摘要
目的 探讨准分子激光原位角膜磨镶术 (laserinsitukeratomileusis,LASIK)治疗近视的远期疗效。方法 按近视屈光度数 - 1 5 0～ - 6 0 0D、- 6 12～ - 12 0 0D和 - 12 12～ - 2 5 0 0D将716例 (12 85只眼 )近视患者分为A、B和C 3个组行LASIK ,术后平均随访时间 2 6 7个月 ,对资料进行总结和分析。结果 术后 2年 ,屈光度数 <± 1 0 0D者A组为 93 4 % ,B组为 86 7% ,C组为 6 5 5 % ;屈光度数 <± 0 5 0D者A组为 84 4 % ,B组为 79 7% ,C组为 4 2 1%。裸眼视力≥ 0 5者A组为99 6 % ,B组为 93 8% ,C组为 6 2 6 % ;裸眼视力≥ 1 0者A组为 90 4 % ,B组为 6 8 6 % ,C组为 2 7 2 %。39只眼因屈光度数回退或欠矫 ,2只眼因角膜上皮植入再次行LASIK。结论 LASIK可有效治疗轻度至超高度近视 ,手术安全、预测性好 ,远期随访 2年疗效稳定。
Objective To evaluate the long term results of laser in situ keratomileusis (LASIK) for the correction of myopia Methods A total of 1 285 eyes with preoperative refraction of -1 50 -25 00 diopters were treated with LASIK Based on the preoperative refraction, the patients were divided into 3 groups (-1 50 -6 00 D, -6 12 -12 00 D, -12 12 -25 00 D) The mean follow up was 26 7 months and the results were concluded and analyzed Results At two years, respectively 93 4%, 86 7% and 65 5% in the above three groups were within ±1 00 D, 84 4%, 79 7%, 42 1% were within ±0 50 D; the uncorrected visual acuity was ≥0 5 in 99 6%, 93 8% and 62 6% of the patients, and 90 4%, 68 6%, and 27 2% had vision of ≥1 0 Thirty nine eyes with regression or under correction, and 2 eyes with epithelial ingrowth had been retreated with LASIK Conclusions LASIK is effective and safe for the correction of mild, moderate, high and super high myopia The results of follow up for two years are stable
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2002年第3期151-153,共3页
Chinese Journal of Ophthalmology
