准分子激光前弹力层下角膜磨镶术治疗近视的临床研究  

Clinical observation of sub-bowman's keratomileusis for treatment of myopia

作　　者：吴小军[1,2] 高丰[1,2] 王慧[1,2] 

机构地区：[1]湖北医药学院附属襄阳医院 [2]襄阳市第一人民医院眼科,湖北襄阳441000

出　　处：《激光杂志》2013年第2期56-57,共2页Laser Journal

摘　　要：目的:观察准分子激光前弹力层下角膜磨镶术(SBK)治疗近视的临床效果,探讨其应用价值。方法:回顾2010年1月至9月在我院眼科行SBK病例共71例(133眼),分析其术后裸眼视力、屈光度、泪膜破裂时间(BUT)、并发症等。结果:术后1周视力≥0.5的眼数为133眼(100%),≥1.0的眼数为131眼(98.5%);术后1周屈光度≤±0.5的眼数为112眼(84.2%),≤±1.0的眼数为129眼(97.0%);术后3月BUT为14.42±3.24,基本恢复至术前水平,术后3、6月与术前比较差异无统计学意义(P>0.05);11眼(8.3%)出现瓣缘出血,5眼(3.8%)术后发现角膜瓣下方少量上皮植入、角膜瓣轻微皱褶、局部轻度层间角膜炎反应,经处理后角膜仍均透明。结论:SBK治疗近视安全有效,预测性好,具有良好的临床应用价值。Objective： To observe the clinical effect of sub - bowman＇ s keratomileusis （SBK） for treatment of myopia, and discuss its application value. Methods： A retrospective from January 2010 to Septenber in our hospital of 71 cases （133eyes） underwent the treatment of myopia by SBK, to analyze the postoperative uncorrected visual acuity, refraction, tear film break up time （BUT） , complications , etc. Results： Postoperative 1 week the eyes of UCVA equal to or better than 0.5 are 133 （ 100% ）, ≥ 1.0 are 131 （98.5%） ; postoperative 1 week diopter ≤± 0.5 with 112 eyes （84.2%）, ≤± 1.0 with 129 eyes （ 97.0% ） ; postoperative 3 months BUT is 14.42 ± 3.2g, basically returned to preoperative levels , after 3 and 6 months compared with the preoperative was no significant difference （ P 〉 0.05 ） ; 11 eyes （ 8.3 % ） with flap edge bleeding, 5 eyes （ 3.8 % ） had a small amount of epithelial implantation beneath the corneal flap ,corneal flap slightly wrinkled, local mild interlayer keratitis reaction , and processed corneal still were transparent. Conclusion： The treatment of myopia by SBK is safe , effective , and predictable , with good clinical value.

关 键 词：准分子激光前弹力层下激光角膜磨镶术 近视 角膜瓣 并发症 

分 类 号：TN211.1[电子电信—物理电子学]