Ayala M J, Pérez-Santonja J J, Artola A, Claramonte P, Alió J L
Refractive Surgery and Cornea Department, Alicante Institute of Ophthalmology, Miguel Hernández University School of Medicine, Spain.
J Refract Surg. 2001 Jan-Feb;17(1):12-6. doi: 10.3928/1081-597X-20010101-01.
To evaluate the effectiveness, predictability, and safety of laser in situ keratomileusis (LASIK) for correcting residual myopia after cataract surgery with intraocular lens implantation.
Twenty-two eyes of 22 patients underwent LASIK for the correction of residual myopia after cataract surgery. LASIK was carried out using the Chiron Automated Corneal Shaper and the NIDEK EC-5000 excimer laser. In all eyes, the follow-up was 12 months.
Before LASIK, 1 eye (4.5%) had an uncorrected visual acuity of 0.5 or better; 12 months after LASIK, 10 eyes (45.4%) achieved this level of visual acuity and 0 eyes achieved 1.00 or better. Before LASIK, mean refraction was -2.90 +/- 1.80 D; 12 months after LASIK it decreased significantly to 0.40 +/- 0.60 D (P < .01). In 18 eyes (81.8%) at 12 months after LASIK, spherical equivalent refraction was within +/-1.00 D of emmetropia; 11 eyes (50%) were within 0.50 D. No vision-threatening complications occurred.
LASIK with the Automated Corneal Shaper and Nidek EC-5000 excimer laser was an effective, predictable, stable, and safe procedure for correcting residual myopia after cataract surgery. No intraocular lens or cataract incision related complications occurred when LASIK was performed at least 3 months after phacoemulsification.
评估准分子原位角膜磨镶术（LASIK）矫正白内障人工晶状体植入术后残余近视的有效性、可预测性和安全性。
22例患者的22只眼接受LASIK矫正白内障术后残余近视。使用Chiron自动角膜板层成形系统和NIDEK EC - 5000准分子激光进行LASIK手术。所有术眼的随访时间均为12个月。
LASIK术前，1只眼（4.5%）的裸眼视力为0.5或更好；LASIK术后12个月，10只眼（45.4%）达到该视力水平，0只眼达到1.00或更好。LASIK术前，平均屈光度为-2.90±1.80 D；LASIK术后12个月，显著降至0.40±0.60 D（P <.01）。LASIK术后12个月时，18只眼（81.8%）的等效球镜度在正视眼的±1.00 D范围内；11只眼（50%）在0.50 D范围内。未发生威胁视力的并发症。
使用自动角膜板层成形系统和Nidek EC - 5000准分子激光进行LASIK是矫正白内障术后残余近视的一种有效、可预测、稳定且安全的手术方法。在白内障超声乳化术后至少3个月进行LASIK手术时，未发生与人工晶状体或白内障切口相关的并发症。
