摘要
目的:探讨自动板层角膜成形联合准分子激光角膜切削术(automated lamellar ker-atoplasty combined with excimer laser keratectomy,ALK-E)治疗近视的疗效。方法:用自动板层微型角膜刀和 KERATOM-F 准分子激光机对85例(167只眼)行 ALK-E 手术并对手术患者进行术后一天、一个月、三个月的视力观察。结果:术前屈光度-5.75 D 以下的术后三个月94.59%达到术前矫正视力;术前屈光度-14.75 D 以下的术后三个月77.6%达到术前矫正视力;术前屈光度-30.00 D 以下的术后三个月66.67%达到术前矫正视力。结论:ALK-E 治疗近视的近期疗效比较满意,较准分子激光屈光性角膜切削术相比较,有其独特的优点,手术技术及远期疗效尚有待进一步研究。
Objective:To evaluate the therapeutic effects of automated lamellar keratoplasty com- bined with excimer laser keratectomy(ALK-E)for the correction of myopia.Methods:With the automated corneal shaper and KERATOM-F excimer laser,ALK-E was performed on 167 eyes of 85 cases with myopia of-5.75 D to-30.00 D diopters.Postoperatively,All pa- tients have been followed up for 1 day,1 month and 3 months.Results:For myopes below -5. 75 D,94.5% achieved their preoperative best corrected visual avuity at 3 months.For myopes below-14.75 D,77.6% achieved their preoperative best corrected visual acuity at 3 months. For myopes below-30.00 D.66.67% achieved their preoperative best corrected visual acuity at 3 months.Conclusions:The early therapeutic results of ALK-E for treatment of myopia are more promised than those of photorefractive keratectomy(PRK),and ALK-E has its own peculiar advantage.The operative parameters and remote therapeutic results remain to be further studied.
出处
《江西医学院学报》
1998年第4期55-58,共4页
Acta Academiae Medicinae Jiangxi
基金
江西省科委资助课题
