不同角膜屈光手术后远期视觉生活质量的对比研究

`(,100050)[](RK)(LASIK),51(101)RK12.1,49(98)LASIK7.4,,,,0.51.0,LASIKRK,:-3.00D-6.00D,RK(-0.221.28)D,LASIK(-0.700.52)D;-6.25D,RK(-1.021.25)D,LASIK(-1.060.13)DRK(11.872.52)mmHg;LASIK(11.312.20)mmHg,RK(5.34.7)s,LASIK(8.03.6)s;,RK(14.59.0)mm,LASIK(15.24.3)mmLASIKRKLASIKRK,[]/;/;,;;Long2termCurativeEffectandVisualQualityofLifeinMyopiaPatientsAfterDifferentKeratorefrac2tiveSurgeryLIUXuan,WANGYan2ling,JIANGChao,etal(DepartmentofOphthalmology,BeijingFriendshipHospitalAffiliatedtoCapitalMedicalUniversity,Beijing100050,China)[Abstract]ObjectiveTocomparelong2termcurativeeffectandvisualqualityoflifeinmyopiapatientsaf2tertwokindsofkeratorefractivesurgery,i.e.radialkeratotomy(RK)andlaserinsitukeratomileusis(LASIK).MethodsAtotalof101myopiaeyestreatedwithRKwerefollowedupfor12.12.0years,and98myopiaeyestreatedwithLASIKwerefollowed2upfor7.40.2years.Thevisualacuity,refraction,in2traocularpressure(IOP),BUT,Schirmertestandtheresultofquestionnaireofvisualqualityoflifewerecomparedbetweentwogroups.ResultsThevisualacuityofLASIKgroupwasbetterthanthatofRKgroup.Therewassignificantlystatisticaldifferencebetweenthetwogroups.Themyopiapatientswith-3.00D-6.00Dbeforesurgerywere-0.221.28Dand-0.700.52DinRKandLASIKgroup,respectively.Themyopiapatientswith-6.25Dbeforesurgerywere-1.021.25Dand-1.060.13DinRKandLASIKgroup.IOPwas11.872.52mmHgand11.312.20mmHginRKandLASIKgroup.BUTwas5.34.7sand8.03.6sinRKandLASIKgroup.Schirmertestwas14.59.0mmand15.24.3mminRKandLASIKgroup.ThevisualqualityoflifeofLASIKgroupwasbetterthanthatofRKgroup.ConclusionLASIKwasmoreeffective,moreaccurateandmoresatisfactoryforvisualqualityoflifethanRKsurgery.[Keywords]cornea/SU;myopia/SU;refraction,ocular;postoperativeperiod;qualityoflife[]R779.6[]A[]167127171(2008)0921582203,,,,(RK),,,[][1],,,.406[J].,1999,8(1):55256.[2],,.[J].,2002,3(3):2362237.[3].[M].3.:,2001.2032204.[4].[M].:,1997.8.(:)[]2008206216285120089259JClinRes,Sep.2008,Vol25,9,,(LASIK),,,[1],,[2],,11.1RK:19891996RK51(101),24(47),27(54)3055,(38.45.5)RK817,(12.12.0):-3.00D-6.00D,86;-6.25D,15LASIK:19981999LASIK49(98),22(44),27(54)2546,(35.61.4)LASIK78,(7.40.2):-3.00D-6.00D,40;-6.25D,581.2()()(Schirmer)([3]),7,7:?A.;B.?A.;B.;C.;D.;E.?A.;B.,;C.()?A.();B.();C.?A.;B.;C.;D.;?A.();B.();C.,RK/LASIK?A.;B.;C.1.3t22.10.51.011RK(12.12.0)LASIK(7.40.2),,0.51.0,0.51.0,(P0.05)10.51.0(%)0.5-3.00D-6.00D-6.25D1.0-3.00D-6.00D-6.25DRK96.586.770.946.6LASIK10098.287.269.12.222RK(12.12.0)LASIK(7.40.2),,(P0.05)2(xs)-3.00D-6.00D-6.25DRK-0.221.28D-1.021.25DLASIK-0.700.52D-1.060.13D2.3RK(11.872.52)mmHg;LASIK(11.312.20)mmHg,(P0.05)2.4(Schirmer)3(Schirmertest)(P0.05),(P0.05)3(Schirmertest)(xs)(s)(mm)RK5.34.714.59.0LASIK8.03.615.24.32.54,,(P0.05)4(%)RKLASIK86.891.468.470.518.46.55.32.031.622.481.688.6385120089259JClinRes,Sep.2008,Vol25,933.1RK41285%95%,,,LASIK,,,[4]3.2,,LASIKRKLASIKRK,,RKLASIKRK,RKLASIK3.3,,[5][6]PRK,35.3%;Kerry[7],LASIK1/31/2RK,RK31.6%,LASIK22.4%:RKLASIK,:RK,,,,,,,,,3.4,[8][3],,,85%,,80%LASIKRK(),RKLASIKRK,,,,LASIKRK,RK[][1].[J].,1997,5(4):2752281.[2].[J].,2006,15(5):3122314.[3].[J].,2006,11(1):59261.[4].[M].2.:,2000.7782781.[5].[J].,2004,3(1):62265.[6].PRK[J].,2001,3(1):527.[7]Kerry.D.:LASIK.LASIK,123.[8].[J].,2000,30(1):10212.(:)[]2007210219485120089259JClinRes,Sep.2008,Vol25,9