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[准分子激光角膜切削术后角膜屈光力的稳定性]

[Stability of corneal optic power after photorefractive keratectomy].

作者信息

Havlíková I, Kvasnicka J, Rozsíval P, Lorencová V

机构信息

Ocní klinika FN, Hradec Králové.

出版信息

Cesk Slov Oftalmol. 2003 Nov;59(6):392-6.

Abstract

Changes in the values of optical power of cornea in patients after photorefractive keratectomy (PRK) obtained by Fourier analysis of videotopographic picture of cornea were investigated. The authors compared changes of cornea surface (optical power) in patients with preoperation myopia up to 6 and more than 6 diopters. Moreover, the changes of absolute values of corneal optical power were compared with the development of refraction of the optical system as a whole. In patients with a lower degree of myopia the cornea optical power became stable up to 6 months after the operation. The cornea surface in patients with higher myopia was still changing one year after the operation. The changes of optical power of cornea in patients with a higher myopia were more marked, but the differences were not statistically significant (except for the period after cornea ablation). There was not any significant difference between the changes of objective refraction and the changes of cornea optical power. The main cause of fluctuating postoperative refraction is apparently the change of cornea surface associated with healing of cornea.

摘要

通过对角膜视频地形图进行傅里叶分析,研究了准分子激光原位角膜磨镶术(PRK)后患者角膜光焦度值的变化。作者比较了术前近视度数达6屈光度及超过6屈光度患者的角膜表面(光焦度)变化。此外,还将角膜光焦度绝对值的变化与整个光学系统屈光的发展进行了比较。近视度数较低的患者术后6个月角膜光焦度趋于稳定。高度近视患者术后1年角膜表面仍在变化。高度近视患者角膜光焦度的变化更为明显,但差异无统计学意义(角膜切削后阶段除外)。客观屈光变化与角膜光焦度变化之间无显著差异。术后屈光波动的主要原因显然是与角膜愈合相关的角膜表面变化。

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