波前像差引导联合Q值优化的个体化LASEK治疗近视的疗效
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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)


Research on the effect of wavefront aberration-guided combining Q-value optimized LASEK on treatment of myopia
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Innovation Platform Foundation of Fujian Province(No.2010Y2003); Youth Research Fouration of Health department of Fujian Province(No.2012-01-10)

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    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。

    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.

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林泰南,徐国兴,郑绍斌,等.波前像差引导联合Q值优化的个体化LASEK治疗近视的疗效.国际眼科杂志, 2014,14(4):720-722.

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  • 收稿日期:2014-01-23
  • 最后修改日期:2014-03-14
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  • 在线发布日期: 2014-03-24
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