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目的 评价放射状角膜切开术(RK) 矫正准分子激光角膜切削术(PRK) 后残余近视的安全性、有效性及有关并发症。 方法 分析10 例病人14 只眼用RK 手术矫正PRK 后残余近视的屈光及视力变化。RK 后最短观察时间6 个月。 结果 3 只眼(21 % ) 接受1 次PRK 治疗,7 只眼(50 % ) 接受2 次PRK 治疗,4 只眼(29 % ) 接受3 次PRK 治疗。11 只眼(79 % ) 接受4 刀RK 术,3 只眼(21 % ) 接受8 刀RK 术。所有病人RK 术后裸眼视力均提高。RK 术后6 个月,屈光度较RK 前显著下降2 .93 D±1 .53 D( P< 0 .05) 。 结论 RK 是矫正PRK 术后残余近视的有效安全的方法
Objective To evaluate the safety, efficacy and related complications of residual myopia after radical keratotomy (RK) with excimer laser keratectomy (PRK). Methods The refraction and visual acuity of residual myopia after correction of PRK in 14 eyes of 10 patients with RK were analyzed. RK shortest observation time after 6 months. Results Three eyes (21%) received one PRK treatment, seven eyes (50%) received two PRKs and four eyes (29%) received three PRKs. Eleven eyes (79%) underwent 4-knife RK and 3 eyes (21%) underwent 8-knife RK. All patients RK uncorrected visual acuity were increased. At 6 months after RK, diopter decreased significantly compared with that before RK 2. 93 D ± 1. 53 D (P <0 .05). Conclusions RK is an effective and safe method to correct residual myopia after PRK