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准分子激光屈光性角膜切削术后1年患者心理社会学调查结果及满意度报告

Report on psychosocial findings and satisfaction among patients 1 year after excimer laser photorefractive keratectomy.

作者信息

Kahle G, Seiler T, Wollensak J

机构信息

Universitätsaugenklinik im Klinikum Charlottenburg, Germany.

出版信息

Refract Corneal Surg. 1992 Jul-Aug;8(4):286-9.

PMID:1390408
Abstract

BACKGROUND

The first 26 patients who underwent photorefractive keratectomy with an excimer laser in our clinic with a 1-year follow up voluntarily answered a questionnaire.

METHODS

It was intended to get information about their social status, motivation, expectations, and satisfaction with myopic excimer laser photorefractive keratectomy.

RESULTS

All patients wore corrective lenses before surgery; 74% wore no optical correction after the photorefractive keratectomy. "To improve general vision" was the highest ranked motivation while "looking better" was only of minor importance. Seventy-two percent reported that their subjective vision became better; 28% felt that it didn't change, but none reported deterioration of subjective vision. Seventy-five percent of the patients reported improvement of their lifestyle after surgery, whereas 21% reported no change and one patient stated that his lifestyle got worse. On a scale ranging from 1 to 5, early postoperative course was painful with a mean score of 2.25; the treatment itself was considered as professional (1.42 +/- 0.8) and well done (1.54 +/- 0.8). Eighty-four percent of the patients reported that they were satisfied with the overall results.

CONCLUSIONS

All patients would decide again to have photorefractive keratectomy for myopic correction.

摘要

背景

在我们诊所接受准分子激光屈光性角膜切削术的前26例患者,在自愿接受1年随访后回答了一份问卷。

方法

旨在获取有关他们的社会地位、动机、期望以及对近视准分子激光屈光性角膜切削术的满意度的信息。

结果

所有患者术前均佩戴矫正眼镜;74%的患者在接受屈光性角膜切削术后无需光学矫正。“改善总体视力”是最重要的动机,而“外观更好看”仅具有次要意义。72%的患者报告主观视力有所改善;28%的患者感觉没有变化,但无人报告主观视力下降。75%的患者报告术后生活方式得到改善,而21%的患者报告无变化,1例患者表示其生活方式变差。在1至5分的评分中,术后早期过程疼痛,平均评分为2.25;治疗本身被认为专业(1.42±0.8)且做得很好(1.54±0.8)。84%的患者报告他们对总体结果满意。

结论

所有患者都愿意再次选择接受准分子激光屈光性角膜切削术来矫正近视。

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Refract Corneal Surg. 1992 Jul-Aug;8(4):286-9.
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引用本文的文献

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The measurement of patient-reported outcomes of refractive surgery: the refractive status and vision profile.屈光手术患者报告结局的测量:屈光状态和视力概况。
Trans Am Ophthalmol Soc. 2000;98:439-69.
2
Psychological aspects of excimer laser surgery for myopia: reasons for seeking treatment and patient satisfaction.准分子激光治疗近视手术的心理学因素:寻求治疗的原因及患者满意度
Br J Ophthalmol. 1996 Oct;80(10):874-9. doi: 10.1136/bjo.80.10.874.
3
Role of epithelial hyperplasia in regression following photorefractive keratectomy.上皮增生在准分子激光角膜切削术后愈合过程中的作用。
Br J Ophthalmol. 1996 Jun;80(6):545-8. doi: 10.1136/bjo.80.6.545.