准分子激光原位角膜磨镶术治疗近视400例临床分析  

Analysis of 400 cases of laser in situ keratomileusis (LASIK) for myopia

作　　者：陈一兵[1] 王炜[1] 麦彩琰[1] 王静[1] 甘惠霞[1] 姚达强[2] 

机构地区：[1]广州中医药大学中山附属医院眼科,广东中山528403 [2]广州医学院附二院眼科,广东广州510260

出　　处：《中国现代医学杂志》2006年第6期881-883,共3页China Journal of Modern Medicine

摘　　要：目的观察准分子激光原位角膜磨镶术(LASIK)治疗近视的临床效果。方法将400例(797只眼)近视患者,按术前屈光度(球镜等量)分为三组:A组:456只眼,-1.00￣-6.00D(平均-4.25D±1.23D);B组:309只眼,-6.25￣-12.00D(平均-7.86D±1.45D);C组:32只眼,-12.25￣-24.75(平均-15.82D±3.05D)。记录视力、眼压、屈光状态、眼前节、眼底、角膜厚度及角膜地形图等变化,进行比较。结果裸眼视力≥1.0:A组91.01%,B组76.05,C组15.63;χ2=129.00,P=0.000,三组比较,差异有显著性。残余屈光度≤±0.5D:A组75.22,B组63.43,C组18.75;χ2=49.82,P=0.000,三组比较,差异有显著性。结论LASIK治疗近视有较好效果,尤其是12.00D以下的近视术后视力效果更好。[Objective] To observe the effect of the LASIK for myopia. [Methods] According to the refractive degrees before LASIK surgery, 400 cases （797 eyes） were divided into three groups： A Group： 456 eyes, -1.00- - 6.00D （Average：-4.25D±1.23D）; B Group： 309eyes, -6.25- -12.00D （Average-7.86D±1.45D）; C Group： 32eyes, - 12.25- -24.75 （Average -15.82D±3.05D）. Record the Vision, Tonometry, Refractive, Forepart eyeball, Eyeground, Corneal thickness and Corneal topography. [Results] Compared with thine groups. Result： Vision after LASIK ≥ 1.0： A Group 91.01%, B Group76.05, C GrouplS.63; X^2=129.00, P =0.000, compared between three groups, There was obvious difference. Residue diopter ≤±0.5D： A Group75.22, B Group 63.43, C Group18.75; X^2=49.82, P = 0.000, It was obvious different comparing with three groups. [Conclusion] Lasik Surgery is good for myopia ,espeCially for the eyes vision under 12.00D.

关 键 词：角膜磨镶术 激光原位 

分 类 号：R779.63[医药卫生—眼科]