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[准分子激光近视矫正术]

[Excimer laser correction of myopia].

作者信息

Lipshitz I, Loewenstein A, Lazar M

机构信息

Ophthalmology Dept., Ichilov Hospital, Tel Aviv.

出版信息

Harefuah. 1993 Jul;125(1-2):4-6, 64.

PMID:8225068
Abstract

Excimer laser photorefractive keratectomy was performed on 100 myopic eyes. The preoperative spherical equivalent of myopia ranged from -2.00 to -9.99 diopters (D), mean -4.80 +/- 2.20 D. The procedure was performed under local anesthesia using 0.4% topical benoxinate HCl; corticosteroid eye drops were then used for up to 3 months. All patients achieved corrected visual acuity within 1 line of corrected preoperative visual acuity. The only complication was subepithelial reticular haze seen in all patients, which peaked at 4 weeks after the procedure and gradually diminished within 3 months. After follow-up of from 6-11 months, 93% of patients had achieved uncorrected visual acuity of 6/12 or better. Mean postoperative refraction was -0.20 +/- 0.97 D. 69% achieved a correction within +/- 0.50 diopter of emmetropia, 85% within +/- 1.00 D and 96% achieved corrected visual acuity of within 1 line of preoperative corrected visual acuity. This study and those in the literature show excimer laser to be a promising surgical treatment for myopia.

摘要

对100只近视眼实施了准分子激光屈光性角膜切除术。术前等效球镜近视度数范围为-2.00至-9.99屈光度(D),平均为-4.80±2.20 D。手术在局部麻醉下使用0.4%的盐酸丁氧普鲁卡因滴眼液进行;随后使用皮质类固醇滴眼液,持续3个月。所有患者术后矫正视力均达到术前矫正视力的±1行以内。唯一的并发症是所有患者均出现的上皮下网状混浊,在术后4周达到高峰,并在3个月内逐渐减轻。经过6至11个月的随访,93%的患者裸眼视力达到6/12或更好。术后平均屈光度数为-0.20±0.97 D。69%的患者屈光矫正至正视眼±0.50屈光度以内,85%在±1.00 D以内,96%的患者术后矫正视力达到术前矫正视力的±1行以内。本研究以及文献中的其他研究表明,准分子激光是一种有前景的近视手术治疗方法。

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