|
|||||
|
|
| 飞秒激光与传统LASIK术后干眼参数变化 | |
| 引用本文： | 马子伟,韩伟,杨卫华,潘雪峰,陈洪. 飞秒激光与传统LASIK术后干眼参数变化[J]. 国际眼科杂志, 2019, 19(6): 924-928 |
| 作者姓名： | 马子伟 韩伟 杨卫华 潘雪峰 陈洪 |
| 作者单位： | 中国浙江省湖州市第一人民医院眼科,中国浙江省杭州市,浙江大学医学院附属第一医院眼科,中国浙江省湖州市第一人民医院眼科,中国浙江省湖州市第一人民医院眼科,中国浙江省湖州市第一人民医院眼科 |
| 摘 要： | 目的：应用Keratograph 5M比较飞秒激光与传统LASIK术后干眼症状和体征的变化。 方法：收集2017-06/11行角膜屈光手术患者60例120眼，其中行飞秒激光LASIK手术30例60眼，传统LASIK手术30例60眼，于术前和术后1wk，1、3、6mo进行眼科常规检查和Keratograph 5M干眼检查并完成眼表疾病指数(OSDI)问卷。 结果：术后1wk，两组OSDI评分均高于术前(P<0.01)，术后1mo两组均恢复到术前水平(P>0.05)。传统组术后1wk，1、3mo非侵入性泪膜破裂时间均比术前缩短(P<0.01)，飞秒激光组术后1wk，1mo泪膜破裂时间均比术前缩短(P<0.01)，术后3mo，飞秒激光组泪膜破裂时间均明显高于传统组(P<0.01)。术后1wk，1mo，两组泪河高度均较术前降低(P<0.01)，脂质层均较术前变薄(P<0.05)。 结论：无论飞秒激光制瓣LASIK还是传统LASIK术都可影响泪膜的稳定性，引起干眼症状，影响程度随术后时间逐渐减弱，但飞秒制瓣能更快恢复至术前水平。 |
| 关 键 词： | 干眼 飞秒激光 LASIK 眼表综合分析仪 |
| 收稿时间： | 2019-01-28 |
| 修稿时间： | 2019-05-08 |
Changes of dry eye parameters after femtosecond laser and conventional LASIK |
|
| Zi-Wei M,Wei Han,Wei-Hua Yang,Xue-Feng Pan and Hong Chen. Changes of dry eye parameters after femtosecond laser and conventional LASIK[J]. International Eye Science, 2019, 19(6): 924-928 | |
| Authors: | Zi-Wei M Wei Han Wei-Hua Yang Xue-Feng Pan Hong Chen |
| Affiliation: | Department of Ophthalmology, the First People''s Hospital of Huzhou, Huzhou 313000, Zhejiang Province, China,Department of Ophthalmology, the First Affiliated Hospital of Zhejiang University, Hangzhou 310003, Zhejiang Province, China,Department of Ophthalmology, the First People''s Hospital of Huzhou, Huzhou 313000, Zhejiang Province, China,Department of Ophthalmology, the First People''s Hospital of Huzhou, Huzhou 313000, Zhejiang Province, China and Department of Ophthalmology, the First People''s Hospital of Huzhou, Huzhou 313000, Zhejiang Province, China |
| Abstract: | AIM: To compare the changes of dry eye symptoms and signs after femtosecond-assisted laser in situ keratomileusis(LASIK)and conventional LASIK by Keratograph 5M. METHODS: Sixty patients(120 eyes)who underwent corneal refractive surgery from June 2017 to November 2017 were enrolled. Thirty patients(60 eyes)underwent femtosecond-assisted laser LASIK and 30 patients(60 eyes)underwent conventional LASIK. All patients took examinations of Keratograph 5M dry eye related examinations,routine ophthalmological examinations and ocular surface disease index(OSDI)questionnaire before and 1wk, 1mo, 3mo and 6mo after surgery. RESULTS: One week after operation, the OSDI scores of two groups were significantly higher than pre-operation(P<0.01), but 1mo after operation, the two groups recovered to the preoperative level(P>0.05). Noninvasive tear film break-up time(NI-BUT)in the conventional group was shorter 1wk, 1mo and 3mo after operation(P<0.01), while it was shorter in 1wk and 1mo after operation in femtosecond laser group(P<0.01). There was significant difference between conventional group and femtosecond laser group at 3mo after operation in NI-BUT(P<0.01). Tear meniscus hight(TMH)and the thickness of lipid layers of the two groups all decreased in 1wk and 1mo after operation(P<0.05). CONCLUSION: Whether femtosecond-assisted or conventional LASIK will affect tear film stability and cause dry eye symptoms. The degree of influence decreases gradually with the time after operation, but femtosecond laser group can recover more quickly. |
| Keywords: | dry eye femtosecond laser laser in situ keratomileusis Keratograph |
| 点击此处可从《国际眼科杂志》浏览原始摘要信息 | |
| 点击此处可从《国际眼科杂志》下载全文 | |