在中度和高近视下进行光折射透镜提取 (KLEx) 后的视觉和折射结果:对1500多只眼睛的分析
Bruno Barbosa Ribeiro1,2, Stine Elkjær Nielsen2, Anders Ramløv Ivarsen2
1Department of Ophthalmology, Unidade Local de Saúde Santo António, Porto, Portugal.
Journal of cataract and refractive surgery
|January 21, 2026
概括
光折射透镜提取 (KLEx) 提供安全有效的视力纠正中度至高近视. 虽然中度近视的结果略有改善,但调整可能会改善高近视病例的结果.
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:
- 近视是一种常见的折射误差,会影响远视.
- 手术干预的目的是纠正近视和改善未经纠正的视力敏度.
- 角质折射镜片提取 (KLEx) 是一种用于近视纠正的手术技术.
研究的目的:
- 为了评估Keratorefractive Lenticle Extraction (KLEx) 的视觉和折射结果.
- 评估KLEX中度近视 (SEQ -6.0至 -8.0 D) 和高近视 (SEQ -8.0至 -10.0 D).
主要方法:
- 对1530只眼睛进行前性纵向质量控制研究.
- 连续的KLEX程序用于近视纠正 (2011年1月至2023年12月).
- 眼睛排除SEQ< -6.0 D,眼症>2.0 D,或其他眼部疾病.
主要成果:
- 62%的中度近视眼和52%的高近视眼实现了手术后的UDVA≥20/20.
- 疗效指数为0.86对于中度近视和0.83对于高近视.
- 81%的中度近视和71%的高近视在预期折射的±0.50 D范围内.
结论:
- KLEx在中度和高近视群体中表现出类似的安全性.
- 在中度近视病例中,可预测性和有效性略高.
- 建议进行诺莫格拉姆调整,以优化使用KLEX进行高近视纠正.
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