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目的分析屈光不正患者已接受术前检查后最终未行准分子激光角膜屈光手术的原因。方法为2378例屈光不正患者行术前检查,对未行手术的263例(占11.1%)进行原因分析。结果263例患者中,未行手术的原因为:思想顾虑大者92例(34.6%),角膜厚度不足者62例(23.7%),矫正视力<0.5者37例(14.1%),角膜屈光力偏大者32例(12.3%),角结膜炎症、干眼症者12例(4.4%),眼压偏高者11例(4.2%),眼底病变者9例(3.5%),其他原因8例(3.2%)。结论准分子激光角膜屈光手术有明显的选择性和适应症。
Objective To analyze the causes of refractive excimer laser corneal refractive surgery in patients with refractive errors who have undergone preoperative examination. Methods A total of 2378 patients with refractive errors underwent preoperative examination, and 263 cases (11.1%) underwent surgery. Results Among the 263 patients, the reason of no operation was as follows: 92 patients (34.6%) were thought to have a great mind, 62 patients (23.7%) had insufficient corneal thickness, 37 patients (14.1%) had corrected visual acuity <0.5, (32.3%), keratoconjunctivitis, dry eye in 12 (4.4%), intraocular pressure in 11 (4.2%), fundus lesions in 9 (3.5%) and other causes in 8 (3.2%). Conclusion Excimer laser corneal refractive surgery has obvious selectivity and indications.