|
|
|
| Clinical Observation on the Correction of High Myopia Patients With Refractive Power > -6.00D by Epithelial Excimer Laser Photorefractive Keratectomy |
| Hua Jiannan, Shi Fangrong, Han Baojun |
| Refractive Surgery Center of Anyang Eye Hospital, Anyang 455000, China |
|
|
|
|
Abstract Objective To study the clinical effect of epithelial excimer laser photorefractive keratectomy（TPRK）on high myopia patients with refractive power >-6.00 d. Methods 241 eyes of 181 patients with high myopia with refractive power greater than -6.00D were selected as the research objects.90 patients（118 eyes）in the control group and 91 patients（123 eyes）in the experimental group were randomly divided.Patients in the control group were treated with excimer laser in situ keratomileusis（FS-LASIK）assisted by femtosecond laser flap making.The experimental group was treated with TPRK,and the epithelial healing time was compared between the two groups.The changes of visual acuity（BCVA,corneal posterior surface height,diopter）were compared 3 months after operation.The incidence of surgical complications（infection,corneal penetration,corneal haze under the upper and lower skin）in the two groups were compared within 14 days after operation. Results After operation,the healing time of the epithelium in the experimental group was significantly longer than that in the control group（P<0.05）.Three months after operation,The BCVA and corneal posterior surface height of the two groups were significantly higher than those before treatment,but there was no significant difference between the two groups（P<0.05）.Compared with before treatment,the diopter of patients in both groups decreased significantly,but there was no significant difference between the two groups（P<0.05）.No postoperative complications occurred in the two groups within 14 days after operation. Conclusion The refractive power of TPRK is>-6.00 days after operation,the epithelial healing of the affected eye is slow,the visual recovery effect is excellent,and it has high safety.
|
|
Received: 18 September 2021
|
|
|
|
|
|
[1] 邓骏杰,何鲜桂,许迅.高度近视巩膜厚度研究现状与进展[J].中华眼底病杂志,2017,33(1):87-89.
[2] 张雨霞,赵岐,李乃洋.两种手术方式矫治高度近视后视觉质量及效果对比分析[J].国际眼科杂志,2016,16(6):1039-1042.
[3] 张嘉璠,吴洁,刘坤,等.经上皮准分子激光屈光性角膜切削术(TPRK)及飞秒激光辅助的准分子激光原位角膜磨镶术(FS-LASIK)后眼轴长度及角膜光密度的变化[J].眼科新进展,2020,40(12):1174-1179.
[4] 李莹,姜洋.激光角膜近视手术回顾[J].中华眼视光学与视觉科学杂志,2015,17(11):641-643.
[5] 张月强,高雅晴,褚慧,等.经上皮准分子激光角膜切削术治疗低中度近视术后中央角膜上皮厚度的变化[J].中华眼视光学与视觉科学杂志,2019,21(3):217-222.
[6] 裴天序,张佳欢,姜丹妮,等.飞秒激光制瓣LASIK及Trans-PRK矫正高度近视对角膜曲率及角膜后表面高度的影响[J].眼科,2020,29(2):123-127.
[7] 龙克利,吴秀梅,张嘉璠,等.飞秒激光辅助的准分子激光原位角膜磨镶术和准分子激光上皮下角膜磨镶术矫正高度近视术后两年患者角膜后表面的变化[J].眼科新进展,2020,40(1):54-57,61.
[8] 刘明娜,高华,李娜,等.准分子激光上皮下角膜磨镶术与飞秒激光辅助原位角膜磨镶术矫治高度近视的效果及安全性比较[J].中华实验眼科杂志,2020,38(10):851-857. |
|
|
|
2022, Vol. 42 
