SMILE和FS-LASIK联合monovision治疗近视合并老视的疗效比较  

Observation on the clinical efficacy of monovision therapy in SMILE and FS-LASIK

作　　者：张婉婷 高芬 Wan-Ting Zhang;Fen Gao(Department of Ophthalmology, Kaifeng Central Hospital, Kaifeng 475000, Henan Province, China)

机构地区：[1]中国河南省开封市中心医院眼科,475000

出　　处：《国际眼科杂志》2021年第7期1288-1291,共4页International Eye Science

摘　　要：目的:观察用monovision原理设计治疗近视合并老视在飞秒激光小切口基质透镜取出术(SMILE)和飞秒激光辅助原位角膜磨镶术(FS-LASIK)应用后的远视力、近视力。方法:在我院行monovision设计进行近视激光治疗的近视合并老视患者,SMILE组10例20眼,年龄45±2.83岁,屈光度-5.42±1.74D;FS-LASIK组9例18眼,年龄45±1.97岁,屈光度-5.60±1.84D。组间及组内对比手术前后单眼及双眼远、近视力。结果:术前SMILE组:主视眼:远视力0.05±0.04,近视力0.36±0.15;客观眼:远视力0.35±0.11,近视力0.16±0.11;双眼:远视力0.05±0.05,近视力0.18±0.09。术前FS-LASIK组:主视眼:远视力0.09±0.09,近视力0.42±0.17;客观眼:远视力0.44±0.11,近视力0.19±0.10;双眼:远视力0.03±0.04,近视力0.19±0.11。两组间术前各参数均无差异(P>0.05)。术后SMILE组:主视眼:远视力为-0.01±0.06,近视力为0.32±0.14;客观眼:远视力0.16±0.18,近视力0.12±0.12;双眼:远视力-0.04±0.07,近视力0.10±0.11。术后FS-LASIK组:主视眼:远视力0.03±0.03,近视力0.45±0.13;客观眼:远视力0.20±0.15,近视力0.24±0.12;双眼:远视力0.01±0.03,近视力0.22±0.09。术后两组双眼远视力、近视力均有差异(t=-2.383,P=0.034;t=-2.424,P=0.027)。SMILE组术后主视眼远视力(t=3.914,P=0.004),客观眼远视力(t=4.894,P=0.001),双眼远视力(t=4.870,P=0.001),双眼近视力(t=2.388,P=0.041)均优于术前预计视力。FS-LASIK组术后客观眼远视力优于术前(t=4.068,P=0.004)。结论:对近视角膜屈光手术的患者,用monovision设计治疗老视,SMILE和FS-LASIK均能达到预计效果,但SMILE术后的双眼远、近视力更优。AIM:To observe the clinical efficacy between SMILE and FS-LASIK with monovision design to treat the presbyopia.METHODS:According to the methods of operation,the presbyope with myopia were divided into two groups,who received the treatment with monovision design.SMILE group had 10 patients(20 eyes),the average age were 45±2.83 years old and myopia degree was-5.42±1.74D.FS-LASIK group had 9 patients(18 eyes),the average age were 45±1.97 years old and myopia degree was-5.60±1.84D.The far vision and the near vision of monocular and binocular of preoperative and postoperative between two groups were observed.RESULTS:SMILE group in preoperative:the preoperative subjective eye’s far visual acuity was 0.05±0.04,the subjective eye’s near vision was 0.36±0.15;the objective eye’s far visual acuity was 0.35±0.11,the objective eye’s near visual acuity was 0.16±0.11;the binocular far visual acuity was 0.05±0.05 and the binocular near visual acuity was 0.18±0.09.Preoperative FS-LASIK group:preoperative subjective eye’s far visual acuity was 0.09±0.09,subjective eye’s near vision was 0.42±0.17;the objective eye’s far visual acuity was 0.44±0.11,the objective eye’s near visual acuity was 0.19±0.10;the binocular far visual acuity was 0.03±0.04 and the binocular near visual acuity was 0.19±0.11.The result of before surgery between the two groups had no statistical difference(P﹥0.05).Postoperative SMILE group:the far visual acuity of subjective eye was-0.01±0.06,the near vision of subjective eye was 0.32±0.14;the far visual acuity of objective eye was 0.16±0.18,the near visual acuity of objective eye was 0.12±0.12;the binocular far visual acuity was-0.04±0.07,the binocular near visual acuity was 0.10±0.11.Postoperative FS-LASIK group:the far visual acuity of subjective eye was 0.03±0.03,the near vision of subjective eye was 0.45±0.13;the far visual acuity of objective eye was 0.20±0.15,the near visual acuity of objective eye was 0.24±0.12;the binocular far visual acuity was 0.01±0.03 and

关 键 词：MONOVISION 飞秒激光小切口基质透镜取出术 飞秒激光辅助原位角膜磨镶术 

分 类 号：R779.6[医药卫生—眼科]