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辐射角切除术后的激光视力校正:系统性审查和元分析

Nima Koosha¹, Mir-Siamak Riazi, Parisa Janfaza

¹From the Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran (Koosha, Riazi, Janfaza, Mohammadbeigy, Pourazizi, Peyman); Health Information Technology Research Center, Isfahan University Medical Sciences, Isfahan, Iran (Rahimi); Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran (Khoshali).

Journal of cataract and refractive surgery

|February 14, 2024

概括

放射性角切除术 (RK) 后的激光视力校正显示,通过PRK和LASIK技术,视力敏度得到改善. 在这个系统性审查中,超视的结果比近视的更好.

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:

放射性角膜切除术 (RK) 可以导致残留折射误差.
通过随后的激光视力校正来处理这些错误是复杂的.
之前的研究表明,不同手术技术的结果各不相同.

研究的目的:

系统地审查和分析之前RK患者激光视力校正的结果.
在这个特定的患者群体中比较不同折射手术技术的疗效.

主要方法:

在PubMed,Scopus和Web of Science上进行系统的文献搜索.
包括35项研究,包括888只眼睛.
在RK后的患者中对折射性手术结果的元分析.

主要成果:

光折射性角膜切除术 (PRK) 和 Femtosecond 激光辅助 LASIK 显著改善了未经纠正的远距离视力敏度 (UDVA).
地形导向和波导向的PRK也显示了UDVA的显著改进.
机械微瘤LASIK没有在UDVA中产生显著的改善.
超视后RK患者表现出显著的UDVA改善,与近视患者不同.

结论:

像PRK和先进的LASIK这样的特定激光视力校正技术对于RK后的残留折射误差是有效的.
结果根据折射误差类型而异,超视远视比近视远视更好.
进一步的研究可能会完善近视后RK患者的治疗策略.

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