准分子激光原位角膜磨镶术治疗远视  

Treating hyperopia with laser in situ keratomileusis.

作　　者：李力[1] 朱涛[1] 高如尧[1] 卢佩勇[1] 蒙艳春[1] 

机构地区：[1]中国人民解放军八十八医院眼科,山东泰安271000

出　　处：《眼外伤职业眼病杂志》2004年第6期399-400,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　评价准分子激光原位角膜磨镶术 (LASIK)治疗的效果和安全性。方法　对 16例 ( 3 0眼 )远视行LASIK。术前远视度数为 +3 5 0～ +12 .5D ,平均 ( +7 0 9± 2 .62 )D。术后随访观察 12月。结果　术中无严重并发症 ,术后 3月屈光度基本稳定 ,术后 12月残余屈光度在 +1 0 0D和 +2 0 0D以内的分别占 40 0 0 % ( 12眼 )和 63 3 3 % ( 19眼 ) ,裸眼近视力≥ 0 .5者 3 0眼 ( 10 0 0 0 % ) ,≥ 1 0者 2 4眼 ( 80 0 0 % ) ,裸眼远视力≥ 0 .5者 2 6眼 ( 86 67% ) ,≥ 1.0者 9眼 ( 3 0 0 0 % ) ,1眼 ( 3 3 3 % )最佳矫正视力下降一行 ,5眼 ( 16 67% )有眩光。结论　LASIK治疗远视安全有效。Objective To evaluate the effectiveness and safety of LASIK in treanting hyperopia.Methods 30 eyes of 16 patients with hyperopia from +3.05D to +12.50D were treated with LASIK,the mean preoperative spherical equivalent was +7.09D±2.62D.All of the cases were followed up for 12 months.Results There was no serious complication during the operation.At one year postoperatively,the number of eyes of residual refraction in +1.00D and +2.00D were 12 eyes(40%) and 19 eyes(63.3%).100% and 80% eyes got uncorrected near visual≥0.5 and ≥1.0,respectively,86.7% and 30% eyes got uncorrected far vision ≥0.5 and ≥1.0 respectively.One eye (3.3%) lost 1 line of best corrected visual acuity and five eyes (16.7%) had halos.Conclusion It is demonstrated the LASIK is a safe and effective technique for the treatment of hyperopia.Some modification of the algorithm and laser nomogram is helpful to improve the predictability and stability of the surgery.

关 键 词：准分子激光原位角膜磨镶术 远视 

分 类 号：R779.63[医药卫生—眼科]