[1]胡春明,阴正勤,汪辉,等.儿童高度近视性屈光参差LASIK术后视力屈光度及角膜地形图分析[J].第三军医大学学报,2007,29(15):1517-1519.
 HU Chun-ming,YIN Zheng-qin,WANG Hui,et al.Vision acuity, refraction and corneal topography after LASIK for anisometropia of high myopia in children[J].J Third Mil Med Univ,2007,29(15):1517-1519.
点击复制

儿童高度近视性屈光参差LASIK术后视力屈光度及角膜地形图分析(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
29卷
期数:
2007年第15期
页码:
1517-1519
栏目:
论著
出版日期:
2007-08-15

文章信息/Info

Title:
Vision acuity, refraction and corneal topography after LASIK for anisometropia of high myopia in children
作者:
胡春明阴正勤汪辉任茜文建英罗启惠
第三军医大学西南医院全军眼科中心
Author(s):
HU Chun-ming YIN Zheng-qin WANG Hui REN Qian WEN Jian-ying LUO Qi-hui
Ophtalmology Research Center, Southwest Hospital, Third  Military Medical University, Chongqing 400038, China
关键词:
高度近视屈光参差LASIK儿童角膜地形图屈光度
Keywords:
high myopia anisometropia LASIK children corneal topography refraction
分类号:
R770.42; R778.105; R779.63
文献标志码:
A
摘要:
目的    分析儿童高度近视性屈光参差准分子激光原位角膜磨镶术(laser in situ keratomileusis , LASIK)后视力、屈光度及角膜地形图的动态变化。    方法    对41例患儿(6~14 岁)42只高度近视性屈光参差眼LASIK术后1、3、6及12个月进行视力、屈光度及角膜地形图的随访。    结果    术后各阶段的平均裸眼远视力和平均矫正远视力都明显好于术前;模拟角膜镜度数(simulated keratoscope reading,Sim k)的等效值和球镜屈光度术后第1 个月较术前分别平均减少6.50 D和8.25 D,术后3 个月之内均表现一定的回退,在术后3~6 个月仍见部分回退,在6~12个月才趋于稳定;Sim k 的差值与柱镜屈光度的变化相符:术后较术前明显减少, 术后各阶段相比较无统计学差异。    结论    LASIK矫治儿童高度近视性屈光参差术后恢复快、疗效可靠,角膜地形图的检查可准确显示术后角膜的形态变化:在成人LASIK术后角膜地形图的形态变化基础上具有一定的自身特点,掌握这些特点对手术设计的改进和手术疗效的预测具有重要的临床意义。
Abstract:
Objective    To analyze the dynamic changes of vision acuity, refraction and corneal topography after LASIK for anisometropia of high myopia in children.     Methods    Forty-one patients aged 6 to 14 years old (42 eyes) with anisometropia of high myopia underwent LASIK, and vision acuity, refraction and corneal topography were evaluated at postoperative 1, 3, 6, 12 months during follow up.     Results    The average uncorrected and best corrected distance vision acuity after surgery was better than that before operation. The average decrease of equivalent value of simulated keratoscope reading (Sim k) and spherical refraction were 6.50D and 8.25D in postoperative 1 month, decreased within 3 months, still decreased slightly from 3 to 6 month and stabilized from 6 to 12 month. The margin of Sim k accorded with the changes of the cylindrical refraction, decreased significantly after surgery and had no significant changes in different periods.      Conclusion    The visual acuity recovers quickly after LASIK for anisometropia of high myopia in children. The corneal topography could display the modality of cornea accurately that was similar to adults’ but of its own characteristics. The corneal topography is of clinical importance for the improvement and predictability of surgery.

参考文献/References:

胡春明,阴正勤,汪辉,等. 儿童高度近视性屈光参差LASIK术后视力屈光度及角膜地形图分析[J]. 第三军医大学学报, 2007, 29(15):1517-1519.

相似文献/References:

[1]胡春明,谢汉平,汪辉,等.有晶体眼后房型人工晶体植入术后稳定期高眼压发生的相关因素分析[J].第三军医大学学报,2012,34(20):2108.
 Hu Chunming,Xie Hanping,Wang Hui,et al.Influencing factors of high intraocular pressure during stable period after implantable collamer lens[J].J Third Mil Med Univ,2012,34(15):2108.
[2]任茜,汪辉,阴正勤,等.LASIK矫治高度屈光参差性弱视儿童的双眼视功能变化[J].第三军医大学学报,2007,29(15):1536.
 REN Qian,WANG Hui,YIN Zheng-qin,et al.Changes of visual function after excimer laser in situ keratomileusis for high anisometropic amblyopia in children[J].J Third Mil Med Univ,2007,29(15):1536.
[3]汪辉,阴正勤,陈莉,等.准分子激光原位角膜磨镶术矫治儿童远视性屈光参差的临床观察[J].第三军医大学学报,2005,27(11):1153.
[4]唐颖,叶剑.有晶体眼人工晶体植入术对高度近视眼双眼视功能的影响[J].第三军医大学学报,2015,37(22):2289.
 Tang Ying,Ye Jian.Effect of implantable collamer lens on accommodation and nonstrabismic binocular anomalies in patients with high myopia: report of 30 cases[J].J Third Mil Med Univ,2015,37(15):2289.
[5]汪辉,阴正勤,胡春明,等.LASIK矫治儿童重度远视屈光参差性弱视的远期疗效观察[J].第三军医大学学报,2013,35(17):1848.
 Wang Hui,Yin Zhengqin,Hu Chunming,et al.Long-term efficacy of laser-assisted in situ keratomileusis for high hyperopic anisometropia in children[J].J Third Mil Med Univ,2013,35(15):1848.
[6]叶诗洋,徐燕,徐洁,等.有晶体眼后房型人工晶体植入术早期并发症的临床研究[J].第三军医大学学报,2015,37(10):1035.
 Ye Shiyang,Xu Yan,Xu Jie,et al.Early complications of posterior chamber implantable collamer lens implantation[J].J Third Mil Med Univ,2015,37(15):1035.
[7]汪辉,阴正勤,陈莉,等.LASIK矫治儿童高度近视性屈光参差[J].第三军医大学学报,2004,26(05):0.[doi:10.16016/j.1000-5404.2004.05.020 ]
 WANG Hui,YIN Zheng qin,CHEN Li,et al.[J].J Third Mil Med Univ,2004,26(15):0.[doi:10.16016/j.1000-5404.2004.05.020 ]

更新日期/Last Update: 2008-09-26