| 摘要: |
| ［摘要］ 目的 探讨准分子激光原位角膜磨镶术（LASIK）治疗近视合并老视的有效性和安全性。方法 采用LASIK术治疗近视合并老视患者30例60眼，平均等效球镜（-5.25±2.25）D。手术切削量依年龄、职业、本人要求等不同因素，参考验光调节力及ADD指标，一般使用ADD值的1/2～2/3。分别在术后1 d、1周、1月、3月、6月检查远视力、近视力、屈光度和阅读能力，比较术前术后变化。结果 术后第1天远视力明显提高，近视力无明显降低，无明显阅读困难及视疲劳。术后6个月时60眼远视力为0.8～1.2。结论 LASIK手术是治疗近视合并老视患者较理想的手术，绝大多数患者术后不用戴眼镜能胜任日常工作和生活。但手术技巧和手术参数仍有待进一步改进。 |
| 关键词: 近视 老视 LASIK 治疗 |
| DOI：10.3969/j.issn.1674-3806.2013.10.11 |
| 分类号:R 77 |
| 基金项目: |
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| Clinical reseach on LASIK for myopia with presbyopia |
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LONG Shu-guang
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Department of Ophthalmology, the First People′s Hospital of Yulin, Guangxi 537000，China
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| Abstract: |
| ［Abstract］ Objective To study the efficacy and safety of LASIK for myopia with presbyopia.Methods LASIK was performed on 60 eyes of 30 myopia patients with presbyopia who had refraction from （-5.25±2.25）D.The value of cutting was decided by the different factors such as age, occupation, patients′ requirement and so on, referring to retractive status and ADD index, using commonly 1/2 to 2/3 of ADD value,on 1 day, 1 week, 1 month, 3 months, 6 months after operation, uncorrected vision, near visual and diopter, reading situation and reading comfort level were checked. Preoperative and postoperative changes were compared.Results Most eyes got good uncorrected vision on the first day after operation,near vision had no obvious decrease, no obvious reading difficulties and visual fatigue occurred.Six months after surgery 60 eyes′ far visual acuity were 0.8～1.2.Conclusion LASIK is an effective method for the correction of myopia with presbyopia, however, the operation technique and parameters remain to be further studied. |
| Key words: Myopia Presbyopia LASIK Treatment |
