高近视的手术选择和临床结果
Ashley A Abing1, Alyce Oh2, Lauren F Ong3
1Coastal Vision Medical Group, Orange, California.
Current opinion in ophthalmology
|May 3, 2024
概括
折射手术为高度近视患者提供了很好的结果. 像LASIK,PRK和ICL这样的手术提供了很好的视觉敏度,并没有太多的并发症,即使是极端近视.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 眼睛近视管理 管理近视
背景情况:
- 高近视对折射纠正提出了独特的挑战.
- 关于高至极度近视患者的折射性手术结果的数据有限.
- 现有的文学专注于标准近视,而不是严重的病例.
研究的目的:
- 审查现有的关于高度近视患者的折射手术的文献.
- 介绍一组高至极度近视 (≤-5.0D SE) 的队列中折射性手术结果的回顾性分析.
- 评估不同的外科手术技术,包括LASIK,PRK和ICL.
主要方法:
- 对149名患有高至极度近视的患者 (270只眼睛) 的回顾性分析.
- 包括接受LASIK,PRK或ICL的患者.
- 关于高近视的折射手术的文献综述.
主要成果:
- 该队列表现出了极好的结果,并发症最小.
- 术前近视的平均值在ICL患者中最高 (-10.03D),其次是PRK (-7.21D) 和LASIK (-7.04D).
- 手术后未纠正的视力敏度为LASIK和ICL的20/20和PRK的20/25.
结论:
- 折射手术,包括LASIK,PRK和ICL,对高至极度近视有效.
- 对于高近视和角膜薄的患者,ICL经常被选择.
- 结果与现有文献一致,显示了手术后良好的视力敏度.
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