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对38例(59只眼)接受二次放射状角膜切开术,二次切口沿旧切痕完成,随访时间平均13个月。术前平均等效球镜屈光为-3.78D,角膜屈光度为40.15D。术后平均下降等效球镜为2.30D,下降角膜屈光2.04D,平均提高裸眼视力5行(国际标准视力表)。二次手术疗效与原屈光度及二次术前角膜屈光度无关。二次手术可降低散光度,并发症少。
Thirty-eight patients (59 eyes) underwent second radial corneal incision. The second incision was completed along the old incision. The follow-up time was 13 months on average. Preoperative average equivalent spherical refraction of -3.78D, corneal refraction of 40.15D. The average postoperative spherical equivalent spherical 2.30D, decreased corneal refractive 2.04D, an average of 5 lines of increased uncorrected visual acuity (International Standard Chart). Secondary surgical efficacy and the original refraction and the second preoperative corneal refraction unrelated. Secondary surgery can reduce astigmatism, fewer complications.