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为评价微型角膜刀板层角膜成形联合准分子激光角膜切削术（ＭＬＫ－Ｅ或ＬＡＳＬＫ）治疗高度近视的效果和安全性，利用微型角膜刀作一带蒂角膜瓣，在其下用ｓｃｈｗｉｎｄＫｅｒａｔｏｍⅠ型准分子激光机进行ＰＲＫ激光切削，共治疗了３０例４７眼，术前屈光状态＜－１５Ｄ的Ⅰ组共３５眼，屈光度为－１０．２０±２．０４Ｄ，最佳矫正视力为０．９２±０．２６（０．４—１．５）；等球镜≥－１５Ｄ的Ⅱ组共１２眼，屈光度平均为－１７．６４±１．８３Ｄ，最佳矫正视力为０．４２±０．２３（０．１—０．８）。散光最高为４．５Ｄ。结果：术后３个月随访：Ⅰ组：屈光度平均为－０．４８±０．５２Ｄ（－１．７５—＋０．５０Ｄ），裸眼视力３４眼（９７％）达到０．５以上（另１眼裸眼视力等于术前），２５眼（７１．４％）裸眼视力达到术前最佳矫正视力。Ⅱ组：屈光度平均为－１．４４±１．９７Ｄ（－５．５０—＋１．２５Ｄ），８眼（６６．７％）裸眼视力达到术前最佳矫正视力。是一种安全有效的高度近视治疗方法。
To evaluate the efficacy and safety of microkeratome keratorefractive keratorectal excimer laser keratomileusis (MLK-E or LASLK) in the treatment of high myopia, a miniature corneal knife was used to make a pedicled corneal flap under which schwind Keratom type I excimer Laser machine PRK laser cutting, a total of 47 cases were treated in 30 cases, preoperative refractive status <-15D group Ⅰ a total of 35 eyes, the refraction was -10.20 ± 2.04D, the best corrected visual acuity was 0.92 ± 0.26 (0.4-1.5). There were 12 eyes in group Ⅱ with spherical ≥ -15D. The average diopter was -17.64 ± 1.83D and the best corrected visual acuity was 0.42 ± 0.23 (0.1-0.8). Astigmatism up to 4.5D. Results: After 3 months of follow-up, in group Ⅰ, the average refractive power was -0.48 ± 0.52D (-1.75- + 0.50D) and the uncorrected visual acuity was above 0.5 (97%) Eye uncorrected visual acuity equal to preoperative), 25 eyes (71.4%) uncorrected visual acuity reached the best corrected visual acuity before surgery. In group Ⅱ, the average refractive power was -1.44 ± 1.97D (-5.50- + 1.25D), and the uncorrected visual acuity of 8 eyes (66.7%) reached the best corrected visual acuity before operation. Is a safe and effective treatment of high myopia.