纤维肌痛和LASIK:结果,并发症率和眼睛疼痛风险
Avi Wallerstein1,2, Michael Knafo1,3, Mark Cohen2,4
1Department of Ophthalmology and Visual Sciences, McGill University, Montreal, QC, Canada.
Journal of cataract and refractive surgery
|November 5, 2025
概括
患有纤维肌痛 (FM) 的患者经历了与健康个体相比的LASIK后结果. 这项研究发现,在经过激光视力校正的FM患者中,眼睛疼痛或并发症的风险没有增加.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 系统性自身免疫性疾病
背景情况:
- 纤维肌痛 (FM) 是一种慢性疼痛疾病.
- FM对LASIK后结果的影响尚未得到充分证实.
研究的目的:
- 将纤维肌痛患者的LASIK后并发症和眼睛疼痛与健康对照患者进行比较.
- 评估LASIK在纤维肌痛患者的安全性和有效性.
主要方法:
- 追溯病例控制系列涉及574名 FM患者的1,148只眼睛和健康对照组的54,104只眼睛.
- 跨多位外科医生和中心的标准化协议.
- 关键结果包括干眼的发生率 (点状上皮质侵蚀等级≥2),自我报告的眼睛疼痛和其他术后并发症.
主要成果:
- 在FM患者和对照人群之间,干眼发病率 (0.61%与0.37%,P=0.2) 或自我报告的眼部疼痛 (0.97%与0.75%,P=0.4) 没有显著差异.
- 整体术后并发症发生率相似 (2.00%对2.35%,P=0.4).
- 观察到优秀的视觉结果,83%的FM眼睛实现了20/20未经纠正的远距离视觉敏度,95%维持或改善了纠正的远距离视觉敏度.
结论:
- 纤维肌痛与眼睛疼痛或LASIK后并发症的风险增加无关.
- 在FM患者和对照者之间,LASIK折射和视觉结果是可比的.
- 仅仅有纤维肌痛病史不应违背拉斯克手术.
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