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使用WaveScan系统的波前引导准分子原位角膜磨镶术矫正低度至中度近视合并散光:277只眼的6个月结果

Wavefront-guided laser in situ keratomileusis using the WaveScan system for correction of low to moderate myopia with astigmatism: 6-month results in 277 eyes.

作者信息

Jabbur Nada S, Kraff Colman

机构信息

Refractive Surgery Center, The Wilmer Eye Institute, The Johns Hopkins University (Jabbur), Baltimore, Maryland, USA.

出版信息

J Cataract Refract Surg. 2005 Aug;31(8):1493-501. doi: 10.1016/j.jcrs.2004.12.050.

DOI:10.1016/j.jcrs.2004.12.050
PMID:16129282
Abstract

PURPOSE

To assess the safety and effectiveness of wavefront guided LASIK surgery using the Visx WaveScan system for correction of low to moderate myopia with astigmatism.

SETTING

Multicenter study at 6 sites in the United States.

METHODS

In this prospective nonrandomized clinical trial, treatments were performed at 6 sites in the United States using the WaveScan (CustomVue) guided excimer laser. A total of 351 eyes were enrolled, and 277 eyes were analyzed at 6 months.

RESULTS

At 6 months, 94% of eyes achieved an uncorrected visual acuity (UCVA) of 20/20 or better and 74% achieved a UCVA of 20/16 or better. Sixty-nine percent of eyes had the same or better postoperative UCVA than their preoperative best spectacle-corrected visual acuity (BSCVA). Ninety percent of eyes were within +/-0.5 diopter of intended correction. No eye lost more than 1 line of BSCVA. Total higher-order root-mean square (RMS), coma, and spherical aberration values were stable (P<.05).

CONCLUSION

The data support the safety and effectiveness of the WaveScan-guided customized laser ablation using the Visx Star S4 system for correction of low to moderate myopia with astigmatism.

摘要

目的

评估使用威视WaveScan系统的波前引导准分子原位角膜磨镶术(LASIK)治疗中低度近视合并散光的安全性和有效性。

设置

在美国6个地点进行的多中心研究。

方法

在这项前瞻性非随机临床试验中,在美国6个地点使用WaveScan(CustomVue)引导的准分子激光进行治疗。共纳入351只眼,6个月时对277只眼进行分析。

结果

6个月时,94%的眼睛裸眼视力(UCVA)达到20/20或更好,74%的眼睛UCVA达到20/16或更好。69%的眼睛术后UCVA与术前最佳矫正视力(BSCVA)相同或更好。90%的眼睛矫正度数在预期矫正度数的±0.5屈光度范围内。没有眼睛的BSCVA下降超过1行。总高阶均方根(RMS)、彗差和球差值稳定(P<0.05)。

结论

数据支持使用威视Star S4系统的WaveScan引导的定制激光消融术治疗中低度近视合并散光的安全性和有效性。

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Wavefront-guided laser in situ keratomileusis using the WaveScan system for correction of low to moderate myopia with astigmatism: 6-month results in 277 eyes.使用WaveScan系统的波前引导准分子原位角膜磨镶术矫正低度至中度近视合并散光:277只眼的6个月结果
J Cataract Refract Surg. 2005 Aug;31(8):1493-501. doi: 10.1016/j.jcrs.2004.12.050.
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CustomVue laser in situ keratomileusis for myopia and myopic astigmatism using the Visx S4 excimer laser: Efficacy, predictability, and safety.使用威视S4准分子激光的CustomVue准分子原位角膜磨镶术治疗近视和近视散光:疗效、可预测性及安全性。
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Clin Ophthalmol. 2023 Nov 22;17:3579-3590. doi: 10.2147/OPTH.S434037. eCollection 2023.
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Comparing Patient-Reported Outcomes of Laser In Situ Keratomileusis and Small-Incision Lenticule Extraction: A Review.比较激光原位角膜磨镶术和小切口微透镜提取的患者报告结果:综述。
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Visual, aberrometric, photic phenomena, and patient satisfaction after myopic wavefront-guided LASIK using a high-resolution aberrometer.
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Clin Ophthalmol. 2016 Dec 12;10:2489-2496. doi: 10.2147/OPTH.S108002. eCollection 2016.
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Laser-assisted subepithelial keratomileusis with mitomycin C for myopic astigmatism ≥2.00 diopters using a Zeiss MEL 80 Excimer.使用蔡司MEL 80准分子激光,联合丝裂霉素C行激光辅助上皮下原位角膜磨镶术治疗近视散光≥2.00屈光度。
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