[1]陶思思,王华,罗栋强,等. 飞秒激光制瓣LASIK治疗近视散光的疗效分析[J].眼科新进展,2015,35(8):772-775.[doi:10.13389/j.cnki.rao.2015.0212]
　TAO Si-Si,WANG Hua,LUO Dong-Qiang,et al. Curative effect analysis of femtosecond LASIK for myopic astigmatism[J].Recent Advances in Ophthalmology,2015,35(8):772-775.[doi:10.13389/j.cnki.rao.2015.0212]
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 飞秒激光制瓣LASIK治疗近视散光的疗效分析
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
35卷
期数:
2015年8期
页码:
772-775
栏目:
应用研究
出版日期:
2015-08-05

文章信息/Info

Title:
 Curative effect analysis of femtosecond LASIK for myopic astigmatism
作者:
 陶思思; 王华; 罗栋强; 陈蛟
 410005　湖南省长沙市，湖南省人民医院眼视光中心
Author(s):
 TAO Si-Si ; WANG Hua;  LUO Dong-Qiang ; CHEN Jiao
 Department of Ophthalmology , Hunan People’s Hospital , Changsha 410005 ,Hunan Province . China
关键词:
 ; 飞秒激光; 角膜磨镶术; 近视; 散光; CRAVY矢量分析
Keywords:
 ; femtosecond laser ;  keratonuleusis ;  laser in situ ;  myopia ;  astigmatism ;  CRAVY vector analysis
DOI:
10.13389/j.cnki.rao.2015.0212
文献标志码:
A
摘要:
 目的　探讨飞秒激光制瓣ＬＡＳＩＫ治疗近视散光的准确性及影响因素。方法　收集行飞秒ＬＡＳＩＫ手术患者７６例（１２７眼），等效球镜度数≤ －９．００Ｄ，柱镜度数≥ －０．５０Ｄ，按术前散光度数分为中低度散光组（－０．５０～－２．００Ｄ）５１例（９３眼）、高度散光组（－２．２５～－５．００Ｄ）２５例（３４眼）。收集并比较手术前后视力、屈光度、散光及散光轴位变化，使用ＣＲＡＶＹ矢量分析法将散光进行相关分析，ＳＰＳＳ１８．０软件进行统计学分析。结果　术后中低度散光组裸眼视力达到或超过术前最佳矫正视力８５眼（９１％）；术后残余散光在±０．５Ｄ以内８２眼（８８．２％），±１．０Ｄ以内９３眼（１００％）；高度散光组裸眼视力达到或超过术前最佳矫正视力３０眼（８９％）。术后残余散光在±０．５Ｄ、±１．０Ｄ以内分别为２６眼（７６．５％）、３３眼（９７．０％）。散光进行ＣＲＡＶＹ矢量分解分析，术后中低度散光组Ｊ０为－０．０６８±０．１５２、Ｊ４５为０．００１±０．１２３，高度散光组Ｊ０为－０．０１９±０．１８４、Ｊ４５为０．０１８±０．２１２，两组之间差异均无统计学意义（均为Ｐ＞０．０５）。结论　运用飞秒激光制瓣ＬＡＳＩＫ手术对近视散光的治疗安全、有效，且准确性高。
Abstract:
 Objective To study the influence factors and accuracy of femtosecond laser in situ keratonuleusis ( FS-LASIK) for myopic astigmatism. Methods A retrospective study was carried out in 76 patients ( 127 eyes) who had undergone FS-LASIK. The patients ’ spherical equivalent ( SE) was≤ - 9. 00 D , and astigmatism was≥ - 0. 50 D. The patients were divided into low-to-moderate astigmatism group ( 51 cases, 93 eyes, -0. 50 - - 2. 00 D) and high astigmatism group ( 25 cases,34 eyes, - 2. 25 -5. 00 D) according to the preoperative astigmatism. The preoperative and postoperative vision , diopter, astigmatism and axis of astigmatism were collected and compared. CRAVY vector analysis was used for correlation analysis , and SPSS18. 0 and Excel were used for statistical analysis. Results In the low-to-moderate astigmatism group, the postoperative uncorrected visual acuity of 85 eyes (91% ) reached or exceeded the preoperative best corrected visual acuity , the postoperative residual astigmatism of 82 eyes ( 88.1% ) were within +0. 5 D,93 eyes (100% ) were within + 1. 0 D. In high astigmatism group ,the postoperative uncorrected visual acuity of 30 eyes (8g% ) reached or exceeded the preoperative best corrected visual acuity ,the postoperative residual astigmatism of 26 eyes (76. 5% ) were within +0. 5 D and 33 eyes (97. 0% ) were within + 1.0 D. After the operation,the differences of JO ( - 0. 068 +0. 152. - 0. 019 +0. 184 , respectively) and J45 ( 0. 001 + 0. 123 .0. 018 + 0. 212 ,respectively) between the two groups were not statistically significant ( all P > 0. 05 ) . Conclusion FS-LASIK is safe and effective for myopic asti~natism with high accuracy.

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更新日期/Last Update: 2015-07-31