术前眼压水平可预测近视眼LASIK术后眼内压值测量偏低的程度

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:sxkcykart
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Aims: To evaluate the statistical significance of the parameters that affect underestimation of intraocular pressure (IOP) after laser in situ keratomileusis (LASIK) for myopia. Methods: In this prospective case series study, patient age, axial length, preoperative corneal curvature, preoperative central corneal thickness (CCT), preoperative IOP, and ablation depth were studied to determine whether they affect the underestimation of IOP in the right eyes of 100 consecutive patients who underwent LASIK. Results: The preoperative IOP was the most important parameter for an amount of underestimated Goldmann applanation tonometric IOP (GAT) and non-contact tonometric IOP (ncIOP) at 1 month (r=0.654, P < 0.0001, R2=0.427, and r=0.694, P < 0.0001, R2=0.481, respectively)-and 3 months (r=0.637, P< 0.0001, R 2=0.406, and r=0.726, P < 0.0001, R2=0.527, respectively). Patient age was statistically significant for underestimating the GAT at 1 month, and both the ablation depth and CCT were statistically significant parameters for underestimating the ncIOP at 1 month and at 3 months by stepwise multiple regression analysis (F > 4.000). However, these parameters had small bivariate correlation coef-ficients, and were considered as minor parameters. Conclusion: Preoperative IOP is the most important parameter that affects an underestimation of IOP after LASIK for myopia. Eyes with a higher true IOP have a larger underestimation of the IOP after LASIK for myopia. From these results, the importance of the modulus of elasticity on IOP measurements was discussed. Aims: To evaluate the statistical significance of the parameters that affect underestimation of intraocular pressure (IOP) after laser in situ keratomileusis (LASIK) for myopia. Methods: In this prospective case series study, patient age, axial length, preoperative corneal curvature, preoperative Central corneal thickness (CCT), preoperative IOP, and ablation depth were studied to determine whether they affect the underestimation of IOP in the right eyes of 100 consecutive patients who underwent LASIK. Results: The preoperative IOP was the most important parameter for an amount of underestimated Goldmann applanation tonometric IOP (GAT) and non-contact tonometric IOP (ncIOP) at 1 month (r = 0.654, P <0.0001, R2 = 0.427, and r = 0.694, P <0.0001, R2 = 0.481, respectively) Patient age was was significant for underestimating the GAT at 1 month, and both the ablation depth (r = 0.637, P <0.0001, R 2 = 0.406, and r = 0.726, and CCT were statis tically significant parameters for underestimating the ncIOP at 1 month and at 3 months by stepwise multiple regression analysis (F> 4.000). However, these parameters had small bivariate correlation coef-ficients, and were considered as minor parameters. most of parameter that affects an underestimation of IOP after LASIK for myopia. Eyes with a higher true IOP have a greater underestimation of the IOP after LASIK for myopia. From these results, the importance of the modulus of elasticity on IOP measurements was discussed.
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