Moria M2“90”微型角膜刀联合准分子激光角膜切削术治疗近视的临床观察  

The effect of Moria M2＂90＂microlame liar keratoplasty and excimer laser keratectomy for myopia

作　　者：罗敏[1] 林明[1] 李瑾[1] 潘燚蕾[1] 陆剑峰[1] 

机构地区：[1]上海交通大学医院附属第九人民医院眼科,上海200011

出　　处：《中国实用眼科杂志》2007年第10期1105-1108,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨Moria M2“90”微型角膜刀联合准分子激光角膜切削术治疗近视的预测性、稳定性及安全性。方法使用Moria M2微型角膜刀,90μm深度一次性切割头和德国ALLEGRETTOWAVETM Eye-Q准分子激光机对98例195眼近视病人施行矫治手术。按屈光度分为两组,Ⅰ组89眼（-6～-12.875）D,Ⅱ组106眼（-1.25～-5.875）D,术后随访3m以上。结果术中制瓣良好,出现薄角膜瓣1例,未出现瓣碎裂、游离瓣等严重并发症。术后1d181眼（92.82%）裸眼视力达到术前最佳矫正视力。术后3m裸眼视力大于或等于最佳矫正视力的Ⅰ组为84眼（97.67%）,Ⅱ组为97眼（91.51%）。195眼中共5眼（2.56%）出现-1.25D～-2.75D的回退。术后3m角膜地形图曲率（38.37±1.88）D和散光（-0.82±0.69）D均显著低于术前（P〈0.05）;术后平均高阶像差均方根为（0.24±0.08）较术前增大。结论Moria M2“90”微型角膜刀联合准分子激光角膜切削术治疗近视是安全和有效的。Objetive To study the predictability, stability and safety of Moria M2 ＂90＂ microlamellar keratoplasty and excimer laser keratectomy for myopia.Methods 195 eyes （98 patients） were treated with the Moria M2 ＂90＂ microlamellar keratoplasty and ALLEGRETrO WAVETM Eye-Q excimer laser.The continuous cases were divided into 2 groups, Ⅰgroup were 89 eyes（-6-12.875）D, Ⅱ group were 106 eye（-1.25-5. 875）D.All patients were followed up for more than 3 months.Results There was no serious complications during the LASIK procedure.The results of the follow up were that the uncorrected visual acuity for 97.67% and 91.51% of eyes reached or over the spectacle corrected visual acuity.There were 5 eyes （2.56%） were recurrence of myopia.The curvature and astigmatism of corneal topography was decreased and higher order aberration was increased in 3 month postoperatively.Conclusion Moria M2 ＂90＂ microlamellar keratoplasty and excimer laser keratectomy is an effective and safe method for reducing myopia.

关 键 词：微型角膜刀 准分子激光角膜切削术 近视 

分 类 号：R779.63[医药卫生—眼科]