ICL与LASIK治疗角膜屈光术后屈光回退患者的效果比较  

Comparison of effects of implantable collamer lens and r laser in situ keratomileusis in treatment of patients with refractive regression after corneal refractive surgery

作　　者：张语洋 ZHANG Yuyang(Department of Refractive Surgery of Jiamusi Aier Eye Hospital,Jiamusi 154000 Heilongjiang,China)

机构地区：[1]佳木斯爱尔眼科医院屈光手术专科,黑龙江佳木斯154000

出　　处：《中国民康医学》2023年第14期152-154,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较有晶体眼后房型人工晶体植入术(ICL)与准分子激光原位角膜磨镶术(LASIK)治疗角膜屈光术后屈光回退患者的效果。方法:回顾性分析2020年7月至2022年1月该院收治的60例角膜屈光术后屈光回退患者的临床资料,按照手术方式不同将其分为观察组和对照组各30例。对照组行LASIK治疗,观察组行ICL治疗,术后均随访3个月。比较两组临床疗效,术前和术后3个月裸眼视力、屈光度、视觉质量指标[客观视觉质量指数量化(MTF截止频率)、斯特列尔比(SR)、客观散射指数(OSI)]水平,以及并发症发生率。结果:观察组治疗总有效率为90.00%(27/30),高于对照组的66.67%(20/30),差异有统计学意义(P<0.05);观察组裸眼视力、MTF截止频率、SR水平均高于对照组,OSI水平低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为6.67%(2/30),低于对照组的26.67%(8/30),差异有统计学意义(P<0.05);两组屈光度水平比较,差异无统计学意义(P>0.05)。结论:ICL治疗角膜屈光术后屈光回退患者可提高治疗总有效率和裸眼视力水平,改善视觉质量指标水平,降低并发症发生率,效果优于LASIK治疗。Objective:To compare effects of implantable collamer lens(ICL)and laser in situ keratomileusis(LASIK)in treatment of patients with refractive regression after corneal refractive surgery.Methods:The clinical data of 60 patients with refractive regression after corneal refractive surgery admitted to this hospital from July 2020 to January 2022 were retrospectively analyzed.According to different surgical methods,they were divided into observation group and control group,30 cases in each group.The control group was treated with LASIK,while the observation group was treated with ICL.All patients were followed up for 3 months.The clinical efficacy,the naked visual acuity,the diopter,the visual quality index[objective visual quality index quantification(MTF cutoff frequency),Strehl ratio(SR),objective scattering index(OSI)]levels,and the incidence of complications were compared between the two groups before and 3 months after the surgery.Results:The total effective rate of treatment in the observation group was 90.00%(27/30),which was higher than 66.67%(20/30)in the control group,and the difference was statistically significant(P<0.05).The naked visual acuity,the MTF cutoff frequency and the SR level of the observation group were higher than those of the control group,the OSI level was lower than that of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 6.67%(2/30),which was lower than 26.67%(8/30)in the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in diopter between the two groups(P>0.05).Conclusions:ICL in the treatment of the patients with refractive regression after corneal refractive surgery can improve the total effective rate of treatment and the levels of naked visual acuity,improve the levels of visual quality indicators,and reduce the incidence of complications.Moreover,it is superior to LASIK.

关 键 词：有晶体眼后房型人工晶体植入术 准分子激光原位角膜磨镶术 角膜屈光术 屈光回退 裸眼视力 视觉质量 并发症 

分 类 号：R779.6[医药卫生—眼科]