ICL晶体植入术与LASIK手术对角膜屈光手术后屈光回退患者的治疗效果对比  

Comparison of therapeutic effects between ICL implantation and LASIK surgery in patients with refractive regression after corneal refractive surgery

作　　者：张文文 ZHANG Wen-wen(Department of Ophthalmology,Zaozhuang Maternal and Child Health Hospital,Zaozhuang 277000,China)

机构地区：[1]山东省枣庄市妇幼保健院眼科,277000

出　　处：《中国实用医药》2022年第11期60-63,共4页China Practical Medicine

摘　　要：目的 分析可植入式隐形眼镜(ICL)晶体植入术与准分子激光原位角膜磨镶术(LASIK手术)对角膜屈光手术后屈光回退患者的治疗效果。方法 100例角膜屈光手术后屈光回退患者,随机分为对照组及观察组,每组50例。对照组行LASIK手术治疗,观察组行ICL晶体植入术治疗。对比两组患者术前、术后2个月的裸眼视力、屈光度及术后并发症发生情况、疗效。结果 观察组患者的治疗总有效率98.00%高于对照组的52.00%,差异有统计学意义(P<0.05)。术前,两组裸眼视力与屈光度比较,差异无统计学意义(P>0.05);术后2个月,两组患者裸眼视力与屈光度均较本组术前改善,且观察组裸眼视力高于对照组,差异有统计学意义(P<0.05)。两组患者术后2个月屈光度比较差异无统计学意义(P>0.05)。观察组患者的并发症发生率4.00%低于对照组的20.00%,差异有统计学意义(P<0.05)。结论 ICL晶体植入术在角膜屈光手术后屈光回退患者的治疗中效果显著,能有效矫正视力,并发症发生率低,值得推广应用。Objective To analyze the therapeutic effects between implantable collamer lens(ICL) implantation and laser in situ keratomileusis(LASIK) surgery in patients with refractive regression after corneal refractive surgery. Methods A total of 100 patients with refractive regression after corneal refractive surgery were randomly divided into control group and observation group, with 50 cases in each group. The control group was treated with LASIK surgery, and the observation group was treated with ICL implantation. The uncorrected visual acuity and diopter before surgery and 2 months after surgery, postoperative complications and clinical efficacy were compared between the two groups. Results The total effective rate 98.00% in the observation group was higher than 52.00% in the control group, and the difference was statistically significant(P<0.05). Before surgery, there was no statistically significant difference in uncorrected visual acuity and diopter between the two groups(P>0.05). 2 months after surgery, the uncorrected visual acuity and diopter of the two groups were improved compared with those of this group before surgery, and the uncorrected visual acuity of the observation group was higher than that of the control group. All the differences were statistically significant(P<0.05). There was no statistically significant difference in diopter between the two groups at 2 months after surgery(P>0.05). The complication rate 4.00% in the observation group was lower than 20.00% in the control group, and the difference was statistically significant(P<0.05). Conclusion ICL implantation is effective in the treatment of patients with refractive regression after corneal refractive surgery, and can effectively correct visual acuity with low complication rate, which is worthy of popularization and application.

关 键 词：可植入式隐形眼镜晶体植入术 准分子激光原位角膜磨镶术 角膜屈光手术 屈光回退 

分 类 号：R779.6[医药卫生—眼科]