论文部分内容阅读
应用美国CHIRON公司keracor117型准分子激光治疗仪对68例130眼近视患者行PRK治疗。术前屈光度(等值球镜)为-2.00—-9.75D(x±s:-5.11±1.81D)散光度0—-4.0D。结果:术后3—6个月残留屈光度为+0.08±0.29D,裸眼视力≥0.8者占94.2%,≥1.0者占90.4%。术前屈光度-2D—-6D患眼,术后3—6个月裸眼视力≥0.8者占95.2%,≥1.0者占94.2%;术前屈光度-6.25D—-9.75D者,术后3—6个月裸眼视力≥0.8者占91.7%,≥1.0占65.4%。实际矫正度数在预测矫正度±0.5D范围内者占84.6%,0.8%的术眼有2级以下的角膜上皮下雾状混浊,1.5%术眼角膜有丝状物,1.5%术眼用药后一过性眼压升高,最佳矫正视力下降1行者占5.2%。结论:PRK治疗中低度近视是一种安全,有效的手术方法。其稳定性好,预测性强,值得临床应用。但术后应注意护理及随访。
Application of the United States CHIRON Keracor117 excimer laser treatment of 68 cases of 130 patients with myopia PRK treatment. Preoperative refraction (spherical equivalent) -2.00 - 9.75D (x ± s: -5.11 ± 1.81D) astigmatism 0--4.0D. Results: The residual refraction was +0.08 ± 0.29D in 3-6 months postoperatively, 94.2% in uncorrected visual acuity ≥0.8 and 90.4% ≥1.0. Preoperative diopter -2D - 6D eyes, 3-6 months after the naked eye vision ≥ 0.8 accounted for 95.2%, ≥ 1.0 accounted for 94.2%; preoperative diopter -6.25D- -9.75D, postoperative 3-6 months naked eye vision ≥ 0.8 accounted for 91.7%, ≥ 1.0 accounted for 65.4%. The actual degree of correction in the range of ± 0.5D predictive correction accounted for 84.6%, 0.8% of the surgical eyes have 2 below the corneal epithelium under the haze, 1.5% corneal filaments , 1.5% ophthalmic medication transient intraocular pressure increased, the best corrected visual acuity decreased by 1 line accounted for 5.2%. Conclusion: PRK is a safe and effective surgical method for treating low and middle myopia. Its stability, predictability, it is worth clinical application. But after surgery should pay attention to care and follow-up.