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飞秒激光原位角膜磨镶术治疗轻、中、高度近视的一年屈光效果

One year refractive outcomes of Femtosecond-LASIK in mild, moderate and high myopia.

作者信息

Tabacaru Bogdana, Stanca Horia Tudor

机构信息

"Prof. Dr. Agrippa Ionescu" Emergency Hospital, Bucharest, Romania.

"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

出版信息

Rom J Ophthalmol. 2017 Jan-Mar;61(1):23-31. doi: 10.22336/rjo.2017.5.

Abstract

To evaluate the safety, efficacy, predictability and stability for a cohort of myopic eyes treated by Femtosecond-LASIK procedure. 60 eyes (36 patients) with different degrees of myopia that underwent refractive surgery by using the Femtosecond-LASIK technique were prospectively evaluated for 12 months. The mean preoperative spherical equivalent value was -3.827 ± 1.410 diopters (D) (range: -8.125 to -1.375 D). VisuMax® femtosecond laser was used for cutting the corneal flap and then the Mel80® excimer laser for the stromal ablation. Mean age was 30.80 ± 5.745 years (range: 21 to 46 years) with 75% female patients. Postoperative spherical equivalent at 12 months was within ±0.25 D of emmetropia in 90% of the eyes and within ±0.50 D of emmetropia in 100% of the eyes. All the eyes achieved an uncorrected distance visual acuity (UDVA) of 1.0 (decimal scale). No eye lost lines of preoperative corrected distance visual acuity (CDVA). No major intraoperative or postoperative complications were encountered. : Femtosecond-LASIK seems to be a suitable option for the correction of mild, moderate, and high myopia, as the procedure showed to be safe, effective, and predictable for the treatment of myopic refractive errors.

摘要

评估飞秒激光原位角膜磨镶术(Femtosecond-LASIK)治疗的一组近视眼中该手术的安全性、有效性、可预测性和稳定性。对60只眼(36例患者)采用飞秒激光原位角膜磨镶术技术进行屈光手术的不同程度近视患者进行了为期12个月的前瞻性评估。术前平均等效球镜度为-3.827±1.410屈光度(D)(范围:-8.125至-1.375 D)。使用VisuMax®飞秒激光制作角膜瓣,然后使用Mel80®准分子激光进行基质消融。平均年龄为30.80±5.745岁(范围:21至46岁),女性患者占75%。90%的眼睛术后12个月的等效球镜度在正视眼±0.25 D范围内,100%的眼睛在正视眼±0.50 D范围内。所有眼睛的裸眼远视力(UDVA)均达到1.0(小数记录法)。没有眼睛丧失术前矫正远视力(CDVA)的行数。未遇到重大术中或术后并发症。:飞秒激光原位角膜磨镶术似乎是矫正轻度、中度和高度近视的合适选择,因为该手术在治疗近视屈光不正方面显示出安全、有效且可预测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bac/5710049/0ca05f76561e/RomJOphthalmol-61-23-g001.jpg

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