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波前像差引导联合Q值优化的个体化LASEK治疗近视的疗效
引用本文:林泰南,徐国兴,郑绍斌,张晓娟.波前像差引导联合Q值优化的个体化LASEK治疗近视的疗效[J].国际眼科杂志,2014,14(4):720-722.
作者姓名:林泰南  徐国兴  郑绍斌  张晓娟
作者单位:中国福建省福州市,福建卫生职业技术学院附属省级机关医院;中国福建省福州市,福建医科大学附属第一医院 福建省眼科研究所;中国福建省福州市,福建医科大学附属第一医院 福建省眼科研究所;中国福建省福州市,福建医科大学附属第一医院 福建省眼科研究所
基金项目:福建省创新平台基金课题(No.2010Y2003); 福建省卫生厅青年科研基金资助(No.2012-01-10)
摘    要:目的:观察波前像差引导联合Q值优化的个体化准分子激光上皮瓣下磨镶术(wavefront-aberration guided combining Q-value optimized LASEK,WG-QO-LASEK)手术效果。

方法:分析在我院眼科门诊接受WG-QO-LASEK手术患者140例280眼的临床资料,对患者术前、术后视力、视觉主客观检查的观察指标进行对比。

结果:术后未见严重影响视力并发症, 132例264眼裸眼视力达到预期矫正度数±0.5D以内。88眼(31.4%)BCVA提高1行,46眼(16.4%)BCVA提高2行,屈光不正生存质量量表NEI-RQL-42术后总分较术前显著提高。术后各高阶像差比例增高,以球差、彗差增加为主,但未明显影响视觉质量。

结论:WG-QO-LASEK治疗近视有良好的预测性、准确性及安全性。

关 键 词:波前像差    Q值优化    LASEK    RMSh    NEI-RQL-42
收稿时间:2014/1/23 0:00:00
修稿时间:2014/3/14 0:00:00

Research on the effect of wavefront aberration-guided combining Q-value optimized LASEK on treatment of myopia
Tai-Nan Lin,Guo-Xing Xu,Shao-Bin Zheng and Xiao-Juan Zhang.Research on the effect of wavefront aberration-guided combining Q-value optimized LASEK on treatment of myopia[J].International Journal of Ophthalmology,2014,14(4):720-722.
Authors:Tai-Nan Lin  Guo-Xing Xu  Shao-Bin Zheng and Xiao-Juan Zhang
Institution:Affiliated Fujian Provincial Hospital for Governmental Department of Fujian Health College, Fuzhou 350003, Fujian Province, China;Fujian Institute of Ophthalmology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350004, Fujian Province, China;Fujian Institute of Ophthalmology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350004, Fujian Province, China;Fujian Institute of Ophthalmology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350004, Fujian Province, China
Abstract:AIM: To observe the effect of the wavefront aberration-guided combining Q-value optimized LASEK(WG-QO-LASEK).

METHODS: Retrospective analyzed the pre- and post-operative clinical data of 140 cases(280 eyes)that had gone through WG-QO-LASEK in the department of ophthalmology in our hospital. The observational index was compared in patients' visual acuity of pre- and post-operative and the subjective and objective examination of vision.

RESULTS: There were no severe postoperative complications. Totally 132 patients'(264 eyes)uncorrected visual acuity(UCVA)was achieved to the expected correction degree within ±0.5D. Best corrected visual acuity(BCVA)improved one line in 88 eyes(31.4%)and 2 lines in 46 eyes(16.4%). Postoperative scores of NEI-RQL-42 were significantly higher than preoperative ones. After operation, the proportion of higher-order aberrations increased, mainly manifested in spherical aberration and coma, but it did not influence the visual quality obviously.

CONCLUSION: WG-QO-LASEK treatment of myopia has good predictability, accuracy and safety.

Keywords:wavefront-aberration  Q-value optimized  LASEK  RMSh  NEI-RQL-42
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