LASIK与PRK治疗高度近视的对比

• 作 者: 毕宏生 王兴荣
• 机 构: 济南施尔明眼科医院
• 出 处: 眼科
• 发表日期: 1999年02期
• 关键词: 高度近视 PRK 术后视力 激光手术 矫正度 裸眼视力 角膜瓣 回退 前弹力层 中度近视

目的：为比较激光原位角膜磨镶术（ＬＡＳＩＫ）与准分子激光角膜切削术（ＰＲＫ）治疗高度近视的临床效果。方法：随机选择随访半年且资料完整的ＬＡＳＩＫ（１４３只眼）和ＰＲＫ（１２９只眼）两组治疗高度近视患者，并按屈光度分为Ａ、Ｂ、Ｃ３个组，对两种术式在不同度数、不同治疗时期的术后视力、屈光度、并发症等进行系统的对比分析和统计学处理。结果：Ｌ式和Ｐ式术后６个月的裸眼视力≥０５者分别为９５８％和７９８％（Ｐ＜００１）；裸眼视力≥１０者为７４１％和５１１％（Ｐ＜００１）。实际矫正度在预计矫正度±１００Ｄ之间：Ｌ式分别为Ａ组７５５％、Ｂ组５５３％、Ｃ组４８４％；Ｐ式为Ａ组７０３％、Ｂ组４５７％、Ｃ组３６７％。手术后最佳矫正视力：提高者Ｌ式和Ｐ式分别为５５０％、３６４％（Ｐ＜００５），下降者分别为１５％、７７％（Ｐ＜００１）。结论：ＬＡＳＩＫ在治疗高度近视尤其是大于９００Ｄ以上的高度近视方面，其术后视力恢复速度、疗效、手术范围、预测性、稳定性和安全性均优于ＰＲＫ，是目前治疗高度近视的最理想的手术

Objective: To compare the clinical efficacy of laser in situ keratomileusis (LASIK) and excimer laser keratectomy (PRK) in the treatment of high myopia. Methods: The patients with high myopia who were followed up for six months and with complete data of LASIK (143 eyes) and PRK (129 eyes) were randomly divided into A, B and C3 groups according to diopter, Degrees, postoperative visual acuity, refraction, complications of different treatment periods were systematically analyzed and compared statistically. Results: The uncorrected visual acuity ≥ 0.5 of 6 months after L type and P type were 958% and 798% (P <001) respectively. The uncorrected visual acuity ≥10 was 741 % And 511% (P <001). The actual degree of correction in the expected degree of correction ± 1  00D between: L-type were 75  5% in Group A, B was 55  3%, C 48  4%; P-type A 70  3%, B 45.7% in the group and 36.7% in the C group. The best corrected visual acuity after surgery was 550% and 364% respectively (P <005), and the decrease was 15% and 77% respectively (P0.01 01). CONCLUSION: LASIK is superior to PRK in the treatment of high myopia, especially high myopia more than 900D, the speed of recovery, curative effect, surgical range, predictability, stability and safety of postoperative visual acuity The best surgery