在LASIK治疗高视障碍术后适应性的发生率和危险因素
Roberto Milán-Castillo1, Mario Cantó-Cerdán1, Jorge L Alió1,2
1From Cornea, Cataract and Refractive Surgery Unit, Vissum (Miranza Group), Alicante, Spain.
Journal of refractive surgery (Thorofare, N.J. : 1995)
|December 10, 2025
概括
适应性会影响超视激光手术后20%的患者,但大多数病例在一年内消失. 术前隐性视高视度超过+1.25二光度是发展这种疾病的关键危险因素.
科学领域:
- 眼科医生 眼科 眼科
- 折射手术是一种折射手术.
- 视觉科学 视觉科学 视觉科学
背景情况:
- 现场激光切除术 (LASIK) 是一种常见的折射手术程序.
- 超视眼 LASIK 的目的是纠正远视.
- 适应性是影响视力敏度的潜在并发症.
研究的目的:
- 为了确定超视激光激光术后适应性的发生率.
- 为了确定与术后舒适性相关的危险因素.
主要方法:
- 一项单心回顾性研究分析了100名接受高视眼 LASIK 的患者的169只眼睛.
- 收集了手术前和手术期间的数据,以确定风险因素.
- 适应性的定义是近视转移明显的折射与正常的循环折射在手术后3个月内.
主要成果:
- 在3个月后,适应性的发生率为21.9%,在最后的随访时降至5.3%.
- 适应性的患者在3个月和最后一次视觉访问之间显示出明显的视力敏度改善.
- 术前隐性视高超过1.25二光度与适应性显著相关 (OR: 4.227,P = .049).
结论:
- 适应性发生在大约20%的超视激光手术后的患者中,大多数患者在6-12个月内消失.
- 视力治疗或观察是有效的管理策略.
- 术前隐性视高 >1.25 D 是术后适应性的显著预测指标.
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