本文選題：飛秒激光 + 可植入眼內(nèi)接觸鏡�。� 參考：《中國(guó)現(xiàn)代醫(yī)學(xué)雜志》2014年34期

【摘要】：目的比較飛秒激光與可植入眼內(nèi)接觸鏡(ICL)治療高度近視患者術(shù)后視覺(jué)質(zhì)量。方法回顧性分析2010年10月-2013年3月于該院行屈光手術(shù)治療的高度近視患者共128例(256眼)患者。其中,飛秒激光組75例150眼和ICL組53例106眼。觀察患者術(shù)前及術(shù)后的視力、屈光度數(shù)、對(duì)比敏感度、波前像差,評(píng)價(jià)其手術(shù)效果。結(jié)果術(shù)后第1天、1周、1個(gè)月和3個(gè)月時(shí)的裸眼視力比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后第1天、1周、1個(gè)月和3個(gè)月時(shí)兩組屈光度數(shù)比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),飛秒組隨著時(shí)間推移屈光度數(shù)回退(P0.05),ICL組隨著時(shí)間推移屈光度數(shù)無(wú)明顯變化(P0.05)。飛秒組在明環(huán)境下各個(gè)空間頻率段的對(duì)比敏感度術(shù)前和術(shù)后均差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),暗環(huán)境下術(shù)后在3.0、6.0、12.0和18.0 c/deg空間頻率段的對(duì)比敏感度均降低,差異有統(tǒng)計(jì)學(xué)意義(P0.05);ICL組明環(huán)境和暗環(huán)境下術(shù)后在3.0、6.0、12.0和18.0 c/deg空間頻率段的對(duì)比敏感度均提高,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。飛秒組術(shù)后明、暗環(huán)境下在3.0、6.0、12.0和18.0 c/deg空間頻率段的對(duì)比敏感度均低于ICL組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。飛秒組術(shù)后1周、術(shù)后1月和術(shù)后3個(gè)月在總的高階像差RMS、球差和慧差上與術(shù)前比較均明顯增高(P0.05),飛秒組術(shù)后1周、1個(gè)月和3個(gè)月時(shí)高階像差RMS、球差和慧差均差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。而ICL組術(shù)后1周、術(shù)后1個(gè)月和術(shù)后3個(gè)月在總的高階像差RMS、球差和慧差上與術(shù)前比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。術(shù)后1周、1個(gè)月和3個(gè)月時(shí)飛秒組的高階像差RMS、球差和慧差均明顯高于ICL組(P0.05)。結(jié)論 ICL治療高度近視患者術(shù)后短期內(nèi)視覺(jué)質(zhì)量明顯優(yōu)于飛秒激光。兩者術(shù)后長(zhǎng)期的療效及術(shù)后長(zhǎng)期的視覺(jué)質(zhì)量差異有待于更進(jìn)一步的研究。
[Abstract]:Objective to compare the visual quality of high myopia patients treated by femtosecond laser and implantable intraocular contact lens (ICL). Methods A total of 128 patients with high myopia (256 eyes) who underwent refractive surgery from October 2010 to March 2013 were retrospectively analyzed. In the femtosecond laser group, 75 cases (150 eyes) and 53 cases (106 eyes) in ICL group. Visual acuity, diopter, contrast sensitivity and wavefront aberration were observed before and after operation. Results there was no significant difference in uncorrected visual acuity between 1 week, 1 month and 3 months postoperatively. At 1 week, 1 month and 3 months after operation, there was no significant difference in diopter number between the two groups (P 0.05), but there was no significant change in diopter number with time in the femtosecond group (P 0.05) and in ICL group (P 0.05). In femtosecond group, there was no significant difference in contrast sensitivity between before and after operation in each spatial frequency segment of femtosecond group (P 0.05), but in dark environment, the contrast sensitivity at 3.0 ~ 6.0 ~ 12.0 and 18.0 c/deg decreased. The difference was statistically significant (P 0.05). The contrast sensitivity of ICL group was significantly higher than that of the control group (P 0.05) at the spatial frequencies of 3.0 ~ 6.0 ~ 12.0 and 18.0 c/deg, respectively, and the difference was statistically significant (P < 0.05). In femtosecond group, the contrast sensitivity of the spatial frequencies of 3.0 ~ 6.0 ~ 12.0 and 18.0 c/deg was lower than that of ICL, and the difference was statistically significant (P 0.05). In femtosecond group, 1 week after operation, At 1 month and 3 months after operation, the total high order aberration (RMS), spherical aberration and wisdom aberration were significantly increased compared with those before operation (P 0.05). In femtosecond group, there was no significant difference in high order aberration RMS, spherical aberration and wisdom aberration at 1 week, 1 month and 3 months after operation (P 0.05). In ICL group, there was no significant difference in total higher-order aberration between 1 week, 1 month and 3 months after operation, and there was no significant difference in spherical aberration and wisdom aberration between before and after operation (P 0.05). At 1 week, 1 month and 3 months after operation, the higher-order aberration, spherical aberration and wisdom aberration in femtosecond group were significantly higher than those in ICL group (P 0.05). Conclusion the short-term visual quality of high myopia patients treated with ICL is superior to that of femtosecond laser. The long-term curative effect and the long-term visual quality difference between the two groups need further study.
【作者單位】： 江西新視界眼科醫(yī)院;
【分類(lèi)號(hào)】：R779.6

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