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[准分子原位角膜磨镶术后的视野分析]

[Visual field analysis after laser in situ keratomileusis].

作者信息

Yuan Yuan-sheng, Zhong Hua, Zhang Bo-yong, Yuan Ling, Li Han-yu, Li Yan-mei

机构信息

Department of Ophthalmology, the First Affiliated Hospital of Kunming Medical College, Kunming 650032, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2006 Mar;42(3):226-30.

Abstract

OBJECTIVE

To evaluate the effects of laser in situ keratomileusis (LASIK) on the patients' visual field.

METHODS

92 eyes of 46 patients with mild, moderate, and high degrees of myopia were undergone LASIK. Perimetry was performed before and 1 day, 1 month, 3 months, 6 months after LASIK surgery by Humphrey II-750 visual field analysis. The central 30 - 2 fast threshold program was used to examine the change in central 30 degree. Mean defect (MD) and pattern standard deviation (PSD) were record. All operations were performed by an experienced surgeon. Statistical analyses were performed by SPSS using the randomized complete block design ANOVA (two factors analysis of variance). Differences among variables were evaluated by q-test (Student-Newman-Kueuls method).

RESULTS

93.5% patients obtained estimated best correct visual acuity or better at six months after LASIK. No complications were found in the subjects. No difference was found in fundus examinations before and after surgery. Intraocular pressure was normal at all preoperative and postoperative examinations. MD was significant differences among preoperative and postoperative values (P < 0.05, for all comparisons) and was correlated with visual acuity post-LASIK significantly (P < 0.05). While PSD did not show significant differences before and after LASIK (P > 0.05) and was not correlated with visual acuity post-LASIK. The indexes of visual field were not correlated with the degree of myopia and the other surgical parameters (P > 0.05).

CONCLUSION

In current research, no significant visual field change was demonstrated pre-LASIK and post-LASIK after 6 months follow-up. The study suggests that LASIK does not affect the retinal physiological functions.

摘要

目的

评估准分子原位角膜磨镶术(LASIK)对患者视野的影响。

方法

对46例轻、中、高度近视患者的92只眼进行LASIK手术。在LASIK手术前及术后1天、1个月、3个月、6个月,采用Humphrey II - 750视野分析仪进行视野检查。使用中央30 - 2快速阈值程序检测中央30度视野的变化。记录平均缺损(MD)和模式标准偏差(PSD)。所有手术均由经验丰富的外科医生进行。采用SPSS软件进行随机完全区组设计方差分析(双因素方差分析)。变量间差异采用q检验(Student - Newman - Kueuls法)进行评估。

结果

93.5%的患者在LASIK术后6个月获得了预期的最佳矫正视力或更好的视力。受试者未发现并发症。手术前后眼底检查未发现差异。术前和术后各次检查眼压均正常。MD在术前和术后各值之间存在显著差异(所有比较P < 0.05),且与LASIK术后视力显著相关(P < 0.05)。而PSD在LASIK术前和术后未显示出显著差异(P > 0.05),且与LASIK术后视力无关。视野指标与近视度数及其他手术参数无关(P > 0.05)。

结论

在本研究中,随访6个月后,LASIK术前和术后未显示出明显的视野变化。该研究表明LASIK不影响视网膜生理功能。

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