| 三种个体化激光角膜原位磨镶手术的临床疗效评估 |
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| 引用本文： | 毛玲娜,蒋文君,杨亚波.三种个体化激光角膜原位磨镶手术的临床疗效评估[J].浙江大学学报(医学版),2011,40(1). |
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| 作者姓名： | 毛玲娜 蒋文君 杨亚波 |
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| 作者单位： | 1. 浙江大学医学院附属第二医院,浙江,杭州,310009
2. 杭州市第六人民医院,浙江,杭州,310027 |
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| 摘 要： | 目的:评估3种不同的个体化激光角膜原位磨镶手术(laser in situ keratomileusis,LASIK):Q值优化的非球面像差切削(aberration smart ablation,ASA)模式、波前像差引导下的ASA模式(WASCA)、波前像差联合虹膜定位双重引导的ASA模式(IR+WASCA)的临床疗效。方法:连续选取96位近视患者,随机选定患者的某一眼参与研究,共96眼。其中30眼行ASA手术(ASA组),32眼行WASCA手术(WASCA组),34眼行IR+WASCA手术(IR+WASCA组)。术前3组等效球镜值(SE)、年龄、性别、瞳孔大小及高阶像差大小均无统计学差异。术后1个月、3个月复查裸眼视力、屈光度及波前像差。结果:术后三组1个月、3个月裸眼视力≥0.8者均为100%,组间比较无统计学差异;其中WASCA组术后裸眼视力100%≥1.0。三组术后1个月、3个月的屈光不正均在±0.50 D范围内。术后1个月、3个月三组间SE、高阶像差均方根及其改变量比较均无统计学差异。不同模式下LASIK术后总高阶像差、总彗差、总球差均增大,手术前后对比差异有统计学意义(P=0.000)。结论:...
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| 关 键 词： | 角膜磨镶术 激光原位 角膜/病理学 角膜地形图 屈光 眼 近视/外科学 个性 治疗结果 |
Clinical evaluation of laser in situ keratomileusis operation with three different ablative patterns |
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| MAO Ling-ha,JIANG Wen-jun,YANG Ya-bo.Clinical evaluation of laser in situ keratomileusis operation with three different ablative patterns[J].Journal of Zhejiang University(Medical Sciences),2011,40(1). |
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| Authors: | MAO Ling-ha JIANG Wen-jun YANG Ya-bo |
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| Affiliation: | MAO Ling-na1,JIANG Wen-jun2,YANG Ya-bo1(1.The Second Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 310009,China,2.The Sixth Hospital of Hangzhou,Hangzhou 310027,China) |
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| Abstract: | Objective: To evaluate the clinical outcome among three different laser in situ keratomileusis(LASIK) ablations: Q-factor customized ablation(aberration smart ablation,ASA),wave-front guided ablation(WASCA) and ablation under wave-front guiding plus iris recognition system(IR+WASCA).Methods: This prospective study comprised 96 eyes of 96 patients,and they were randomly divided into three groups: 30 patients in ASA group,32 in WASCA group,and 34 in IR+WASCA group.There were no any statistical differences in ... |
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| Keywords: | Keratomileusis laser in situ Cornea/pathol Corneal topography Refraction ocular Myopia/surg Individuality Treatment outcome |
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