近视_____近视；准分子激光(期刊论文)

小光斑飞点扫描式准分子激光LASIK治疗高度近视

http://www.100md.com 《中华现代眼耳鼻喉科杂志》 2006年第11期

近视,,近视；准分子激光,1资料与方法,2结果,3讨论,【参考文献】

     【摘要】目的评价小光斑飞点扫描式准分子激光LASIK治疗高度近视的效果。方法采用德国SCHWIND ESIRIS准分子激光机对364例(721眼)高度近视进行了LASIK治疗。切削模式采用单区或多区切削，切削总量为78～187μm。随访3～12个月，观察术后视力、屈光度和并发症等情况。结果术后裸眼视力≥1.0者，术后1天、3个月时分别为72.0%(519/721)、81.7%(589/721)；术后屈光度在±1.00D以内者，术后1天、3个月时分别为：89.7%(647/721)、90.7%(654/721)。主要的并发症有：偏中心切削3眼(0.42%)、瓣位置偏离5眼(0.69%)、角膜上皮植入5眼(0.69%)、眩光15眼(2.08%)。结论小光斑飞点扫描式准分子激光LASIK治疗高度近视的临床效果安全有效，但是需要切削较多的角膜组织。

    【关键词】近视；准分子激光

    The clinical effect of high myopia treated with LASIK by a small optical zones flying-spot scanner machine

    YAO Daqiang, SHA Xiangyin,YE Cuiyu,et al.Department of Ophthalmology,The Second Affiliated Hospital,Guangzhou Medical College,Guangzhou 510260,China

    【Abstract】 Objective To evaluate the clinical effect of high myopia treated with LASIK by a small optical zones flyingspot scanner machine.Methods 364 cases (721 eyes) of high myopia were treated with LASIK by the SCHWIND ESIRIS laser machine with small optical flyingspot scanner.The ablation zone was singlezone or multizone.The ablation depth was range of 78～187μm.All cases were followed up for 3～12 months.The changes of their visual acuities,subjective manifest refraction and complications were observed.Results Postoperatively,at one day and 3 month the visual acuities were 1.0 or better in 72.0%(519/721) and 81.7%(589/721).The diopter within ±1.00 was 89.7%(647/721) and 90.7%(654/721)respectively.The complications include:decentral ablation 3 eyes (0.42%),decentral flap 5 eyes (0.69%),epithelial ingrowth 5 eyes(0.69%),glare 15 eyes(2.08%).Conclusion The clinical effect of high myopia treated with LASIK by a small optical zones flying-spot scanner machine was safety and efficacy,although it needs more corneal tissues. ......

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