准分子激光原位角膜磨镶术后调节训练疗效观察  

Clinical effects of accommodative training after laser in situ keratomileusis

作　　者：贾惠莉[1] 严宗辉[1] 邓宏伟[1] 罗康怡[1] 张醇[1] 

机构地区：[1]广东省深圳市眼科医院,518018

出　　处：《中国实用眼科杂志》2012年第7期820-822,共3页Chinese Journal of Practical Ophthalmology

基　　金：基金项目：2010年度深圳市科技计划非资助项目（No.201003198）

摘　　要：目的观察调节训练法治疗准分子激光原位角膜磨镶术（Laserinsitukeratomileusis，LASIK）后患者视疲劳的临床效果。方法选择行LASIK术后3个月仍有视疲劳症状的患者28例，年龄34-45岁（平均38．32岁），进行调节灵敏度训练（即±1．0D、±2．0D反转透镜），每日2次，每次15min。15d为一疗程，一般为2个疗程。观察治疗前后视疲劳评分及调节灵敏度。结果LASIK术后患者视疲劳评分治疗前为10．04±0．22，治疗后为4．00±0．15，治疗后较治疗前显著降低有统计学意义（P〈0．05）。调节灵敏度治疗前为（5．27±1．22）cpm，治疗后为（8．98±1．69）cpm，治疗后较治疗前明显提高，差异显著有统计学意义（P〈O．05）。结论调节灵敏度是一种简单、有效的调节与双眼视觉训练方法，能改善LASIK术后患者视疲劳症状。Objective To observe the clinical efficacy of accommodative training on asthenopia after Laser in situ keratomileusis （LASIK）. Methods Twenty-eight patients with asthenopia 3 months after LASIK （from 34 to 45 years old） were enrolled. Accommodative facility training was performed 2 times a day, every 15 minutes by ~I.0D or ~2.0D flip lenses. Fifteen days were a course and 2 courses were suggested. The asthenopia score and accommodative facility before and af- ter treatment were measured. Results The asthenopia score of patients after LASIK were 10.04±0.22 before treatment and 4.00±0.15 after treatment. There was a significantly decreased （P 〈0.05）, The accommodative facility training were 5.27±1.22cpm （cycles per minute） before treatment and 8.98±1.69cpm after treatment. There was a statistically significant different （P 〈0.05） and the accom- modative facility training after treatment were improved, Conclusions The accommodative facility training is a simple and effective training on accommodative and binocular dysfunctions, which allevi- ate asthenopic symptoms after LASIK.

关 键 词：角膜磨镶术 调节 视疲劳 近视 

分 类 号：R779.63[医药卫生—眼科]