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准分子激光角膜上皮瓣下磨镶术治疗近视
引用本文:燕振国,秦力维,徐朝辉,马岩梅. 准分子激光角膜上皮瓣下磨镶术治疗近视[J]. 西北国防医学杂志, 2006, 27(6): 425-427
作者姓名:燕振国  秦力维  徐朝辉  马岩梅
作者单位:兰州军区兰州总医院眼科,甘肃,兰州,730050
摘    要:目的:评价准分子激光上皮瓣下角膜磨镶术(laser subepithelial keratomileusis,LASEK)治疗近视的效果和安全性。方法:对385例746只眼行LASEK手术,术前球镜屈光度-0.75-16.0D,柱镜屈光度0~-6.0D以下。术后随访12个月。结果:术中无并发症发生,术后3个月屈光度基本稳定。术后屈光回退者16眼(2.14%);出现角膜上皮下基质混浊者6眼(8.04%);术后裸眼视力〉t1.0者709眼(95%),〉0.5〈1.0者40眼(5%)。结论:IASEK既解决了LASIK手术禁忌的部分病例,也弥补了PRK手术的不足。是一种安全、有效、预测性好的屈光手术。

关 键 词:近视  准分子激光  角膜上皮瓣下磨镶术
文章编号:1007-8622(2006)06-0425-03
收稿时间:2006-08-21
修稿时间:2006-08-21

Treatment of myopia with laser subepithelial keratomileusis
YAN Zhen - guo, QIN Li - wei, XU Zhao - hui,et al.. Treatment of myopia with laser subepithelial keratomileusis[J]. Medical Journal of National Defending Forces in Northwest China, 2006, 27(6): 425-427
Authors:YAN Zhen - guo   QIN Li - wei   XU Zhao - hui  et al.
Affiliation:YAN Zhen - guo, QIN Li - wei, XU Zhao - hui, et al.
Abstract:Objective:To evaluate the safety and efficacy of laser subepithelial keratomileusis(LASEK) in the(treatment) of myopia.Methods: The operation of LASEK was performed on 746 eyes in 385 patients with myopia and astigmatism.The follow-up period was 12 months.Results: No complication occurred during operations in all these patients.The diopter was unchangible 3 months after operations.Although some postoperative complications such as haze developed,visual acuity was improved in most patients.Conclusion: LASEK can be performed for the patients not suited for the treatment of LASIK,and it can avoid some disadvantages of PRK.LASEK is a safe and effective treatment method for myopia.
Keywords:Myopia   Excimer laser   Subepithelial keratomileusis
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