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1.
准分子激光角膜切削术治疗高度近视远期疗效分析 总被引:2,自引:0,他引:2
目的:评价准分子激光角膜切削术(photorefractive keratectomy, PRK)治疗高度近视的远期疗效.方法:将104例183眼屈光度>-6.00D患者分两组,Ⅰ组-6.25~-10.00D,Ⅱ组≥-10.25D,对PRK术后3年患者的视力、屈光度、角膜上皮下基质混浊进行随访分析.结果:3年时Ⅰ组裸眼视力达到术前最佳矫正视力的为73.3%(96眼),Ⅱ组为38.5%(20眼);屈光度在预期矫正度±1.00D以内者,Ⅰ组为76.3%(100眼),Ⅱ组为42.3%(22眼);角膜上皮下基质混浊,3年时0~0.5级的Ⅰ组为100%,Ⅱ组为90.4%.结论:PRK治疗-6.25~-10.00D的高度近视远期疗效较好,大于-10.00D的远期疗效不理想. 相似文献
2.
目的:评价PRK治疗近视及散光的远期疗效。方法:选取1996-11/1998-01PRK手术116例(219眼),按术前等值球镜度分为3组,A组:-1.00D~-3.00D53眼;B组:-3.125D~-6.00D125眼;C组:-6.125D~-16.00D41眼。术后随访10a。结果:术后10a裸眼视力≥0.5、≥1.0者,A组分别为100%、84.9%;B组分别为100%、80.8%;C组分别为92.7%、31.7%。术后10a屈光度在预定矫正度±1.00D以内者,A、B、C组依次为92.5%,74.4%,34.2%。术后10a最佳矫正视力达到或超过术前最佳矫正视力者依次98.1%、98.4%、92.2%。无1例有1级以上角膜上皮下雾状浑浊(Haze)者。结论:PRK是治疗近视安全有效的方法,其预测性及稳定性与近视度呈负相关。 相似文献
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目的探讨非接触性眼压计测量准分子激光角膜原位磨镶术(LASIK)治疗近视术后眼压变化及影响因素。方法选取-1.50-15.00D近视散光102例(198眼),每例按1眼参与分析,按预矫正等值球镜屈光度分为2组,Ⅰ组-1.50~6.00D56眼,Ⅱ组-6.25—15.0D42眼,用非接触眼压计测量术前及术后1月眼压,并分析术后眼压变化的因素。结果两组术后1月眼压均低于术前(P<0.05),术后随访1月以上显示高度组眼压降低幅度明显高于低中度组(P<0.05)。结论非接触性眼压计测量LASIK术后眼压值要进行修正,尤其在诊断青光眼或高眼压症时应慎重对待。 相似文献
4.
目的 为了评价准分子激光屈光性角膜切削术治疗近视、近视散光的远期疗效。方法 应用美国VISX 20/20型准分子激光仪,治疗132例(259眼),采用多切削区治疗屈光度-1.5D~-16.0D的近视观察3年以上,按术前球镜屈光度分为二组:Ⅰ组-1.5D~-6.0D(196眼),Ⅱ组-6.25D~-16.0D(73眼)。结果 术后3年裸眼视力≥0.5,在Ⅰ、Ⅱ中组中分别为94.6%、89.3%;术后3年裸眼视力≥1.0,在Ⅰ、Ⅱ组中分别为90.7%、70.5%,角膜HazeⅠ组0级90.3%,0.5级9.7%,无1级以上Haze;Ⅱ组0级63.0%,0.5级34.2%,1级2.8%,无2级以上Haze。结论 准分子激光屈光性角膜切削术对低、中、高度近视、近视散光均取得良好的远期效果,但对低、中度近视效果更佳,对高度近视预测性较差。 相似文献
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目的 探讨准分子激光原位角膜磨镶术(LASIK)治疗低、中、高度近视的疗效。方法 应用波长193nm的ArF准分子激光对449例(889眼)屈光度在-0.75D~21.00D的近视及近视散光行LASIK治疗。结果 对889跟随访12~24月,93%术后裸视达到或超过术前最好矫正视力,5.6%的裸视达2.0,90.3%的术后屈光度在±1.00D之间,欠矫67眼,欠矫率仅为7.5%,术中术后未见严重并发症。给论 LASIK手术矫正近视及近视散光优于PRK手术,是一种更加准确有效和安全的屈光手术方法。 相似文献
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目的 探讨准分子激光原位角膜磨镶术(laser in situ keratomileusis,LASIK)治疗近视2年疗效.方法 对2007年3月至2009年4月在杭州师范大学附属医院眼科就诊的500例996只近视眼进行LASIK治疗,按术前预矫等效球镜屈光度分为3组,Ⅰ组:-1.50~-6.00 D,Ⅱ组:-6.10~-10.00 D,Ⅲ组:-10.10~-14.00 D,术后随访2年.结果 术后2年,Ⅰ组:裸眼视力≥0.5和≥1.0分别为100%和96.03%,术后屈光度±0.50 D、±1.00 D以内者分别占87.03%和94.98%,术后散光±1.00 D以内者占97.91%.Ⅱ组:裸眼视力≥0.5和≥1.0分别为100%和84.12%,术后屈光度±0.50 D、±1.00 D以内者分别占83.89%和91.00%,术后散光±1.00 D以内者占94.79%.Ⅲ组:裸眼视力≥0.5和≥1.0分别为89.58%和75.00%,术后屈光度±0.50 D、±1.00 D以内者分别占64.58%和76.04%,术后散光±1.00 D以内者占87.50%.结论 采用LASIK治疗近视具有良好安全性、有效性、可预测性和稳定性. 相似文献
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准分子激光角膜切削术矫正RK术后近视22例 总被引:5,自引:3,他引:5
目的:探讨准分子激光角膜切削术(PRK)矫正角膜放射状切开术(RK)后残留近视及近视散光的有效性和安全性。方法:应用波长193nm的ArF准分子激光对22例39眼RK术后残留的近视及近视散光进行准分子激光屈光手术治疗。结果:随访5a,平均屈光度由术前-4.21±1.42D下降至术后的-0.41±0.31D,34眼≥术前最佳矫正视力,术前裸眼视力≥1.0者32眼,术后裸眼视力≥1.0者30眼,回退4眼(10%),回退度数<-1.25D。术前矫正视力≤0.9者,术后5a时仅2眼裸眼视力≥1.0。结论:PRK是一种有效和安全的矫正RK术后残留近视的方法。 相似文献
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目的评价准分子激光角膜屈光手术治疗近视的疗效。方法采用准分子激光角膜切削仪和自动报层角膜刀对332例628只眼近视及散光患者行PRK或Lasik手术,术前球镜屈光度-1.00~-23.00D(-6.12±4.05D),柱镜屈光度0~-5.00D,角膜屈光力43.35±1.31,术后随访一年。结果术后1年裸眼视力≥0.8占90.76%,实际矫正屈光度与预测矫正度绝对值差在±1.50D范围内达91%,术后半年角膜屈光力38.14±2.63。结论该手术具有安全、准确、可预测性强、矫正近视范围大等优点,低中度近视可选PRK手术,高度近视尤为-8.00D以上者,应选择Lasik手术,强调长期观察的重要性。 相似文献
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准分子激光屈光性角膜切削术治疗近视,近视散光2年结果分析 总被引:1,自引:0,他引:1
为了评价准分子激光屈光性角膜切削术治疗近视、近视散光的疗效。应用美国VISX20/20型准分子激光仪,采用多削区治疗近视屈光度为-1.75~-16.00D的患者,观察2年以上,按术前球镜屈光度分为二组,Ⅰ组为-1.75~6.00D(121眼),Ⅱ组为-6.25~-16.00D(86眼)。术后2年裸眼视力≥0.5者在Ⅰ、Ⅱ组中分别为95.9%、70.9%,≥1.0者分别为73.6%、34.9%。Ⅰ、Ⅱ组中屈光度在±1.00D以内者分别为91.7%、62.8%。角膜上皮下混浊0度在Ⅰ、Ⅱ组中分别为87.6%、66.3%,2级以上分别为0、1.2%。眼压均正常。结论:准分子激光屈光性角膜切削术对低、中、高度近视、近视散光均取得良好的远期效果,但对低、中度近视效果更佳,对高度近视预测性较差。 相似文献
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目的观察评价准分子激光角膜切削术(photorehaefive keratectomy,PRK)和准分子激光原位角膜磨镶术(excimer laser insitu keralcmileusis,LANK)治疗近视眼术后的远期疗效。方法对。164例328眼,按手术方法,近视屈光度分为两组,一组行PRK手术,屈光度-1.25DS~-7.00DS,二组行LASIK手术,屈光度-2.50DS~一12.00DS,对行准分子激光治疗后1~6年患者的视力、并发症角膜上皮下基质混浊、眼压进行观察分析。结果裸眼视力达到术前最佳矫正视力(≥5.0),PRK组为75%(114眼),LASIK组为78.4%(138眼),角膜下基质混浊,影响视力,PRK组6%,LASIK组未见角膜混浊,眼压平均12mmHg。结论准分子激光治疗近视安全有效,大部分远期疗效较好,PRK组个别患者发生角膜混浊,应引起重视。 相似文献
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准分子激光屈光性角膜切削术后屈光回退的多因素分析 总被引:1,自引:0,他引:1
目的:探讨准分子激光屈光性角膜切削术后屈光回退的主要因素。方法:采用VISX20/20型准分子激光仪对121例214眼近视患者行准分子激光角膜切削术,术后随访2年。分二组进行比较,Ⅰ组为低中度近视(-1.00D--6.00D)124眼,Ⅱ组为高度近视(-6.25D--16.00D)90眼。结果:术后2年低中度近视回退率9.7%,高度近视回退率27.8%(P<0.005),高度近视中高龄组较低龄组回退率高(P<0.005),较严重的角膜上皮下雾状混浊与回退伴行。结论:准分子激光角膜切削术后屈光回退的主要因素有预期矫正屈光度,角膜Haze及年龄。 相似文献
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准分子激光屈光性角膜切削术后的再治疗 总被引:7,自引:0,他引:7
目的 评价准分子激光屈光性角膜切削术(photorefractive keratectomy,PRK)术后因屈光回退,欠矫出现的残留近视及严重角膜上皮下雾状混沌(haze)而再次手术治疗的疗效及安全性。方法 采用准分子激光仪对-1.00~-16.50D的近视眼及近视散光患者进行治疗。PRK术后35例(51只眼)患者出现残留近视及严重haze。结合PRK手术及准分子激光治疗性角膜切削术(photop 相似文献
13.
OBJECTIVE: To evaluate refractive state after excimer laser photorefractive keratectomy (PRK) in patients with myopia. METHODS: 234 cases(391 eyes) followed up for two years were divided into two groups, group I: mild and moderate myopia(< or = -6.00 D), 228 eyes; group II: High myopia(> -6.00 D), 163 eyes. The refractive state of patients at three, six, twelve and twenty-four months postoperatively were monitored. RESULTS: At two years after photorefractive keratectomy (PRK), refractive regression (> -0.5 D), overcorrection(> 1.00 D), undercorrection(> 1.00 D), postoperative residual astigmatism postoperative astigmatism and hyperopia shift in group I were 1.7%, 4.4%, 5.7%, 12.8%, 7.4% and 7.5% respectively, while in high myopia group were 15.9%, 4.9%, 23.3%, 29.7%, 31.1% and 6.7% respectively. CONCLUSION: The results prove that photorefractive keratectomy is an effective, precise, stable and safe method for correction of mild and moderate myopia, but insufficient for high myopia. 相似文献
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Pietilä J Mäkinen P Pajari T Suominen S Keski-Nisula J Sipilä K Huhtala A Uusitalo H 《Journal of refractive surgery (Thorofare, N.J. : 1995)》2004,20(2):110-115
PURPOSE: We evaluated 8-year results of excimer laser photorefractive keratectomy (PRK) for myopia in terms of stability and late complications. METHODS: Ninety-two myopic eyes of 55 patients were treated with a single-step method using an Aesculap-Meditec MEL 60 excimer laser with a 5.0-mm ablation zone. Treated eyes were divided into three groups according to preoperative refraction: low myopes (< or = -6.00 D), medium myopes (-6.10 to -10.00 D), and high myopes (>-10.00 D). RESULTS: Change in myopic regression stabilized in all myopia groups within 12 months, although a small myopic shift occurred up to 8 years after PRK. Mean change in refraction between 2 and 8 years was -0.42 +/- 0.48 D for low myopes, -0.37 +/- 0.34 D for medium myopes, and -0.41 +/- 0.50 D for high myopes. The percentage of eyes within +/- 1.00 D of emmetropia 8 years after PRK was 78.3% in the low myopia group, 68.8% in the medium myopia group, and 57.1% in the high myopia group. One eye lost 2 lines of best spectacle-corrected visual acuity due to irregular astigmatism. In 13.0% of eyes, a residual trace corneal haze was observed, which had no effect on visual acuity. Apart from the loss of 2 lines of BSCVA in one eye, there were no other late complications during the study period. CONCLUSIONS: The mean change in refraction between 2 and 8 years was less than -0.50 D, regardless of preoperative refraction, and may be attributed to natural age-related refractive change. The appearance of residual corneal haze after 8 years correlated with the amount of myopic correction. PRK was a safe and stable surgical procedure in this group of patients. 相似文献
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PURPOSE: To evaluate the results of combining phakic posterior chamber intraocular lens (IOL) implantation and excimer corneal surgery to treat high myopia or myopia with astigmatism. SETTING: Service d'Ophtalmologie, H?pital Purpan, University of Toulouse, Toulouse, France. METHODS: Thirty-two eyes of 28 patients with extreme myopia or myopia combined with astigmatism were treated by implantation of a phakic posterior chamber IOL. Residual refractive errors were treated no earlier than 6 weeks after IOL implantation by photorefractive keratectomy (PRK) in eyes with low refractive errors or by laser in situ keratomileusis (LASIK) in eyes with higher residual refractive errors. RESULTS: The mean preoperative spherical equivalent (SE) refraction was -18.7 diopters (D). The refractive astigmatism ranged from 0 to 3.5 D. After excimer laser treatment, the SE refraction ranged from -0.5 to -2.5 D and the refractive astigmatism, from 0 to 1.5 D in the PRK group. In the LASIK group, spherical ametropia ranged from -1.5 to +1.5 D and astigmatism, from 0 to 1.0 D. After excimer laser treatment, the uncorrected visual acuity improved in all eyes but a loss of 1 line of the corrected vision after IOL implantation occurred in 22.2% of PRK-treated eyes and in 13.6% of LASIK-treated eyes. CONCLUSIONS: Bioptic treatment of extreme myopia and myopia associated with astigmatism appears to be safer and more predictable than other methods of treatment. 相似文献
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Nagy ZZ Fekete O Süveges I 《Journal of refractive surgery (Thorofare, N.J. : 1995)》2001,17(3):319-326
PURPOSE: To evaluate the efficacy, predictability, stability, and safety of the Meditec MEL 70G-Scan flying spot excimer laser. METHODS: One hundred thirty myopic eyes were treated with the Aesculap Meditec Mel 70G-Scan ArF flying spot excimer laser with photorefractive keratectomy (PRK). Patient groups: low myopia (Group 1) from -1.50 to -6.00 D (90 eyes), medium myopia (Group 2) from -6.10 to -9.00 D (31 eyes), high myopia (Group 3) from -9.10 to -14.00 D (9 eyes). RESULTS: At 12 months in the low myopia group, uncorrected visual acuity (UCVA) of 20/40 or better was achieved in 95.5% (86 eyes), 20/20 or better in 77.7% (70 eyes); 2.2% (two eyes) lost two or more lines of best spectacle-corrected visual acuity (BSCVA); 73.3% (66 eyes) were within +/-0.50 D of the target correction and 98.8% (89 eyes) were within +/-1.00 D. In the medium myopia group, UCVA of 20/40 or better was achieved in 74.2% (23 eyes), 20/20 or better in 25.8% (eight eyes); 3.2% (one eye) lost two lines, 61% (19 eyes) were within +/-0.50 D of desired correction and 83.8% (26 eyes) were within +/-1.00 D. In the high myopia group, UCVA of 20/40 or better was achieved in 22.2% (two eyes); 20/25 or better in 11.1% (one eye); none of the eyes achieved 20/20 UCVA; 22.2% (two eyes) lost two lines of BSCVA; 44.4% (four eyes) were within +/-0.50 D and 66.6% (six eyes) were within +/-1.00 D of the target correction. Refractive stability was achieved between 3 and 6 months. Increased intraocular pressure was detected overall in 7.69%. CONCLUSIONS: The results of predictability, safety, and efficacy in low and medium myopia with the Meditec MEL 70G-Scan flying spot excimer laser were good, but poorer predictability, regression, and a significant loss of BSCVA were observed in the high myopia group. 相似文献
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18.
Treatment of myopia and myopic astigmatism by customized laser in situ keratomileusis based on corneal topography 总被引:4,自引:0,他引:4
OBJECTIVE: To evaluate the predictability, efficacy, and safety of customized laser in situ keratomileusis (LASIK) based on corneal topography in myopia and myopic astigmatism. DESIGN: Prospective, noncomparative interventional case series. PARTICIPANTS: One hundred fourteen patients (eyes) with myopia of -1 to -6 diopters (D) and astigmatism of 0 to -4 D (low myopia group), and 89 patients (eyes) with myopia of -6.10 to -12.00 D and astigmatism of 0 to -4.00 D (high myopia group). INTERVENTION: LASIK was performed with the Hansatome Microkeratome and the Keracor 217 spot-scanning excimer laser (Bausch & Lomb Surgical Technolas, Munich, Germany). Individual ablation patterns were calculated on the basis of elevation data obtained with the Orbscan II corneal topography system (Bausch & Lomb Surgical, Irvine, CA). MAIN OUTCOME MEASURES: Manifest spectacle refraction, visual acuity, and change in visual acuity at 3 months after surgery. RESULTS: At 3 months, 51 patients in the low myopia group and 40 patients in the high myopia group were available. In the low (high) myopia group, 96.1% (75.0%) were within +/-0.50 D of emmetropia, and uncorrected visual acuity was 20/20 or better in 82.4% (62.5%), 20/25 or better in 98.0% (70.0%), and 20/40 or better in 100% (95.0%). A loss of two or more lines of spectacle-corrected visual acuity occurred in 3.9% of the low and 5. 0% of the high myopia group. In low myopia, spectacle-corrected visual acuity was 20/12.5 or better in 5.9% preoperatively and in 13.7% at 3 months and 20/15 or better in 37.3% and 47.1%, respectively. Differences were statistically significant. CONCLUSIONS: The customized LASIK based on corneal topography used in this study showed high predictability and efficacy in myopia and myopic astigmatism of -1.00 to -6.00 D, and could possibly improve spectacle-corrected visual acuity in myopia of -1.00 to -6.00 D. Predictability and efficacy were somewhat lower in myopia and myopic astigmatism of -6.10 to -12.00 D. In both groups, a small number of patients lost two or more lines of spectacle-corrected visual acuity. 相似文献
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Artola A Ayala MJ Claramonte P Pérez-Santonja JJ Alió JL 《Journal of cataract and refractive surgery》1999,25(11):1456-1460
PURPOSE: To evaluate the effectiveness, predictability, and safety of photorefractive keratectomy (PRK) for correcting residual myopia and myopic astigmatism after cataract surgery with intraocular lens implantation. SETTING: Refractive Surgery and Cornea Unit, Instituto Oftalmológico de Alicante, Alicante, Spain. METHODS: Thirty consecutive eyes (30 patients) had PRK for residual myopia after cataract surgery. Surface PRK with a VISX Twenty-Twenty excimer laser was used in all patients. Follow-up was 1 year. RESULTS: Before PRK, no eye had an uncorrected visual acuity (UCVA) of 20/40 or better. Twelve months after PRK, 16 eyes (53.33%) had a UCVA of 20/40 or better. After PRK, best corrected visual acuity (BCVA) improved 1 line or more in 14 eyes (46.66%) over the preoperative values, and 15 eyes (50.00%) had the same BCVA as before PRK. Mean pre-PRK refraction of -5.00 diopters (D) +/- 2.50 (SD) decreased significantly to -0.25 +/- 0.50 D at 12 months (P < .001). At 12 months, the spherical equivalent was within +/- 1.00 D of emmetropia in 27 eyes (90.00%). No vision-threatening complications occurred. CONCLUSION: Photorefractive keratectomy was an effective, predictable, and safe procedure for correcting residual myopia and myopic astigmatism after cataract surgery. 相似文献