90μm刀头制作角膜瓣联合LASIK多区切削治疗高度近视的效果  

THE EFFICACY OF CORNEAL FLAP CREATED WITH 90μm BLADE COMBINED WITH MULTI-ZONE ABLATION IN LASIK FOR HIGH MYOPIA

作　　者：徐洪超 

机构地区：[1]临沂莒南红十字会光明眼科医院,山东莒南276600

出　　处：《齐鲁医学杂志》2010年第1期61-62,64,共3页Medical Journal of Qilu

摘　　要：目的评估以90μm刀头制作角膜瓣联合准分子激光原位角膜磨镶术（LASIK）多区切削对高度近视角膜厚度相对不足者治疗的安全性。方法对100例（186眼）经术前预测角膜厚度不足的高度近视病人，施行以90μm刀头制作角膜瓣联合LASIK多区切削治疗。结果术后3个月时，98例（182眼）术后的矫正视力达到或超过术前预计的最佳矫正视力1～2行，4眼较术前最佳矫正视力下降1行。结论以90μm刀头制作角膜瓣联合LASIK多区切削可以有效治疗术前预测角膜厚度不足的高度近视病人，无明显并发症发生，有很好的安全性。Objective To evaluate the safety and efficacy of using corneal flaps created with 90 μm blade combined with multi zone ablation in LASIK in the treatment of high myopia with thin corneal thickness. Methods This study consisted of 100 patients （185 eyes） with high myopia with preoperative thin corneal thickness were treated with corneal flaps created with 90 μm blade combined with multi-zone ablation in LASIK. Results Three months after surgery, 182 eyes of 98 patients gained vision reached the best corrected vision of 1--2 lines better than expected preoperatively, four eyes decrease one line. Conclusion It is an effective and safe method using corneal flaps created with 90 μm blade combined with multi-zone ablation in LASIK for therapy of excessive myopia with predicted thin corneal thickness. No obvious complications were observed.

关 键 词：角膜磨镶术 激光原位 高度近视 治疗结果 

分 类 号：R779.63[医药卫生—眼科]