Nuijts R M M A, Beekhuis W H
Academisch Ziekenhuis, afd. Oogheelkunde, P.Debyelaan 25, 6202 AZ Maastricht.
Ned Tijdschr Geneeskd. 2002 Nov 9;146(45):2134-40.
Refractive surgery is gaining enormous popularity. It is estimated that in 2001, refractive surgery was performed on 1 in 8000 persons in the Netherlands. Photorefractive keratectomy and laser in-situ keratomileusis are effective and predictable for the correction of myopia up to 10.0 D and hypermetropia up to +4.5 D. There is rarely any significant loss of best-corrected visual acuity postoperatively. For the correction of higher levels of myopia and hypermetropia, phakic intraocular lenses can be implanted in the anterior or posterior eye chamber, in other words in front of the natural lens. The magnification effect of these lenses often results in improved vision at higher levels of myopia. Good preoperative selection of refractive surgery candidates is essential and patients should be properly informed about the results, potential complications and adverse effects of refractive surgery techniques.
屈光手术正变得越来越受欢迎。据估计，2001年在荷兰每8000人中就有1人接受了屈光手术。准分子激光角膜切削术和准分子原位角膜磨镶术对于矫正高达10.0 D的近视和高达+4.5 D的远视有效且可预测。术后很少有最佳矫正视力的显著丧失。对于矫正更高程度的近视和远视，可在前房或后房植入有晶状体眼人工晶状体，也就是说在天然晶状体前方。这些晶状体的放大效应常常会使更高程度近视的视力得到改善。对屈光手术候选者进行良好的术前筛选至关重要，并且应让患者充分了解屈光手术技术的结果、潜在并发症和不良反应。
