角膜屈光手术对眼波前像差的影响.docVIP

?328??论著? 角膜屈光手术对眼波前像差的影响 金红颖　王勤美　王丹梅　孟觉天 　　【摘要】　目的　探讨大光斑式切削屈光手术对眼波前像差的影响,观察不同瞳孔区眼波前像差 )患者术前、的改变。方法　检查45例准分子激光原位角膜磨镶术(laserinsitukeratomileusis,LASIK术 后10d和术后1个月的裸眼视力(uncorrectedvisualacuity,UCVA)、最佳矫正视力(bestcorrectedvisualacuity,BCVA)、等效球镜度(sphericalequivalent,SE)及波前像差,根据术前SE将患者分为高度、中度和低度3个不同的屈光度数组。使用Allegretto,据进行统计学处理。结果　术前平均BCVA为4198±0107;术后10d41921为4195±0109;术后1个月时平均UCVA为4196±0109,±0长而好转,术后1个月时26只眼(3016术后d态,,d个月时,高阶像差为术前的2倍以上,以5(P0105;术后1,高阶像差比术后10d有减小(P0105),但未恢复至术前水平。。各组内,无论术前术后,瞳孔直径为615mm时的像差显著大于瞳孔直径为4mm时的像差(P0101)。在不同屈光度数组间,术前的高阶像差差异无显著意义(P0105),而在术后10d及1个月,高阶像差的差异有显著意义(P0105)。结论　LASIK术后的高阶像差比术前明显增大,但随着时间的推移,像差减小,但未恢复到术前水平;屈光度数愈高,像差愈大;不同屈光度数的患者,术前的像差比较,差异无显著意义,术后差异出现显著意义。手术前后615mm瞳孔区的像差大于4mm瞳孔区的像差,并以球差最为显著。Allegretto系统适用于检测中低度近视患者的波前像差。 【关键词】　屈光,眼;　角膜磨镶术,激光原位;　近视 Influenceofcornealrefractivesurgeryonwavefrontaberrationsofhumaneye　　JINHong2ying 3Qin2mei,WANGDan2mei,MENGJue2Tian1EyeInstituteofXuzhou,Xuzhou221002,China Correspondingauthor:JINHong2ying,Email:hongyingj@21cn1com3,WANG 【Abstract】　Objective　ToanalyzetheaberrationofhumaneyesafterLASIKbyusingwavefrontanalyzer,toevaluatetheeyeaberrationsbyusingthelargespotinrefractivesurgery,andtocomparetheaberrationsindifferentpupilzones1Methods　Thisisaprospectiveclinicalstudy1Preoperativelyandpostoperatively,uncorrectedvisualacuity(UCVA),bestcorrectedvisualacuity(BCVA),sphericalequivalent(SE)andaberrationswereevaluatedoneachpatient1ThepatientsweredividedintothreedifferentgroupsaccordingtotheSEdiopterbeforethesurgery1WeusedtheSASandSPSS1010statisticsoftwaretoanalyzethedata1Results　Preoperatively,BCVAwas4198±01071Tendaysaftersurgery,UCVAandBCVAwere4192±0110and4195±0109,respectively1Onemonthaftersurgery,UCVAandBCVAwere4196±0109and4199±0109,respectively1Overtime,visualacuityimprovedwithPostoperatively,partsoftheeye′sBCVAwerebetterthanpreoperatively1TendaysafterLASIK,theSEofthreegroupswerehyperopic1Butwithtime,SEchangestomyopia1IntheAllegrettoexam,highorderaberrationsincreasedimmediatelyaftersurgeryineachgroup(P0105),but