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[屈光性角膜切削术和准分子原位角膜磨镶术后近视度数超过-6.0 dpt患者的视觉功能比较]

[Comparison of visual function in myopia over -6.0 dpt after photorefractive keratectomy and laser in situ keratomileusis].

作者信息

Langrová H, Hejcmanová D, Peregrin J, Feuermannová A, Rozsíval P

机构信息

Ocní klinika FN, Hradec Králové.

出版信息

Cesk Slov Oftalmol. 2001 Sep;57(5):298-303.

PMID:11764685
Abstract
  1. 41 myopes undergoing PRK and 31 patients undergoing LASIK for correction of spherical refractive error were examined before and 1, 3, 6 a 12 months after surgery on Schwind Multiscan with ablation zone between 5 and 7 mm. Mean preoperative spherical equivalent of refraction was -8.0 +/- 1.7 D in PRK group and -9.2 +/- 2.1 D in LASIK one. 2. Contrast sensitivity (CS) was tested on a computerized system of the Contrast sensitivity 8010 type in 6 spatial frequencies (0.74; 1.97; 3.69; 7.39; 14.77; 29.55 c/deg) and the best corrected visual acuity (BCVA) was measured on the normalized charts with Landolt rings. 3. At 12 months postoperatively, mean spherical equivalent of refraction was -0.6 +/- 1.0 D (PRK) and -1.0 +/- 0.8 D (LASIK). A refractive error within +/- 0.5 D had 31.5% (PRK) and 57.5% (LASIK) patients. Increasing of BCVA was measured in 51.5% (PRK) and 41.9% (LASIK) patients about 1 optotype to 2.5 lines. Mean CS in 6 frequencies reached 99.4; 102; 105; 109; 115 and 140% of preoperative values in PRK group and only 96; 95.8; 96.3; 95.8; 97.8 and 94.6% in LASIK one. 4. At 12 months after surgery, mean spherical equivalent, CS was better and number of patients with increased BCVA was significantly higher after PRK, than those attained with LASIK. On the other hand, a number of patients with a refractive error within +/- 0.5 D was higher and percentage of reoperations was lower in LASIK group.
摘要
  1. 41名接受准分子原位角膜磨镶术(PRK)和31名接受准分子激光原位角膜磨镶术(LASIK)以矫正球性屈光不正的近视患者,在使用Schwind Multiscan进行手术前以及术后1、3、6和12个月接受检查,消融区在5至7毫米之间。PRK组术前平均球镜等效屈光度为-8.0±1.7 D,LASIK组为-9.2±2.1 D。2. 使用Contrast sensitivity 8010型计算机系统在6个空间频率(0.74;1.97;3.69;7.39;14.77;29.55周/度)下测试对比敏感度(CS),并在带有兰多尔特环的标准化视力表上测量最佳矫正视力(BCVA)。3. 术后12个月,PRK组平均球镜等效屈光度为-0.6±1.0 D,LASIK组为-1.0±0.8 D。屈光不正±0.5 D以内的患者,PRK组有31.5%,LASIK组有57.5%。51.5%(PRK)和41.9%(LASIK)的患者BCVA提高了约1行至2.5行。PRK组6个频率下的平均CS分别达到术前值的99.4%、102%、105%、109%、115%和140%,而LASIK组仅为96%、95.8%、96.3%、95.8%、97.8%和94.6%。4. 术后12个月,PRK术后的平均球镜等效屈光度、CS更好,BCVA提高的患者数量显著高于LASIK术后。另一方面,LASIK组屈光不正±0.5 D以内的患者数量更多,再次手术的比例更低。

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