[Zhonghua yan ke za zhi] Chinese journal of ophthalmology · 2008
[Clinic observation of laser in situ keratomileusis for treatment of presbyopia with hypermetropia].
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Wang Hua, Luo Dong-qiang, Chen Jiao
Аннотация
OBJECTIVE: To investigate the effects of Laser in situ keratomileusis (LASIK) for treatment of presbyopia with hypermetropia.
METHODS: 32 presbyopia patients (64 eyes) with hypermetropia were treated by LASIK and follow-up 1 year. The preoperative sphere was +0.75 to +3.00 D and cylinder was 0.00 to +1.75 D. For distance vision correction, the target refraction was 0.00 to -0.50 D in the dominant eye. And for near vision, the target refraction was -1.50 to -2.50 D in the non-dominant eye. The measurement including refraction, uncorrected visual acuity (UCVA), near vision, Q factor of cornea and contrast sensitivity were recorded.
RESULTS: At 1 year after surgery a total of 53.1% (17/32) of all patients had binocular distance UCVA of 20/25 or better along with J3 or better near, and along with J4 or better near was 87.5% (28/32). The postoperative corneal refractive power was significant higher than preoperative [3 mm: (44.12 +/- 1.38) D, 5 mm: (43.42 +/- 1.53) D] and Q factor became more negative. At 1 year 87.5% (28/32) and 100.0% (32/32) of the dominant eyes treated for distance had a manifest refractive spherical equivalent within +/- 0.50 and +/- 1.00 D of intended correction, respectively; of the non-dominant eyes treated for near, 56.2% (18/32) and 90.6% (29/32) had a manifest refractive spherical equivalent within +/- 0.50 and +/- 1.00 D of intended correction respectively. The difference of sensitivity was no statistically significant between preoperative and 6 months after surgery. There were 15.6% of the eyes had dry eye syndrome and 84.4% of the patients were satisfied with LASIK at 1 year after surgery.
CONCLUSIONS: LASIK was a effect surgery for treatment of presbyopia with hypermetropia.
METHODS: 32 presbyopia patients (64 eyes) with hypermetropia were treated by LASIK and follow-up 1 year. The preoperative sphere was +0.75 to +3.00 D and cylinder was 0.00 to +1.75 D. For distance vision correction, the target refraction was 0.00 to -0.50 D in the dominant eye. And for near vision, the target refraction was -1.50 to -2.50 D in the non-dominant eye. The measurement including refraction, uncorrected visual acuity (UCVA), near vision, Q factor of cornea and contrast sensitivity were recorded.
RESULTS: At 1 year after surgery a total of 53.1% (17/32) of all patients had binocular distance UCVA of 20/25 or better along with J3 or better near, and along with J4 or better near was 87.5% (28/32). The postoperative corneal refractive power was significant higher than preoperative [3 mm: (44.12 +/- 1.38) D, 5 mm: (43.42 +/- 1.53) D] and Q factor became more negative. At 1 year 87.5% (28/32) and 100.0% (32/32) of the dominant eyes treated for distance had a manifest refractive spherical equivalent within +/- 0.50 and +/- 1.00 D of intended correction, respectively; of the non-dominant eyes treated for near, 56.2% (18/32) and 90.6% (29/32) had a manifest refractive spherical equivalent within +/- 0.50 and +/- 1.00 D of intended correction respectively. The difference of sensitivity was no statistically significant between preoperative and 6 months after surgery. There were 15.6% of the eyes had dry eye syndrome and 84.4% of the patients were satisfied with LASIK at 1 year after surgery.
CONCLUSIONS: LASIK was a effect surgery for treatment of presbyopia with hypermetropia.