LASIK與LASEK矯正近視的臨床療效比較

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1、鄭州人學2009屆顧!：學位論文中文摘要結論：1．LASIK、LASEK手術矯正近視，具有相似的臨床效果。雖然LASIK術后裸眼視力恢復較LASEK快，但兩者術后遠期裸眼視力、殘留屈光度無顯著差異，證明兩種術式對近視的矯正均有良好的穩(wěn)定性。2．LASIK術后與LASEK術后角膜的修復方式有所不同，LASEK術后角膜的修復時間較LASIK長，但其克服了LASIK因角膜瓣所帶來的并發(fā)癥，兩者各有優(yōu)劣。3．LASIK、LASEK手術矯正近視，術后角膜地形圖規(guī)整度相似，早期LASIK手術患者角膜地形圖較LASEK手術患者角

2、膜地形圖平整、規(guī)則，后期兩者角膜地形圖規(guī)整度無顯著差異，證明兩種術式對近視的矯正均有較好的安全性。4．LASEK術后角膜刺激癥狀，術后Haze及激素性高眼壓與LASIK術后有明顯差異。LASEK術后角膜刺激癥狀程度較LASIK重；LASEK較LASIK易產(chǎn)生激素性高眼壓；LASIK術后無Haze的產(chǎn)生，LASEK術后不能完全避免Haze的發(fā)生。關鍵詞：準分子激光原位角膜磨鑲術(LASIK)；準分子激光角膜上皮瓣下磨鑲術(LASEK)；近視；臨床療效IU鄭州人學2009屆碩l：學位論文英義摘要ClinicalOutc

3、omesComparisonoflaserinsiutkeratomileusisandlaser,pithelia’ker乏Ltomileus"anlaserepithelnalKeratomlieuSISformyopiaPostgraduate：YanYuanyuanTutor：ZhuW萌FengLiyunDepartmentofEpidemiologyandHealthStatisticsCollegeofPublicHealthZhengzhouUniversity，Zhengzhou450001Abst

4、ract0bjective：Thepurposeofthisresearchwastoevaluatetheeffectiveness，safetyandstabilityofLASIKandLASEKfordifferentdegreesofmyopia．Methods：Totalof330patientsreceivedLASIKand306patientsreceivedLASEKwereincludedinthestudy．Theyweredividedintolowtomoderatemyopiagrou

5、pandthehighmyopiagroup．Allpmientswerefollowedupabout12momhs．11leparametersinvestigatedincludeeyepain，epithelialrecoverytime，after14days，l，3，6，12monthsuncorrectedvisualacuity(UCVA)，residualrefractiveerror,cornealtopography,andafterHaze，postoperativeintraocularp

6、ressureofthesituation．AllPatientshavemorethan1yearoffollow-upinformation．Allpatient'ssurgerywereperformeabythesamedoctor,OnlyoneeyeWaSseleetedforthefollow-UP．Ttest,varianceanalysisandcorrelationanalysisstatisticalmethodswereusedtocomparetheresultsoftheinvestig

7、ation．Results：1．Anarrayoflow-moderatediopter：UCVAofL久SIKAftersurgery,on14thTv鄭州人學2009屆碩．L學位論文英文摘要daywas0．954-0．15，LASEKAftersurgery,on14thdaywas0．804-0．24，compareof14thdays，significancestatisticssignificanceWasfound(p

8、emarkablestatisticssignificanceWasfound(P>O．05)．Anarrayofheightdiopter：UCVAofLASIKon14thday,1monthrespectivelywere0．904-0．18，0．984-0．20，LASEKon14thday,1monthrespectivelywere0．67+0．