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目的分析近视患者经系统正规的术前检查后未行准分子激光原位角膜磨镶术(LASIK)的原因。方法对1235例(2463眼)近视患者进行全面的术前眼部检查,对其中未能行LASIK手术的275例(543眼)进行原因分析。结果275例(543眼)中角膜厚度不足者104例(208眼,占38.30%),矫正视力<0.4者68例(136眼,占25.05%),角膜屈光力偏高或偏低者37例(74眼,占13.63%),眼压较高者23例(46眼占8.47%),思想顾虑较大者16例(32眼,占5.90%),眼底病变及其它原因27例(47眼,占8.65%)。结论LASIK手术并非近视患者人人适宜,严格的术前检查对掌握手术的适应证至关重要。
Objective To analyze the causes of non-excimer laser in situ keratomileusis (LASIK) after myopia patients undergo formal systematic preoperative examination. Methods A total of 1235 patients with myopia (2463 eyes) underwent preoperative eye examination and 275 cases (543 eyes) without LASIK were analyzed retrospectively. Results Of 275 eyes (543 eyes), corneal thickness was not enough in 104 cases (208 eyes, 38.30%), corrected visual acuity was 0.4 in 68 cases (136 eyes, 25.05%), corneal refractive power was high or low in 37 cases 23 cases (46 eyes, 8.47%), 16 cases (32 eyes, accounting for 5.90%), 27 cases (47 eyes, Accounting for 8.65%). Conclusion LASIK surgery is not suitable for all myopia patients. Strict preoperative examination is very important for the surgical indications.