Epi-LASIK保留角膜上皮瓣与弃除角膜上皮瓣术后临床结果与角膜形态的比较性分析

《Epi-LASIK保留角膜上皮瓣与弃除角膜上皮瓣术后临床结果与角膜形态的比较性分析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、天津医科大学硕士学位论文AbstractPurpose：Tocomparetheadvantagesanddisadvantagesofon-flapepipolislaserinsitukeratomileusis(Epi-LASIK)andoff-flapEpi—LASIK．Methods：Aprospectively,double-maskedandradomizedstudywasperformedon188eyesof94patients．Ineachpatient，oneeyeunderwenton—flapEpi—LASIK(on-flapgroup)andthefellowey

2、ehadoff-flapEpi—LASIK(off-flapgroup)．Patientswereinstructedtoratetheirpainandotherdiscomfortablesymptomsonpostoperativeday1，2and3；visualacuity,refraction，Hazeformationandcornealtopographywereevaluated1monthand4monthspostoperatively．Results：1．Onpostoperativeday1，thedifferenceofsubjectivemeanpainwasno

3、tstatisticallysignificant(P=0．070)：Onpostoperativeday2and3，thedifferencewerestatisticallysignificant(P=0．000and0．ooo)．2．Onpostoperativeday1，2and3，thedifferencesbetweenthetwogroupsofphotophobiawereunstatisticalsignificant(P=0．455，0．736and0．085)；onpostoperativeday1and2，thedifferencesbetweenthetwogroup

4、softearingwerenotstatisticalsignificant(仁0．506and0．149)，andthedifferencesbetweeneyelidsweepalsowerenotstatisticalsignificant(P=0．366andO．740)；onpostoperativeday3，thedifferencesoftearingandeyelidsweepwerestatisticalsignificant(P--0．001and0．028)．3．ThemeanepithelialhealingtimeWas2．78±0．51daysintheon—fl

5、apgroupandWas2．34±0．52daysintheon—flapgroup(n=94)．ThedifferenceWasnotstatisticallysignificant(尸三0．o18)，Onthepostoperativeday7(n=74)，77．03％ofeyeshadtransparentcomeasintheoff-flapgroupand41．41％intheon—flapgroup．4．Themeanuncorrectedvisualacuityonpostoperativeday7(n=74)was1．08±0．38intheon-flapgroupandwa

6、s1．17+0．35intheoff-flapgroup，thedifferenceWasnotstatisticallysignificant(卢O．215)；ItWas1．24-1-0．34intheon—flapgroupandWas1．42±0．21inthefellowgroupat1monthpostoperatively(n=51)，thedifferencewasstatisticallysignificant俨=0．000)；Itwas1．42±O．21intheon-flapgroupandWas1．40±0．21intheoff-flapgroupat1monthpost

7、operatively(n=51)，itWasnotsignificantdifferenct(P=0．485)．III天津医科大学硕士学位论文5．At1month，themearlsphericalequivalentwasO．33±0．78Dand0．24±0．59Drangerespectively,at4months，theywere0．14±0．46DandO．18±0．50D，allt