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目的对准分子激光屈光性角膜切削术(photorefractivekeratectomy,PRK)和准分子激光原位角膜磨镶术(laserinsitukeratomileusis,LASIK)治疗近视的疗效进行对比研究。方法对术前近视度为-1.50D~20.00D的患者的600只眼,按近视度分为三组:中低度近视组(-1.50D~-6.00D)234只眼,194眼行PRK手术,40眼行LASIK手术;高度近视组(-6.25D~-10.00D)249只眼,107眼行PRK手术,142眼行LASIK手术;超高度近视组(-10.25D~-20.00D)117只眼,8眼行PRK手术,109眼行LASIK手术。术后随访观察12~23个人。结果术后12个月,三组患者的屈光度在±1D以内,行PRK手术的患者分别为100%、73.8%、50.0%。LASIK手术的患者分别为100%、88.7%、74.3%。屈光度在±0.50D以内者,行PRK手术者分别为86.6%、62.6%、37.5%,行LASIK手术者,分别为87.5%、80.3%、50.5%。术后12个月,三组的裸眼视力0.5或以上者,行PRK手术者分别为100%、76.?
Objective To compare the curative effects of photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK) on myopia. Methods Six hundred and sixty eyes of patients with preoperative myopia of -1.50D ~ 20.00D were divided into three groups according to myopia: 234 eyes of low and middle myopia group (-1.50D ~ -6.00D) 194 eyes underwent PRK surgery and 40 eyes underwent LASIK. 249 eyes of high myopia group (-6.25D ~ -10.00D), 107 eyes underwent PRK surgery and 142 eyes underwent LASIK. 117 eyes, 8 eyes underwent PRK surgery and 109 eyes underwent LASIK surgery. Postoperative follow-up observation of 12 to 23 individuals. Results At 12 months after operation, the refraction of the three groups of patients was within ± 1D. The patients undergoing PRK surgery were 100%, 73.8% and 50.0%, respectively. LASIK patients were 100%, 88.7%, 74.3%. Refractive index within ± 0.50D were PRK surgery were 86.6%, 62.6%, 37.5%, LASIK surgery were 87.5%, 80.3%, 50.5 %. At 12 months after operation, the PRK surgeries were 100% and 76 respectively in the three groups with uncorrected visual acuity of 0.5 or more. ?