飞秒激光辅助LASIK和LASEK矫正中度近视对患者角膜表面及前房深度的影响对比研究  

A Comparative Study of the Effects of Femto-second Laser Assisted LASIK and LASEK on Corneal Surface and Anterior Chamber Depth in Patients with Moderate Myopia

作　　者：邓娅 明玥 卢丽芳 刘畅 DENG Ya;MING Yue;LU Li-fang;LIU Chang(Department of Refractive Surgery,Wuhan Egg Ophthalmological Hospital,Wuhan 430000,Hubei,china)

机构地区：[1]武汉艾格眼科医院屈光手术科

出　　处：《中国美容医学》2019年第10期47-50,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究飞秒激光辅助准分子激光原位角膜磨镶术(laser in situ keratomileusis,LASIK)和准分子激光上皮下角膜磨镶术(lasersubepithelial keratomileusis,LASEK)矫正中度近视对患者角膜厚度、后表面高度及前房深度的影响。方法:选择2016年10月-2018年9月于笔者医院眼科手术治疗的中度近视患者94例,A组47例采用飞秒激光仪制角膜瓣辅助LASIK治疗,B组47例采用LASEK治疗。结果:两组术后1个月、3个月裸眼视力及最佳矫正视力均有改变,前房深度均变浅,角膜后表面Diff值、角膜Q值均明显增加,且A组Diff值增加略小于B组,但差异均无统计学意义(P>0.05);A组Q值增加显著大于B组,差异有统计学意义(P<0.05)。A组并发症发生率为4.3%明显低于B组的17.0%,差异有统计学意义(P<0.05)。结论:LASEK对角膜前表面影响较小,飞秒激光辅助LASIK手术创伤小、术后并发症少,临床工作中需要根据具体情况选择适合患者的治疗方案。Objective To study the effect of femto-second laser assisted laser in situ keratomileusis(LASIK)and lasersubepithelial keratomileusis(LASEK)on corneal surface and anterior chamber depth in patients with moderate myopia.Methods 94 patients with myopia surgery from October 2016 to September 2018 in our hospital were selected,47 patients in group A were treated with femto-second laser making a corneal flap assisted LASIK,and 47 patients in group B were treated with LASEK.Results One month and three months after operation in the two groups,the naked visual acuity and best corrected visual acuity were changed,the depth of anterior chamber became shallow,the Diff value of the posterior corneal surface and the Q value of the cornea increased significantly,and the Diff value of group A increased slightly less than that of group B,but the differences were not statistically significant(P>0.05).The increase of Q value in group A was significantly higher than that in group B,and the difference was statistically significant(P<0.05).The incidence of complications in group A was 4.3%,which was significantly lower than that in group B(17.0%,P<0.05).Conclusion LASEK has little effect on the anterior surface of the cornea,femto-second laser assisted LASIK has less trauma and less postoperative complications,so it is necessary to select a treatment plan suitable for the patient according to the specific situation in clinical work.

关 键 词：中度近视 飞秒激光 准分子激光原位角膜磨镶术 准分子激光上皮下角膜磨镶术 角膜 前房 

分 类 号：R622[医药卫生—整形外科]