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Clinical Effecacy of Different Corneal Refractive Surgery in Treating Myopia |
CAO Wenjuan, LIU Liming |
Department of Ophthalmology,Xi'an Huaxia Eye Hospital,Xi'an Shaanxi 710051 |
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Abstract 【Objective】To investigate the effect and safety of different corneal refractive surgeries in the treatment of myopia patients.【Methods】A retrospective analysis was conducted among the 850 myopia patients who underwent surgical treatment in Xi 'an Huaxia Eye Hospital from January 2020 to January 2022. Patients were divided into group A,group B,and group C according to different surgical methods. Patients in group A received sub-bowman's membrane laser in situ keratomileusis (SBK),patients in group B were treated with femtosecond laser-assisted laser keratomileusis (FS-LASIK),and patients in group C were treated with femtosecond laser small incision matrix lens extraction (SMILE). The uncorrected visual acuity (UCVA),quality of life impact of refractive correction (QIRC) score and endothelial central cell density (ECD) were compared among the three groups at 1 month and 6 months after surgery.【Results】There was no statistically significant difference in UCVA among the three groups before surgery,1 month and 6 months after surgery (all P>0.05). Compared to before surgery,the UCVA of the three groups at 1 month and 6 months after surgery was obviously improved (all P<0.05). QIRC scores among the three groups had no significant differences before surgery,1 month after surgery,and 6 months after surgery (all P>0.05). ECD did not show significantly different among the three groups before surgery,1 month after surgery,and 6 months after surgery (all P>0.05).【Conclusion】SBK,FS-LASIK and SMILE have good effects in treating myopia patients,which can improve visual acuity and visual quality,and have good safety.
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Received: 23 August 2022
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[1] 矫政祥.LASIK手术在治疗高曲率近视患者中的临床应用效果观察[J].当代医学,2022,28(8):149-151.
[2] 吴湘.SBK、FS-LASIK与SMILE屈光手术治疗近视患者临床效果对比[J].中外医学研究,2021,19(25):153-156.
[3] 张智科,陈思扬.SMILE近视矫正手术的疗效和安全性观察[J].中日友好医院学报,2021,35(1):20-23.
[4] 陈曦,郭海科,杨路,等.屈光矫正者生活质量量表在评价准分子激光术后近视患者生活质量中的应用[J].眼科新进展,2013,33(3):259-262.
[5] 张波,庞辰久,任胜卫,等.三种角膜屈光手术对近视患者角膜内皮细胞的影响[J].国际眼科杂志,2019,19(11):1857-1860.
[6] 郑春晖.全飞秒激光手术对近视患者的临床效果观察[J].中国现代药物应用,2022,16(9):55-58.
[7] 邹广程,叶静娟.三种准分子激光角膜屈光手术治疗近视及散光的临床研究[J].医学临床研究,2019,36(11):2172-2175.
[8] 张醇,黎明,应方微,等.FS-SBK术、SMILE术、LASIK术对近视及近视散光患者角膜生物力学、中央角膜内皮细胞的影响[J].实用医学杂志,2021,37(14):1837-1845.
[9] 王迪雅,张岩,张伊燕,等.角膜屈光手术对近视患者双眼视功能的影响[J].中华眼视光学与视觉科学杂志,2021,23(9):647-655.
[10] 宋建军,张慧丽.不同角膜屈光手术治疗近视及散光患者术后视觉质量和干眼及生物力学稳定性研究[J].国际眼科杂志,2017,17(10):1837-1840.
[11] LAMOUREUX E L,PALLANT J F,PESUDOVS K,et al. The Impact of Vision Impairment Questionnaire: an evaluation of its measurement properties using Rasch analysis[J].Invest Ophthalmol Vis Sci,2006,47(11):4732-4741.
[12] WOODWARD M A,EDELHAUSER H F. Corneal endothelium after refractive surgery[J].Cataract Refract Surg,2011,37(4):767-777.
[13] 王红霞,聂冬丽,黄立,等.不同角膜屈光手术对近视患者泪膜破裂时间和眼红指数的影响[J].中国医师杂志,2022,24(1):104-107. |
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