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[经光折射角膜切削术和激光原位角膜磨镶术对放射状角膜切开术后残余近视和散光矫正的比较结果评估]

[Comparative results evaluation of residual myopia and astigmatism correction after radial keratotomy by photorefraction keratectomy and laser specialized keratomileusis].

作者信息

Dias-Martines T E, Sheludchenko V M, Kurenkov V V

出版信息

Vestn Oftalmol. 1999 Jul-Aug;115(4):38-41.

Abstract

The results of correction of residual myopia by photorefraction keratectomy (PRK) (51 eyes) and laser specialized keratomileusis (LASIK) (36 eyes) after radial keratotomy (RK) are compared. The patients were observed for up to 12 months. After PRK, 7.3% patients developed late fleur of the cornea, evaluated by at least 2 points. The incidence of fleur directly depended on the value of residual myopia. After LASIK none of the patients developed such fleur. The best visual acuity (0.5 and higher without correction) was attained in 70.73% after PRK and RK, vs. 100% after LASIK. The results of photorefraction operations and severity of residual myopia after RK correlated. In residual myopia of up to -3 diopters the results of correction by PRK and LASIK were virtually the same. In residual myopia higher than -3 diopters, LASIK is preferable.

摘要

比较了放射状角膜切开术(RK)后,采用光折射角膜切削术(PRK)(51只眼)和激光原位角膜磨镶术(LASIK)(36只眼)矫正残余近视的结果。对患者进行了长达12个月的观察。PRK术后,7.3%的患者出现角膜晚期雾状浑浊,评分至少为2分。雾状浑浊的发生率直接取决于残余近视的值。LASIK术后无一例患者出现此类雾状浑浊。PRK联合RK术后70.73%的患者达到最佳视力(未矫正时为0.5及以上),而LASIK术后为100%。RK后光折射手术的结果与残余近视的严重程度相关。在残余近视高达-3屈光度时,PRK和LASIK的矫正效果基本相同。在残余近视高于-3屈光度时,LASIK更可取。

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