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目的:通过对野战部队新兵近视矫正术后眼部疾病的调查,探讨近视矫正手术对新兵长期训练的影响。方法:随机抽取某部行近视矫正手术新兵658例,经眼科检查,获得眼底疾病谱及危险因素,并随访2年。结果:发现眼部疾病,不符合军人体检标准74例(11.3),主要包括视力不合格、角膜疾病、眼底疾病、高眼压等;眼部有潜在疾病隐患273例(41.5),主要包括干眼症、眩光、周边视网膜格子样变性及蜗牛迹变性等。2年随访复检中发现,干眼症、角膜炎、眩光及高眼压等疾病显著减少;角膜混浊数量稍有减少,而其他疾病均有所升高,但无显著差异(P>0.05)。结论:近视矫正术仅是提高视敏度,不能达到良好的视觉质量,术后眼球较脆弱,存在潜在危险。
Objective: To investigate the effect of myopia corrective surgery on the long-term training of recruits through the investigation of eye diseases after field surgery. Methods: A total of 658 recruits from my department were retrospectively reviewed. The ocular disease spectrum and risk factors were obtained and followed up for 2 years. Results: There were 74 cases (11.3) of eye diseases that did not meet the medical examination standards, including unqualified vision, corneal diseases, fundus diseases, ocular hypertension and so on. There were 273 cases (41.5%) of latent diseases in the eyes, Eye disease, glare, peripheral retinal cell degeneration and degeneration of snails. 2 years of follow-up review found that dry eye, keratitis, glare and high intraocular pressure and other diseases significantly reduced; a slight decrease in the number of corneal opacities, while other diseases have increased, but no significant difference (P> 0.05) . Conclusion: Myopia correction is only to improve visual acuity, can not achieve good visual quality, postoperative eye fragile, there is a potential risk.