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    黄齐, 李明新. 近视患者飞秒LASIK术后调节功能的变化[J]. 徐州医科大学学报, 2019, 39(10): 737-740.
    引用本文: 黄齐, 李明新. 近视患者飞秒LASIK术后调节功能的变化[J]. 徐州医科大学学报, 2019, 39(10): 737-740.

    近视患者飞秒LASIK术后调节功能的变化

    • 摘要: 目的 探讨近视患者飞秒激光辅助准分子激光原位角膜磨镶术(Femtosecond laser-assisted excimer laser in situ keratomileusis, FS-LASIK)后调节功能的变化情况及规律。方法 随机选择接受飞秒 LASIK治疗的近视患者40例(80眼), 按照术前屈光度的不同分为两组:中度近视组20例(40眼)和高度近视组20例(40眼)。用电脑验光仪、综合验光仪及翻转拍等仪器分别测量40例近视患者术前、术后1周、术后1月的调节反应(AR)、双眼调节幅度(AMP)、负正相对调节(NRA/PRA)和双眼调节灵活度(AF)的变化。结果 两组患者组内比较,飞秒 LASIK术后1周时双眼调节幅度均低于术前,差异有统计学意义(P<0.05),术后1个月时双眼调节幅度与术前差异无统计学意义(P>0.05)。与术前比较,两组患者术后1周及术后1月时的NRA/PRA、调节反应及双眼调节灵活度的变化差异无统计学意义(P>0.05);两组间比较,两组患者的双眼调节幅度、NRA/PRA、调节反应及双眼调节灵活度在各测定时间的差异均无统计学意义(P>0.05)。结论 飞秒LASIK术后早期双眼调节幅度会出现一过性降低,然后逐渐恢复;飞秒LASIK手术对患者双眼调节功能无明显不良影响。

       

      Abstract: Objective To investigate the changes of accommodative function after Femtosecond laser-assisted excimer laser in situ keratomileusis(FS-LASIK) in myopi as .Methods 40 myopic patients(80 eyes) who underwent FS-LASIK were randomly selected in this study, they were divided into 2 groups according to pre-operative refractive status:moderate myopia group(20 cases 40 eyes)and high myopia group(20 cases 40 eyes).Their accommodative function including the accommodative response (AR)、amplitude of accommodation(AMP)、negative relative accommodation/positive relative accommodation(NRA/PRA) and accommodative facility (AF) were measured three times(before surgery、1 week and 1 month after surgery).Result In the two groups,AMP at postoperative 1 week was significantly less than that before operation(P<0.05), then it recovered at postoperative 1 month and compared with preoperation,there was no significant difference(P>0.05).In NRA/PRA、accommodative response and accommodative facility, there were no significant difference s before and after operation (P > 0.05);Compared between the two groups,there were no significant differences in AMP、 NRA/PRA 、 AR and AF at different time points (P > 0.05) .Conclusion After FS-LASIK,the AMP appears to decrease temporarily ,and then gradually recover;FS-LASIK surgery may have no harmful effects on myopic patients, accommodative function.

       

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