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准分子激光角膜原位磨镶术治疗近视术后眼压分析

Analysis of IOP meaurements after laser in situ keratomileusis
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摘要 目的探讨非接触性眼压计测量准分子激光角膜原位磨镶术(LASIK)治疗近视术后眼压变化及影响因素。方法选取-1.50-15.00D近视散光102例(198眼),每例按1眼参与分析,按预矫正等值球镜屈光度分为2组,Ⅰ组-1.50~6.00D56眼,Ⅱ组-6.25—15.0D42眼,用非接触眼压计测量术前及术后1月眼压,并分析术后眼压变化的因素。结果两组术后1月眼压均低于术前(P<0.05),术后随访1月以上显示高度组眼压降低幅度明显高于低中度组(P<0.05)。结论非接触性眼压计测量LASIK术后眼压值要进行修正,尤其在诊断青光眼或高眼压症时应慎重对待。 Aim To evaluate the accuracy of IOP measurenents after laser in-situ keratomileusis (LASIK). Methods One hundred and two eyes were divided into 2 groups according to their preoperative spherical equivalent, Group 1(57 eyes):-1.50--6.00D and Group II (45 eyes) -6.25--15.00D.IOPs were measured by non-contact tonometer (NCT) before and 1 months after surgery. Results The IOP readings of both groups after LASIK were lower than those before LASIK (P<0.001). During the follow-up, IOP in Group II was observed to decrease more than that in Group I (P<0.05). Conclusion After LASIK for myopia, IOP measurements with NCT may decrease and thus need correction, especially before diagnosis of glaucoma or high IOP diseases.
作者 史芳荣
出处 《国际眼科杂志》 CAS 2003年第3期115-116,共2页 International Eye Science
关键词 准分子激光角膜原位磨镶术 手术治疗 近视 术后眼压 影响因素 myopia Laser in situ keratiomileusis intraocular pressure
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