非球面优化单眼视准分子激光手术治疗近视合并老视的应用

doi:10.3760/cma.j.cn115909-20191112-00302

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (759 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To evaluate the safety, efficacy and visual outcomes in myopic and presbyopic patients, after Q-value-guided non-linear aspherical monocular LASIK. Methods: A prospective study was performed based on 50 patients (100 eyes) who underwent Q-value-guided non-linear aspherical LASIK. They were recruited in Liuzhou Worker's Hospital from January to December 2018. One week, 1 month, 3 months and 6 months after the operation, the patients' postoperative follow-up included assessments of visual acuity, auto-refraction, Q-value, spherical aberration, contrast sensitivity, corneal topography, stereoacuity and so on. The impact of the operation at 6 months was evaluated with the Chinese quality-of-life impact of refractive correction scale (QIRC). A t-test and repeated measurement analysis of variance were used for data analysis. Results: The demographic information was matched preoperatively between the two eyes. Six months postoperatively, 47 patients achieved an uncorrected distance visual acuity of 0.0 or better in the dominant eye, an uncorrected near visual acuity of 0.3 or better in 48 patients (96%), and 0.33 in the non-dominant eye of all patients. At 6 months, there was a significant difference in Q-value between the dominant eye and the non-dominant eye (t=2.142, P=0.03). Refractive error and Q-value were positively correlated with spherical aberration (r=0.496, P<0.001; r=0.197, P=0.05). At one week postoperatively, all contrast sensitivity spatial frequencies were lower than that before surgery, and gradually reached the preoperative level at 6 months postoperatively (all P<0.05). Most of the patients reported good visual quality, but 2 of them complained of night glare and ghosting. There was no significant difference in stereopsis 6 months postoperatively. Conclusions: Q-value-guided non-linear aspherical monocular LASIK is safe and effective to treat myopia and presbyopia.

Key words： aspheric ablation Q value myopia presbyopia

Received: 12 November 2019

Fund:Self-funded Scientific Research Projects by the Health and Family Planning Commission of Guangxi Province (Z20180521)

Corresponding Authors: Muzhi Yuan, Department of Optometry, Liuzhou Worker's Hospital, Liuzhou 545005, China (Email: yuanmuzhi62@126.com)

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.cjoovs.com/EN/ 10.3760/cma.j.cn115909-20191112-00302 OR https://www.cjoovs.com/EN/Y2020/V22/I4/268

[1]	Zhang J, Zheng L, Zhao X, et al. Corneal aberrations after small-incision lenticule extraction versus Q value-guided laserassisted in situ keratomileusis. Medicine (Baltimore), 2019, 98(5): e14210. DOI: 10.1097/MD.0000000000014210.
[2]	Goyal JL, Garg A, Arora R, et al. Comparative evaluation of higher-order aberrations and corneal asphericity between wavefront-guided and aspheric LASIK for myopia. J Refract Surg, 2014, 30(11): 777-784. DOI: 10.3928/1081597X- 20141021-10.
[3]	Stival LR, Figueiredo MN, Santhiago MR. Presbyopic excimer laser ablation: A review. J Refract Surg, 2018, 34(10): 698-710. DOI: 10.3928/1081597X-20180726-02.
[4]	Rouimi F, Ouanezar S, Goemaere I, et al. Presbyopia management with Q-factor modulation without additive monovision: One-year visual and refractive results. J Cataract Refract Surg, 2019, 45(8): 1074-1083. DOI: 10.1016/ j.jcrs.2019.02.039.
[5]	李慧, 王青, 马玉娜, 等. Q值优化Micro-Monovision矫正近视合并老视的短期临床效果. 中华眼视光学与视觉科学杂志, 2019, 21(9): 661-667. DOI: 10.3760/cma.j.issn.1674- 845X.2019.09.004.
[6]	唐静, 邓应平, 邱乐梅. 改良单眼视LASIK手术矫正老视的疗效. 中华眼视光学与视觉科学杂志, 2012, 14(6): 360-364. DOI: 10.3760/cma.j.issn.1674-845X.2012.06.010.
[7]	Leray B, Cassagne M, Soler V, et al. Relationship between induced spherical aberration and depth of focus after hyperopic LASIK in presbyopic patients. Ophthalmology, 2015, 122(2): 233-243. DOI: 10.1016/j.ophtha.2014.08.021.
[8]	黄学海, 周艳峰. Q值引导与标准FS-LASIK术后角膜形态及对比敏感度比较. 中华眼视光学与视觉科学杂志, 2019, 21(7): 514-520. DOI: 10.3760/cma.j.issn.1674-845X.2019.07. 006.
[9]	Levinger E, Geyer O, Baltinsky Y, et al. Binocular function and patient satisfaction after monovision induced by laser in situ keratomileusis (lasik). Harefuah, 2006, 145(3): 186-190, 246- 247.
[10]	曹哲瑶, 夏丽坤, 陆岩, 等. Q值优化非球面切削单眼视LASIK术后视觉效果分析. 国际眼科杂志, 2012, 12(4): 604-608. DOI: 10.3969/j.issn.1672-5123.2012.04.02.
[11]	Xiong Y, Li J, Wang N, et al. The analysis of corneal asphericity (Q value) and its related factors of 1, 683 Chinese eyes older than 30 years. PLoS One, 2017, 12(5): e0176913. DOI: 10.1371/ journal.pone.0176913.
[12]	Yu M, Chen M, Liu W, et al. Comparative study of wave-front aberration and corneal Asphericity after SMILE and LASEK for myopia: A short and long term study. BMC Ophthalmol, 2019, 19(1): 80. DOI: 10.1186/s12886-019-1084-3.
[13]	Villegas EA, Alcón E, Mirabet S, et al. Extended depth of focus with induced spherical aberration in light-adjustable intraocular lenses. Am J Ophthalmol, 2014, 157(1): 142-149. DOI: 10.1016/ j.ajo.2013.08.009.
[14]	Soler Tomás JR, Fuentes-Páez G, Burillo S. Symmetrical versus asymmetrical presby LASIK: Results after 18 months and patient satisfaction. Cornea, 2015, 34(6): 651-657. DOI: 10.1097/ICO.0000000000000339.
[15]	苏小连, 王雁, 吴文静, 等. SMILE和飞秒激光制瓣的LASIK术后角膜前表面非球面性的对比研究. 中华眼科杂志, 2016, 52(9): 681-685. DOI: 10.3760/cma.j.issn.0412-4081.2016.09. 009.

[1]

Chinese Optometric Association, Chinese Ophthalmological Society; Ophthalmology and Optometry Committee, Ophthalmologists Association, Chinese Doctor Association; et al. Expert Consensus on Multifocal Soft Contact Lens Fitting for Myopia Control (2023)[J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2023, 25(8): 561-567.