| 去上皮瓣的Epi-LASIK与传统的Epi-LASIK术后疗效比较 |
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| 引用本文： | 王显江,刘德杰,胡隆基. 去上皮瓣的Epi-LASIK与传统的Epi-LASIK术后疗效比较[J]. 眼科新进展, 2011, 31(10): 973-975 |
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| 作者姓名： | 王显江 刘德杰 胡隆基 |
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| 作者单位： | 1. 烟台开发区医院眼科, 山东省烟台市,264006
2. 明基眼科医院, 山东省青岛市,266003 |
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| 摘 要： | 目的探讨去上皮瓣Epi-LASIK手术的临床特性及其与传统Epi-LASIK的临床效果比较。方法对28例双眼近视患者(屈光度<-6.00D)一眼行去上皮瓣的Epi-LASIK(去上皮瓣组),另一眼行传统的Epi-LASIK(传统组),术毕均配戴软性角膜接触镜,进行为期6个月的自身对比观察,随诊时间分别为1d、3d、7d、1个月、3个月、6个月,对术后角膜刺激征、上皮愈合时间、视力、屈光状态、Haze等指标进行评价并作统计学处理。结果术后3～5d去上皮瓣组疼痛感和流泪症状明显轻于传统组,差异有统计学意义(P<0.05)。去上皮瓣组上皮愈合时间平均为(3.57±0.88)d,传统组为(4.22±0.93)d,两组比较差异有统计学意义(P<0.05)。术后7d去上皮瓣组裸眼视力即可达到0.95±0.19,明显高于传统组的0.83±0.18,两组比较差异有统计学意义(P<0.05),1个月、3个月、6个月时两组裸眼视力比较差异均无统计学意义(均为P>0.05)。去上皮瓣组在术后7d、1个月时残余柱镜度数明显小于传统组(P<0.05),3个月以后差异无统计学意义。至随访期末,两组Haze程度比较无明显差异。结论去上皮瓣的Epi-LASIK能明显减轻术后角膜刺激征,缩短角膜上皮愈合时间,术后早期对散光的矫正效果明显,且不加重Haze的发生,是角膜厚度偏薄的中低度近视患者的安全、理想的手术方式。
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| 关 键 词： | 近视 Epi-LASIK 角膜上皮瓣 |
Comparative clinical results of Epi-LASIK and off-flap Epi-LASIK |
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| WANG Xian-Jiang,LIU De-Jie,HU Long-Ji. Comparative clinical results of Epi-LASIK and off-flap Epi-LASIK[J]. Recent Advances in Ophthalmology, 2011, 31(10): 973-975 |
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| Authors: | WANG Xian-Jiang LIU De-Jie HU Long-Ji |
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| Affiliation: | WANG Xian-Jiang,LIU De-Jie,HU Long-Ji From the Department of Ophthalmology,Development Zone Hospital of Yantai,Yantai 264006,Shandong Province,China,Mingji Ophthalmology Hospital,Qingdao 266003 |
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| Abstract: | Objective To compare the postoperative clinical results of off-flap Epi-LASIK and standard Epi-LASIK for the treatment.Methods About 28 patients were distributed into two groups,One eye of each patient underwent standard Epi-LASIK,whereas the other eye underwent off-flap Epi-LASIK.Self-comparison was taken for 6 months.All patients were followed up for 1 day,3 days,5 days,7days and 1 month,3 months,6 months,then postoperative corneal irritation syndrome,visual acuity,diopter,Haze were evaluated and statisti... |
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| Keywords: | myopia Epi-LASIK corneal Epithelial flap |
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