准分子激光角膜屈光手术治疗远视性屈光参差性弱视
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Curative effects of excimer laser corneal refractive surgery for hyperopic anisometropic amblyopia
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    摘要:

    目的:探讨准分子激光角膜屈光手术治疗成人或大龄青少年远视性屈光参差性弱视的效果。

    方法:选取2014-03/2016-03在我院治疗的成人或大龄青少年远视性屈光参差性弱视患者26例26眼,均行准分子激光原位角膜磨镶术,观察患者裸眼视力(uncorrected visual acuity,UCVA)、最佳矫正视力(best corrected visual acuity,BCVA)、屈光度及立体视功能情况。

    结果:患者随访结束时屈光度的等效球镜和双眼间屈光参差分别为1.47±0.51D和1.15±0.22D,均较术前明显降低(P<0.05); 患者随访结束时看远和看近UCVA及BCVA分别为0.26±0.13和0.23±0.09、0.42±0.09和0.31±0.16,均较术前明显提高(P<0.05); 患者随访结束时立体视功能较术前明显改善(P<0.05),术后立体视功能<100"眼数比例为23%。

    结论:成人或大龄青少年远视性屈光参差性弱视行准分子激光角膜屈光手术治疗有一定的临床效果。

    Abstract:

    AIM: To investigate curative effects of excimer laser corneal refractive surgery for adults or older adolescent with hyperopic anisometropic amblyopia.

    METHODS: From March 2014 to March 2016, we selected 26 cases 26 eyes of adults or older adolescent with hyperopic anisometropic amblyopia in our hospital. All eyes underwent laser in situ keratomileusis, observed for the uncorrected visual acuity(UCVA), best corrected visual acuity(BCVA), diopter and stereopsis.

    RESULTS: At the end of the follow-up, the patient's spherical equivalent and anisometropia were 1.47±0.51D and 1.15±0.22D, were significantly lower than that before operation(P<0.05). At the end of the follow-up, the distance and near UCVA and BCVA were 0.26±0.13 and 0.23±0.09, 0.42±0.09 and 0.31±0.16, which were significantly higher than those before operation(P<0.05). At the end of follow-up, the visual function of the patients was significantly improved(P<0.05), the rate of postoperative visual function < 100" eyes was 23%.

    CONCLUSION: In adult or older adolescent with hyperopic anisometropic amblyopia, excimer laser corneal refractive surgery has a certain effect.

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聂新钢,黄琰霞,何颖颖,等.准分子激光角膜屈光手术治疗远视性屈光参差性弱视.国际眼科杂志, 2017,17(7):1381-1383.

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  • 收稿日期:2017-03-15
  • 最后修改日期:2017-06-05
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  • 在线发布日期: 2017-06-26
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