成人水平斜视矫正术后屈光状态的改变-眼科学专业论文.docx

目 录 中文摘要············································································································1 英文摘要············································································································3 研究论文 成人水平斜视矫正术后屈光状态的改变 前言············································································································6 材料与方法································································································7 结果········································ ·································································11 附图··········································································································14 附表··········································································································15 讨论··········································································································21 结论··········································································································25 参考文献··································································································26 综述 斜视配镜的原则及必要性····································································28 致谢··················································································································37 个人简历··········································································································38 成人水平斜视矫正术后屈光状态的改变 摘 要 目的：了解并分析成年人水平型斜视矫正术术前、术后眼球屈光状态 的变化，总结不同术式对术眼屈光状态的影响及之间的差异情况，并分析 其原因。对斜视术后屈光状态改变的发生机理和规律进行初步探讨，为进 一步完善水平斜视矫正术的手术设计提供参考，同时，对水平型斜视合并 屈光不正的患者术后的屈光矫正具有一定的临床指导意义。 方法：运用前瞻性研究的方法，研究对象为 2014 年 5 月至 2015 年 12 月至我院行水平眼肌斜视矫正术的成年患者 57 例共 76 眼，其中外斜 视 37 例 50 眼，内斜视 20 例 26 眼。年龄范围 16 岁~49 岁（平均年龄 23.16 岁），均为第一次行眼部手术。手术前一天、术后四周、术后八周行视网 膜检影验光及角膜地形图检查。收录数据包括：柱镜屈光度、球镜屈光度、 等效球镜度；角膜地形图中中央区、上方、下方、鼻侧、颞侧五个象限的 角膜轴向平均曲率数值，Dk 值。患者按照手术方式分组：A 组（17 眼） 为外直肌后徙组，B 组（13 眼）为内直肌后徙组，C 组（33 眼）为外直 肌后徙联合内直肌缩短组，D 组（13 眼）为内直肌后徙联合外直肌缩短 组。对各组术前、术后四周、术后八周的各数据的变化进行统计分析。 结