激光原位角膜磨削术矫正伴眼球震颤的近视  

Laser in situ keratomileusis for myopia with nystagmus

作　　者：郭晓东[1] 田英[1] 张改玲[1] 张晓兰[1] 张幼梅[1] 王卫群[1] 

机构地区：[1]郑州大学第一附属医院,450052

出　　处：《中华眼外伤职业眼病杂志》2015年第7期545-547,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价LASIK治疗伴有眼球震颤近视的临床效果。方法对6例（11眼）伴有眼球震颤的近视行LASIK治疗。术后随访1d、10d、1个月、3个月、6个月、1年。结果术后1年的裸眼视力均〉10．6；10眼（90．9％）达到或超过术前最佳矫正视力。1眼（9．1％）最佳矫正视力比术前下降2行。术后3个月11眼残留屈光度（等值球镜度）均在±0．5D以内，术后6个月为-0．25～-0．75D，术后1年无屈光回退。术后7眼眼球震颤减轻，2例代偿头位消失，4例改善。角膜地形图显示，均无偏中心切削。结论对伴有眼球震颤的近视，恰当的病例选择、积极主动的手术前训练，以及手术中合理的处理，大部分患者都能顺利完成LASIK手术，并能达到预期的手术效果。Objective To evaluate the clinical efficacy of laser in situ keratomileusis （LASIK） for myopia with nystagrnus. Methods Eleven eyes of 6 cases of myopia with nystagmus received LASIK surgery, and were followed up at 1 day, 10 days, 1 month, 3 months, 6 months and 1 year postoperatively. Results One year after the surgery, the uncorrected visual acuity was better than 0.6 in all eyes, and were better than preoperative corrected visual acuity in 10 eyes （90. 9% ）. The best corrected visual acuity reduced by 2 lines compared with that before the operation in one eye. Three months after the surgery, the residual refractive errors （spherical equivalent） in all 11 eyes were within ±0.5 D, and 43. 250D to 43.75 D at 6 months after the operation. No refractive regression happened during 1 year follow-up. The nystagmus was alleviated in 7 eyes and the compensatory head posture disappeared in 2 cases and improved in 4 cases after the surgery. The corneal topography results showed no off-center cutting exited. Conclusion For myopia with nystagmus, LASIK could be done successfully with appropriate patients selection, active preoperative training and suitable operative dealing.

关 键 词：近视 眼球震颤 角膜磨削术 激光原位(LASIK) 

分 类 号：R779.6[医药卫生—眼科]