波前像差引导联合Q值优化的个体化LASEK治疗近视的疗效

Research on the effect of w avefront aberration-guided combining Q-value optimized LASEK on treatment of myopia

目的:观察波前像差引导联合Q值优化的个体化准分子激光上皮瓣下磨镶术(wavefront-aberration guided combining Q-value optimized LASEK,WG-QO-LASEK)手术效果。方法:分析在我院眼科门诊接受WG-QO-LASEK手术患者140例280眼的临床资料,对患者术前、术后视力、视觉主客观检查的观察指标进行对比。结果:术后未见严重影响视力并发症,132例264眼裸眼视力达到预期矫正度数±0.5D以内。88眼(31.4%)BCVA提高1行,46眼(16.4%)BCVA提高2行,屈光不正生存质量量表NEI-RQL-42术后总分较术前显著提高。术后各高阶像差比例增高,以球差、彗差增加为主,但未明显影响视觉质量。结论:WG-QO-LASEK治疗近视有良好的预测性、准确性及安全性。

AIM：To observe the effect of the wavefront aberration-guided combining Q-value optimized LASEK （ WG-QO-LASEK） . METHODS：Retrospective analyzed the pre-and post-operative clinical data of 140 cases （280 eyes） that had gone through WG-QO-LASEK in the department of ophthalmology in our hospital.The observational index was compared in patients＆#39;visual acuity of pre-and post-operative and the subjective and objective examination of vision. RESULTS： There were no severe postoperative complications. Totally 132 patients＆#39; （ 264 eyes ） uncorrected visual acuity （ UCVA ） was achieved to the expected correction degree within ±0.5D.Best corrected visual acuity （ BCVA ） improved one line in 88 eyes （31.4%） and 2 lines in 46 eyes （16.4%）.Postoperative scores of NEI-RQL-42 were significantly higher than preoperative ones. After operation, the proportion of higher-order aberrations increased, mainly manifested in spherical aberration and coma, but it did not influence the visual quality obviously. CONCLUSION： WG-QO-LASEK treatment of myopia has good predictability, accuracy and safety.