微型板层角膜刀与飞秒激光制作角膜瓣对患者视力及角膜瓣厚度的影响
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摘要
目的:比较微型板层角膜刀与飞秒激光制作角膜瓣对患者视力及角膜瓣厚度的影响。方法:将2014-06/2015-05期间本院收治的近视屈光手术治疗的患者120例240眼,根据术式不同分为A组(微型板层角膜刀组)60例120眼和B组(飞秒激光组)60例120眼,然后将两组患者治疗后不同时间的视力情况及角膜瓣厚度相关指标进行比较。结果:治疗后不同时间两组的视力情况差异无统计学意义(均P>0.05),而治疗后不同时间B组的角膜瓣厚度相关指标均好于A组,差异有统计学意义(均P<0.05),两组治疗后的评估指标间差异均有统计学意义(均P<0.05)。结论:飞秒激光制作角膜瓣对患者角膜瓣厚度的影响明显好于微型板层角膜刀,两种治疗方式对视力的影响差异不明显。
AIM:To study and compare the influence situation of corneal flap made by microkeratome and femtosecond laser for the vision and corneal flap thickness in patients.METHODS:Totally 120 patients( 240 eyes) with myopic refractive surgery in our hospital from June 2014 to May2015 were randomly divided into Group A( microkeratome group) with 60 cases( 120 eyes) and Group B( femtosecond laser group) with 60 cases( 120 eyes). Then the vision situation and corneal flap thickness indexes of two groups at different time after the treatment were compared.RESULTS:The vision situation between the two groups at different time after the treatment all had no significant differences( all P>0. 05),while the corneal flap thickness related indexes of Group B at different time after the treatment were all better than those of Group A( all P<0. 05). The evaluation indexes of two groups after the treatment all had significant differences( all P<0. 05).CONCLUSION: The indexes of corneal flap made by femtosecond laser are better than those of microkeratome,and the influence of two methods for the vision is no obvious.
AIM:To study and compare the influence situation of corneal flap made by microkeratome and femtosecond laser for the vision and corneal flap thickness in patients.METHODS:Totally 120 patients( 240 eyes) with myopic refractive surgery in our hospital from June 2014 to May2015 were randomly divided into Group A( microkeratome group) with 60 cases( 120 eyes) and Group B( femtosecond laser group) with 60 cases( 120 eyes). Then the vision situation and corneal flap thickness indexes of two groups at different time after the treatment were compared.RESULTS:The vision situation between the two groups at different time after the treatment all had no significant differences( all P>0. 05),while the corneal flap thickness related indexes of Group B at different time after the treatment were all better than those of Group A( all P<0. 05). The evaluation indexes of two groups after the treatment all had significant differences( all P<0. 05).CONCLUSION: The indexes of corneal flap made by femtosecond laser are better than those of microkeratome,and the influence of two methods for the vision is no obvious.
引文
1于秋菊,张海东,张永红.飞秒激光辅助Q值调整的非球面个性化LASIK与常规LASIK术后视觉质量对比研究.中国实用眼科杂志2016;34(3):258-262
2邢星,李世洋,赵爱红,等.飞秒激光小切口角膜基质透镜取出术与准分子激光原位角膜磨镶术治疗近视对角膜内皮细胞密度影响的比较.眼科新进展2016;36(3):247-249
3邢星,李世洋,赵爱红,等.中高度近视患者飞秒激光微小切口角膜基质透镜取出术后视觉质量变化.国际眼科杂志2016;16(1):45-47
4姚佩君,李美燕,赵婧,等.全飞秒小切口透镜取出术矫正高度近视术后像差初步分析.中国眼耳鼻喉科杂志2015;15(6):399-402
5 Reinstein DZ,Gobbe M,Gobbe L,et al.Optical zone centration accuracy using corneal fixation-based smile compared to eye trackerbased femtosecond laser-assisted lasik for myopia.J Refract Surg 2015;31(9):586-592
6 Malhotra C,Jain AK,Veluswami J,et al.Higher order aberrations and visual outcomes in wavefront-optimized sub-bowman keratomileusis:flap creation using femtosecond laser versus mechanical microkeratome.Asia Pac J Ophthalmol(Phila)2015;4(4):197-203
7夏丽坤,王丹,马晶,等.飞秒激光小切口基质透镜取出术对角膜内皮细胞的影响.国际眼科杂志2015;15(10):1709-1712
8申华.准分子激光原位角膜磨镶术飞秒激光制瓣对角膜形态和生物力学指标的影响.徐州医学院学报2015;35(9):612-613
9乔宝笛,帖彪,赵宏.飞秒激光及机械刀辅助的SBK术角膜瓣厚度及术后角膜后表面的稳定性.中华眼视光学与视觉科学杂志2015;17(5):296-299
10胡雅斌,周跃华,张晶.Intra Lase FS60飞秒激光与Moria M2微型角膜刀制作LASIK角膜瓣的效果比较.武警医学2014;25(4):368-371
2邢星,李世洋,赵爱红,等.飞秒激光小切口角膜基质透镜取出术与准分子激光原位角膜磨镶术治疗近视对角膜内皮细胞密度影响的比较.眼科新进展2016;36(3):247-249
3邢星,李世洋,赵爱红,等.中高度近视患者飞秒激光微小切口角膜基质透镜取出术后视觉质量变化.国际眼科杂志2016;16(1):45-47
4姚佩君,李美燕,赵婧,等.全飞秒小切口透镜取出术矫正高度近视术后像差初步分析.中国眼耳鼻喉科杂志2015;15(6):399-402
5 Reinstein DZ,Gobbe M,Gobbe L,et al.Optical zone centration accuracy using corneal fixation-based smile compared to eye trackerbased femtosecond laser-assisted lasik for myopia.J Refract Surg 2015;31(9):586-592
6 Malhotra C,Jain AK,Veluswami J,et al.Higher order aberrations and visual outcomes in wavefront-optimized sub-bowman keratomileusis:flap creation using femtosecond laser versus mechanical microkeratome.Asia Pac J Ophthalmol(Phila)2015;4(4):197-203
7夏丽坤,王丹,马晶,等.飞秒激光小切口基质透镜取出术对角膜内皮细胞的影响.国际眼科杂志2015;15(10):1709-1712
8申华.准分子激光原位角膜磨镶术飞秒激光制瓣对角膜形态和生物力学指标的影响.徐州医学院学报2015;35(9):612-613
9乔宝笛,帖彪,赵宏.飞秒激光及机械刀辅助的SBK术角膜瓣厚度及术后角膜后表面的稳定性.中华眼视光学与视觉科学杂志2015;17(5):296-299
10胡雅斌,周跃华,张晶.Intra Lase FS60飞秒激光与Moria M2微型角膜刀制作LASIK角膜瓣的效果比较.武警医学2014;25(4):368-371