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題 名 | 無覆蓋式層狀角膜整型術應用於近視的治療=Capless Lamellar Keratoplasty--One Cut Keratomileusis for Treatment of Myopia |
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作 者 | 吳慈恩; 胡朝乾; | 書刊名 | 慈濟醫學 |
卷 期 | 10:3 1998.09[民87.09] |
頁 次 | 頁181-188 |
分類號 | 416.703 |
關鍵詞 | 無覆蓋式層狀角膜整型術; 單次層狀角膜切割; 電動層狀角膜整型術; Capless lamellar keratoplasty; One cut keratomileusis; Automated lamellar keratoplasty; |
語 文 | 中文(Chinese) |
中文摘要 | 新光吳火獅紀念醫院眼科,從1995年10月開始嘗試以無覆蓋式層狀角膜整型術 (capless lamellar keratoplasty),對中低度數的近視患者進行矯正;本院收集13位病患共20 隻眼睛,追蹤12個月,術前平均度數為-5.28±1.06 D,術後平均為-1.24±1.00D,(p<0.001); 而且所有病人的裸視力在術後都比術前進步,術後裸視力在0.5以上者有75%的病人,而最 佳矯正視力方面,有75%的病人可達原來矯正後程度。在追蹤期間,並未發現如角膜感染 等嚴重後遺症,但仍有一般屈光手術後常見之問題,如眩光、矯正度數不足及角膜混濁等。 故以此篇初報,提出我們嘗試性中低度近視治療的經驗,以供參考。 |
英文摘要 | Since October 1995, we have performed 20 capless lamellar keratoplasty procedures for moderate degree myopia. The surgeries involved 13 patients (9 women, 4 men ) with an average age of 27.7 years. All treated eyes had simple myopia with a best corrected visual acuity at least 0.5. We used an automated lamellar keratoplasty (ALK) machine for surgery with only one cut across the corneal surface to reshape the cornea. The mean preoperative spherical equivalent was –5.28 ± 1.06D (-2.50 D to –6.50 D). The mean postoperative spherical equivalents at one week, one month, three months, six months and twelve months were +0.33±16.68 D, -0.14 ± 1.33 D, -1.46 ± 1.22 D. – 1.31 ± 0.93 D and –1.24 ± 1.00 D respectively. Overall, 20 eyes (100%) had much improved naked visual acuity after surgery. Uncorrected visual acuity after surgery was 0.5 or better in 15 eyes (75%). Two eyes (10%) lost two lines or more of best corrected visual acuity. No serious complications were noted during one year of follow-up. |
本系統中英文摘要資訊取自各篇刊載內容。