。方法：从笔者所在医院眼科2016年1-12月收治的近视散光患者中抽取了115例共220眼进行调查分析，治疗期间患者均为自愿选择治疗方法。将所选病例分成两组，试验组（A组）为57例（共110眼）先用飞秒激光制作角膜瓣，后利用虹膜定位联合波前像差引导行个体化激光手术；对照组（B组）为58例（共110眼）先用飞秒激光制作角膜瓣，再行传统LASIK激光手术。对比分析两种手术完成后患者的临床疗效。结果：A组术后裸眼视力达到1.0及以上的占98.18%，高于B组的94.55%。且两组术后裸眼视力比较有统计学意义（t=-2.954，P0.01）。A?M术后残余屈光度（0.34±0.14）D，B组为（0.41±0.24）D， 　　两组比较差异有计学意义（t=2.815，P0.05）。结论：飞秒激光制瓣下的虹膜定位波前像差引导的个体化激光手术较飞秒制瓣下普通LASIK手术在治疗近视散光中具有更好的临床效果。 　　【关键词】 飞秒激光制瓣； 虹膜定位波前像差引导； 准分子激光角膜原位磨镶术； 残余屈光度 　　doi：10.14033/j.cnki.cfmr.2017.23.004 文献标识码 A 文章编号 1674-6805（2017）23-0008-03 　　Clinical Efficacy Analysis of Individualized Surgery for Ametropia that Flap Made by Femtosecond Laser and Iris Location Wavefront Guided/DAI Guo-lin，LIANG Xiao-qing，JIANG Wei.//Chinese and Foreign Medical Research，2017，15（23）：8-10 　　【Abstract】 Objective：To analyze the clinical efficacy of individualized laser surgery that flap made by femtosecond laser and iris location wavefront guided for Ametropia.Method：From January 2016 to December 2016，115 cases with myopia and astigmatism were selected from our hospital and 220 eyes were investigated.All cases were treated voluntarily during the treatment period.The selected cases were divided into two groups，the experiment group（A group） was 57 cases（110 eyes） that underwent individualized laser surgery that first flap made by femtosecond laser and then iris location wavefront guided.The control group（B group） was 58 cases（110 eyes） that underwent conventional LASIK flap made by femtosecond laser.The clinical efficacy of the two groups was compared and analyzed.Result：In A group，the uncorrected visual acuity reached 1 and above，accounting for 98.18%，higher than that in B group （94.55%），there was statistical significance（P0.05）.The residual diopter of A group was （0.34±0.14）D，B group was （0.41±0.24）D，there was statistical significance（P0.05）.Conclusion：Individualized laser surgery that flap made by femtosecond lase