LASEK治疗白内障摘除联合IOL植入术后屈光不正的观察  

Observation of laser subepithelial keratomileusis for the treatment of ametropia after cataract extraction and intraocular lens implantation

作　　者：李新宇[1] 刘磊[1] 黎冬平[1] 李贵刚[1] 胡军[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院眼科,中国湖北省武汉市430030

出　　处：《国际眼科杂志》2012年第9期1748-1749,共2页International Eye Science

基　　金：湖北省自然科学基金资助项目(No.2010CDB09803)~~

摘　　要：目的:观察准分子激光上皮下角膜磨镶术(LASEK)治疗白内障摘除联合人工晶状体植入术后屈光不正的安全性及疗效。方法:对白内障摘除联合人工晶状体植入术后屈光不正的42例49眼施行LASEK,术后随访6mo以上,记录角膜地形图、视力、屈光度数、角膜haze等情况。结果:术后6mo裸眼视力≥1.0者32眼(65.3%),≥0.8者42眼(85.7%)。球镜度数±1.0D内者为45眼(91.8%),±0.5D内者为34眼(69.4%)。柱镜度数±1.0D内者43眼(87.8%),±0.5D内者为31眼(63.3%)。术后6mo0.5级haze4眼(8.2%),其余均为0级,无继发性圆锥角膜、继发性青光眼、切削偏中心等并发症。结论:LASEK治疗白内障人工晶状体植入术后屈光不正屈光不正安全性高,疗效确切。AIM：To evaluate the efficacy and safety of laser subepithelial keratomileusis （LASEK） treating ametropia after cataract extraction and intraocular lens implantation .METHODS：After cataract extraction and intraocular lens implantation, the ametropia in 42 cases （49 eyes） was treated with LASEK. Postoperative follow-up was 6 months, corneal topography, visual acuity, refractive diopter, corneal haze and any other conditions were recorded.RESULTS：The uncorrected visual acuity was over 1. 0 in 32 eyes （65.3%） ,and over 0. 8 in 42 eyes （85.7%） . 45 eyes （91.8%） were within ±1.0 sphere diopter, 34 eyes （69.4%） were within ±0.5 sphere diopter. 43 eyes （87.8%） were within ±1.0 cylinder diopter, within ±0.5D 31 eyes （63.3%） . Corneal haze was at 0.5 grade in 4 eyes and 0 grade in others at postoperative 6 months. There were no complications such as secondary keratoconus, secondary glaucoma, ablation decentration, etc.CONCLUSION：LASEK for ametropia after cataract extraction and intraocular lens implantation is an effective and safe surgery.

关 键 词：准分子激光上皮下角膜磨镶术 白内障人工晶状体植入 屈光不正 

分 类 号：R779.63[医药卫生—眼科]