准分子激光上皮下角膜磨镶术治疗中低度大龄近视患者疗效分析  

Curative effect of laser sub-epithelial keratomileusis on low and midrange myopia in aged patients

作　　者：魏淑芳[1] 郑晓丽[1] 高建鲁[1] 

机构地区：[1]山东省聊城市人民医院眼科,252000

出　　处：《中国医师进修杂志》2010年第27期29-31,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨大龄近视患者行准分子激光上皮下角膜磨镶术（LASEK）的手术设计特点,分析其术后疗效.方法 年龄≥35岁的近视患者共58例（114眼）,根据单眼视的原则,结合患者不同的视力要求,按需制订手术方案,行LASEK,术后3 d、1周、1个月、3个月、6个月复查并分析相关指标.结果 术后3 d,71眼（62.28%）角膜修复较好;术后1个月,所有患者视力达到或超过术前矫正视力,术后6个月复查视力稳定;术后3个月,63眼（55.26%）泪膜破裂时间低于正常,至术后6个月,均恢复正常;术后满意度逐渐提高.结论 LASEK对年龄≥35岁的近视患者疗效显著,结合单眼视原则,按需制订手术方案,可达到较高的满意度.Objective To study the characteristic of operation design and analyze curative effect of laser sub-epithelial keratomileusis （LASEK） on low and midrange myopia in aged patients. Method Fiftyeight patients （ 114 eyes） no less than 35 years old were treated with LASEK by monoblepsis. The subjects were examined and analyzed at 3 days, 7 days, 1 month,3 months and 6 months after operation. Results Seventy-one corneas（62.28%） recovered well at 3 days after operation. At 1 month after operation, the acuity of vision of all patients achieved or exceeded corrected vision before operation,and lasted to 6 months after operation. The break up time of 63 eyes were lower than normal at 3 months after operation,but 6 months after operation all of them recovered to normal. The satisfaction of patients raised gradually. Conclusions LASEK is effective for no less than 35 years old myopic patients. Make operation plan refer to monoblepsis and patients＇ needs can receive more satisfaction.

关 键 词：近视 视觉 单眼 角膜切削术 上皮下 激光 

分 类 号：R779.63[医药卫生—眼科]