效果,安全性,可预测性和稳定性LASIK的长视障碍纠正:一个系统的审查和元分析
Journal of refractive surgery (Thorofare, N.J. : 1995)
|September 7, 2023
概括
临近视力的激光 in situ keratomileusis (LASIK) 显示出良好的近视效率,可预测性和稳定性. 然而,远视疗效和安全性在术后降低.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 角膜外科手术 角膜外科手术
背景情况:
- 长视,一个与年龄相关的疾病,影响近视清晰度.
- 激光 in situ 角膜修复 (LASIK) 是一种正在探索的手术选择,用于纠正长视.
- 评估LASIK在长视治疗中的结果对于患者选择和预期管理至关重要.
研究的目的:
- 评估LASIK手术治疗长视的疗效,安全性,可预测性和稳定性.
- 综合来自LASIK治疗长视障碍的多项研究的证据.
主要方法:
- 进行了系统性审查和元分析.
- 搜索了主要的数据库,包括PubMed,Embase,Web of Science和CNKI,直到2023年3月.
- 包括28项非随机对照试验,涉及15861只眼睛.
主要成果:
- LASIK 显示出令人满意的近视效果,可预测性 (94% 在 ±1.00 D 范围内,80% 在 ±0.50 D 范围内) 和稳定性 (95% 在 6 个月内在 ±0.50 D 范围内).
- 观察到远视效率 (MD:0.02) 和远程安全性 (MD:0.07) 的下降.
- 接近安全性显示非显著的增加 (MD: -0.19,P > .05).
结论:
- 对于长视障碍的LASIK纠正提供了有利的近视结果,可预测性和稳定性.
- 一个权衡存在,在程序后,远距离视觉效率和安全性降低.
- 可能需要进一步的研究来优化LASIK参数以进行全面的长视障碍纠正.
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