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使用 ALLEGRETTO WAVE 进行混合散光的 LASIK:200Hz 和 400Hz 平台的 3 个月和 6 个月结果。

LASIK for mixed astigmatism using the ALLEGRETTO WAVE: 3- and 6-month results with the 200- and 400-Hz platforms.

机构信息

The Laser Center, Greensboro, North Carolina 27410, USA.

出版信息

J Refract Surg. 2010 Oct;26(10):S819-23. doi: 10.3928/1081597X-20100921-09.

Abstract

PURPOSE

To report the refractive results after LASIK for mixed astigmatism at one center with one surgeon comparing two laser platforms.

METHODS

A total of 137 eyes of 69 patients were treated with LASIK for mixed astigmatism up to 3.33 diopters (D) using either the ALLEGRETTO WAVE 200- or 400-Hz laser (Alcon Laboratories Inc) between April 2006 and December 2009. The degree of astigmatism was higher in the 400-Hz group. Corneal flaps were created with the IntraLase femtosecond laser (Abbott Medical Optics) in all cases.

RESULTS

The refractive outcomes with both laser systems were statistically similar. At 6 months, 78% of eyes had 20/20 or better uncorrected distance visual acuity (UDVA) with all but one eye achieving 20/30 or better UDVA. At 6 months, 10% of eyes treated with the 200-Hz system lost one line of corrected distance visual acuity (CDVA) whereas no eyes treated with the 400-Hz system lost any lines of CDVA. Residual astigmatism was <0.50 D for all eyes treated with both platforms.

CONCLUSIONS

Both laser platforms provided predictable and effective treatment of mixed astigmatism in the patient populations treated, with over 90% of eyes achieving UDVA of 20/25 or better 6 months after surgery.

摘要

目的

报告一位医生在一个中心使用两种激光平台治疗混合散光的 LASIK 术后的屈光结果。

方法

2006 年 4 月至 2009 年 12 月,共有 69 例 137 只眼接受 LASIK 治疗混合散光,最高达 3.33 屈光度(D)。400-Hz 组的散光度数较高。所有情况下均使用 IntraLase 飞秒激光(Abbott Medical Optics)制作角膜瓣。

结果

两种激光系统的屈光结果具有统计学意义。术后 6 个月,78%的眼未经矫正的远视力(UDVA)达到 20/20 或更好,除 1 只眼外,所有眼均达到 20/30 或更好的 UDVA。术后 6 个月,200-Hz 系统治疗的 10%眼丧失 1 行矫正视力,而 400-Hz 系统治疗的无一眼丧失任何行矫正视力。所有眼的残余散光均<0.50 D。

结论

两种激光平台均为所治疗的患者人群提供了可预测和有效的混合散光治疗,术后 6 个月,超过 90%的眼达到 UDVA 20/25 或更好。

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