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Epi—LASIK与LASIK治疗高度近视远期疗效的对比
引用本文:李招娜,胡明,曹丽君,刘蕾,张亚丽.Epi—LASIK与LASIK治疗高度近视远期疗效的对比[J].临床眼科杂志,2010,18(2):125-127.
作者姓名:李招娜  胡明  曹丽君  刘蕾  张亚丽
作者单位:济南市第二人民医院眼科,250001
摘    要:目的观察机械法准分子激光角膜上皮下磨镶术(Epi—LASIK)治疗高度近视的远期对比敏感度改变,并评价Epi—LASIK手术治疗高度近视的安全性和有效性。方法回顾性分析比较Epi—LASIK与准分子激光原位角膜磨镶术(LASIK)治疗高度近视各40只眼的临床资料,Epi—LASIK和LASIK手术均采用德国鹰视世纪波型准分子激光治疗仪进行激光切削,术后随访6个月,对术后haze、屈光状态和对比敏感度进行分析比较。所有患者年龄分布在18~25岁,术前最佳矫正视力均≥0.8,所有病例均无其他影响对比敏感度的眼疾,亦无其他可能会影响对比敏感度的全身性疾病。结果比较术后6个月时Epi—LASIK和LASIK两组手术后haze发生率,差异无显著性(P〉0.05)。两组术后的屈光度值,差异无显著性(P〉0.05)。两组术后各空间频率的对比敏感度,差异无显著性(P〉0.05)。结论Epi-LASIK治疗高度近视的远期疗效与LASIK基本一致,但Epi-LASIK适应证宽,尤其适用于角膜相对较薄、角膜曲率较大的患者,并且能明显减少角膜瓣并发症,较LASIK更为安全有效。

关 键 词:机械法准分子激光角膜上皮下磨镶术  高度近视  对比敏感度

Comparison of long term effets of epipolis laser in situ keratomileusis (Epi-LASIK) and laser in situ keratomileusis(LASIK) on high myopia correction
LI Zhao-na,HU Ming,CAO Li-jun,LIU Lei,ZHANG Ya-li.Comparison of long term effets of epipolis laser in situ keratomileusis (Epi-LASIK) and laser in situ keratomileusis(LASIK) on high myopia correction[J].Journal of Clinical Ophthalmology,2010,18(2):125-127.
Authors:LI Zhao-na  HU Ming  CAO Li-jun  LIU Lei  ZHANG Ya-li
Institution:LI Zhao-na,HU Ming,CAO Li-jun,LIU Lei,ZHANG Ya-li.Department of Ophthalmology,Jinan NO.2 People'Hospital,Jinan,Sh,ong 250001,China
Abstract:Objective To study the postoperative long-term contrast sensitivity of patients with high myopia who underwent epipolis laser in-situ keratomileusis (Epi-LASIK) and to evaluate safety and efficacy of Epi-LASIK surgery.Methods Epi-LASIK and laser in situ keratomileusis(LASIK) were performed in 40 eyes with high myopia respectively,and their clinical data were retrospectively analyzed and compared. German Wavelight excimer laser apparatus was used to carry out both Epi-LASIK and LASIK. After the surgery,patie...
Keywords:Epi-LASIK  High myopia  Contrast sensitivity  
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