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对视神经病变患者的激光视力矫正:一例报告。

Laser vision correction on patients with sick optic nerve: a case report.

作者信息

Chen Ming

机构信息

Division of Ophthalmology, Department of Surgery, University of Hawaii, 55 S. Kukui Street C-109, Honolulu, HI 96813, USA.

出版信息

Case Rep Ophthalmol Med. 2011;2011:796463. doi: 10.1155/2011/796463. Epub 2011 Dec 29.

Abstract

This 48-year-old white female with chronic optic disc edema is reported for the discussion of the management for the laser vision correction. Two procedures were considered, one was PRK (photorefractive keratectomy) and the other was LASIK (laser-assisted in-situ keratomileusis). A search strategy was developed to search evidence in the literature to support the decision in the selection of the better procedure for this patient. The evidences also were rigorously appraised for the validity. PRK was selected and performed on the patient with good outcome.

摘要

本文报告了一位48岁患有慢性视盘水肿的白人女性,以讨论其激光视力矫正的治疗方案。考虑了两种手术,一种是准分子激光角膜切削术(PRK),另一种是准分子原位角膜磨镶术(LASIK)。制定了一项检索策略,在文献中搜索证据,以支持为该患者选择更好手术方案的决策。同时对这些证据的有效性进行了严格评估。最终选择了PRK并应用于该患者,取得了良好的效果。

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本文引用的文献

1
Optic neuropathy after epi-LASIK.
J Refract Surg. 2008 Feb;24(2):204-8. doi: 10.3928/1081597X-20080201-13.
2
Optic disc and retinal nerve fiber layer analysis with scanning laser tomography after LASIK.
J Refract Surg. 2006 Apr;22(4):372-5. doi: 10.3928/1081-597X-20060401-14.
3
Retinal nerve fiber layer thickness changes after an acute increase in intraocular pressure.
J Cataract Refract Surg. 2002 Dec;28(12):2117-22. doi: 10.1016/s0886-3350(02)01482-7.
4
Laser in situ keratomileusis-induced optic neuropathy.
Ophthalmology. 2001 Apr;108(4):660-5. doi: 10.1016/s0161-6420(00)00577-7.
5
Optic neuropathy associated with laser in situ keratomileusis.
J Cataract Refract Surg. 2000 Nov;26(11):1581-4. doi: 10.1016/s0886-3350(00)00688-x.

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