贵州医科大学学报

2015, v.40;No.181(10) 1077-1079

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LASIK与Epi-LASIK两种屈光手术前后前房变化
The Observation of the Anterior Chamber Changes in LASIK and Epi-LASIK Patients before and after Surgery by Optical Coherence Tomography

谷浩,蒋浩
GU Hao,JIANG Hao

摘要(Abstract):

目的:研究Epi-LASIK及LASIK手术前后患者前房的变化情况。方法:30例屈光异常选择手术患者,随机分为LASIK手术组和Epi-LASIK手术组,各15例;LASIK手术组术中负压吸引5 s,Epi-LASIK手术组术中负压吸引25 s,采用光学相干断层扫描(OCT)检测患者术前及术后前房角度值及中央前房深度,比较两种手术方式对前房角度值及中央前房深度的影响。结果:LASIK术中负压吸引对眼前房角度和中央前房的深度无明显影响,Epi-LASIK手术中负压吸引对前房角度及前房深度短时间内有轻微的、暂时的和可逆的改变,与术前比较,差异均无统计学意义(P<0.05)。结论:屈光手术中负压吸引对患者术前术后前房变化无影响。
Objective: To investigate the anterior chamber changes in LASIK and Epi-LASIK patients before and after surgery by Optical Coherence Tomography. Methods: Thirty ametropia surgery patients were randomly divided into LASIK group and Epi-LASIK group in equal numbers. Vacuum aspiration for 5s in LASIK group and 25 s for Epi-LASIK group. Adopting OCT to detect before and after anterior chamber angle and central anterior chamber depth. Comparing the effect of both surgery approach on anterior chamber angle and central anterior chamber depth. Results: Vacuum aspiration showed no influence on anterior chamber angle and central anterior chamber depth in LASIK surgery,while vacuum aspiration showed temporary and reversible change on these two factors. Comparing with before and after surgery,differences showed no statistical significance( P < 0. 05). Conclusion: Vacuum aspiration in the refractive surgery has no effect on the anterior chamber.

关键词(KeyWords): 前房;屈光不正;准分子激光原位角膜磨镶术;准分子激光上皮瓣下角膜磨镶术;前房角度;前房深度;眼前节OCT
anterior chamber;refractive errors;laser in-situ keratomileusis;epipolis laser in-situ keratomileusis;anterior chamber angle;anterior chamber depth;anteriorchamber-optical coherence tomography

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作者(Author): 谷浩,蒋浩
GU Hao,JIANG Hao

DOI: 10.19367/j.cnki.1000-2707.2015.10.021

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