[1]张印博,康焕君,刘延东. 飞秒激光制作不同大小角膜瓣LASIK手术治疗近视的临床疗效分析[J].眼科新进展,2015,35(7):677-679.[doi:10.13389/j.cnki.rao.2015.0185]
　ZHANG Yin-Bo,KANG Huan-Jun,LIU Yan-Dong. FS-LASIK with small corneal flap versus big corneal flap for myopia[J].Recent Advances in Ophthalmology,2015,35(7):677-679.[doi:10.13389/j.cnki.rao.2015.0185]
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 飞秒激光制作不同大小角膜瓣LASIK手术治疗近视的临床疗效分析
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年7期
页码:
677-679
栏目:
应用研究
出版日期:
2015-07-05

文章信息/Info

Title:
 FS-LASIK with small corneal flap versus big corneal flap for myopia
作者:
 张印博; 康焕君; 刘延东
 054001　河北省邢台市，河北省眼科医院，河北省眼科研究所，河北省眼科学重点实验室
Author(s):
 ZHANG Yin-Bo ;  KANG Huan-Jun; LIU Yan-Dong
 Hebei Province Ophthalmic Key Laboratory , Hebei Provincial Ophthalmic Research Institute , Hebei Provincial Ophthalmic Hospital, Xingtai 054001 ,Hebei Province . China
关键词:
 ; 飞秒激光; 准分子激光原位角膜磨镶术; 近视
Keywords:
 ; femtosecond laser ;  LASIK ;  myopia
DOI:
10.13389/j.cnki.rao.2015.0185
文献标志码:
A
摘要:
 目的　评价飞秒激光制作不同大小角膜瓣准分子激光原位角膜磨镶术（ｌａｓｅｒ-ａｓ-ｓｉｓｔｅｄｉｎｓｉｔｕｋｅｒａｔｏｍｉｌｅｕｓｉｓ，ＬＡＳＩＫ）治疗近视的临床疗效。方法　回顾性分析飞秒激光制瓣ＬＡＳＩＫ手术患者的临床资料，根据角膜瓣大小分为两组对患者展开随访，角膜瓣直径＞８．８～９．２ｍｍ为大角膜瓣组，＞８．３～８．８ｍｍ为小角膜瓣组，比较两组术后６个月视力、高阶像差、对比敏感度和眩光对比敏感度。共有２２２例（４４１眼）患者完成了随访，其中大角膜瓣组１０７例（２１２眼），小角膜瓣组１１５例（２２９眼）。结果　术后６个月裸眼视力大角膜瓣组为１．０３±０．１１，小角膜瓣组为１．０４±０．１３，２组差异无统计学意义（Ｐ＞０．０５）；等效球镜大角膜瓣组为（０．４４±０．５４）Ｄ，小角膜瓣组（０．３４±０．４７）Ｄ，２组差异无统计学意义（Ｐ＞０．０５）。术后６个月大角膜瓣组彗差（０．２６±０．１０）小于小角膜瓣组（０．３２±０．１１），２组差异有统计学意义（Ｐ＜０．０５）。眩光对比敏感度在１８．０ｃ?ｄ－１空间频率下大角膜瓣组优于小角膜瓣组，２组差异有统计学意义（Ｐ＜０．０５）。结论　飞秒激光辅助制瓣ＬＡＳＩＫ治疗近视，大角膜瓣更有优势。
Abstract:
 Objective To investigate the effects of different flap sizes on clinical outcomes after the FS-LASIKK. Methods The clinical data of patients who underwent LASIK with flap creation using the femtosecond laser was retrospectively reviewed. Patients receive treatment with > 8. 8 - 9. 2 mm diameter corneal flap as the big flap group , and > 8. 3 - 8. 8 mm diameter corneal flap as the small flap group. Visual acuity, higher-order aberrations, contrast sensitivity and glare contrast sensitivity were compared between the two groups at 6 month postoperatively. Four hundred forty-one eyes of 222 patients were included . and 212 eyes of 107 patients were defined as the big flap group , and 229 eyes of 115 patients as the small flap group. Results Six months postoperatively , the visual acuity of the big flap group was l. 03 + 0. 11 , and the small flap group was l. 04 +0. 13 (P > 0. 05) ; SE of the big flap group was ( 0. 44 +0. 54) D, the small flap group was (0. 34 + 0. 47 ) D(P > 0. 05 ) ; The coma aberration of the big flap group was 0. 26 +0. 10 . and the small flap group was 0. 32 +0. 11 (P < 0. 05 ) . The glare contrast sensitivity at the spatial frequency of 18. 0 c . d-l of the big flap group was lower than that of the small flap group(P < 0. 05 ) . Conclusion On the FS-LASIK surgery , the clinical outcome of big flaps is better than that of small flaps.

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更新日期/Last Update: 2015-07-03