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[准分子激光屈光性角膜切削术治疗近视]

[Excimer laser photorefractive keratectomy in myopia].

作者信息

Cernák A, Sisková E, Pont'uchová E, Potocký M

机构信息

Ocná klinika IVZ, Bratislava.

出版信息

Cesk Slov Oftalmol. 1996 Apr;52(2):67-72.

PMID:8689547
Abstract

The authors present an account on excimer laser photorefractive keratectomy on 254 myopic eyes with a minimal follow-up period of 6 months. The mean preoperative refraction -6.31 +/- 4.02 D was reduced to -0.92 +/- 1.3 D. A difference between the planned and achieved correction of less than 0.5 was recorded in 33.5% eyes, less than 1.0 D in 59.4% eyes and less than 1.5 D 77.6% eyes. As to complications the following were recorded: astigmatism more than 0.5 D (7.9%), problems with epithelialization (5.5%), steroid induced increased intraocular pressure (3.9%), corneal turbidity higher than 2 (1.2%). Based on the results the authors revealed that excimer laser photorefractive keratectomy is safe and effective refraction surgery for low and medium myopia with the possibility to predict the resulting postoperative refraction.

摘要

作者报告了对254只近视眼进行准分子激光屈光性角膜切削术的情况,最短随访期为6个月。术前平均屈光度为-6.31±4.02D,术后降至-0.92±1.3D。33.5%的眼睛计划矫正与实际矫正的差异小于0.5D,59.4%的眼睛小于1.0D,77.6%的眼睛小于1.5D。关于并发症,记录如下:散光超过0.5D(7.9%)、上皮化问题(5.5%)、类固醇诱导的眼压升高(3.9%)、角膜混浊高于2级(1.2%)。基于这些结果,作者表明准分子激光屈光性角膜切削术是一种安全有效的治疗中低度近视的屈光手术,并且有可能预测术后的屈光结果。

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