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目的 :评价LASIK治疗远视眼的有效性、可预测性和安全性。方法 :用LASIK治疗 54只远视眼 ,屈光度 +1 0 0～ +6 0 0D ,术后平均随访一年。对裸眼和矫正视力、屈光稳定性和并发症等进行了分析。结果 :至术后一年时 ,平均残余屈光度为 +0 2 9± 0 78D ,屈光度在± 0 5D和± 1 0D以内者分别占 61 1 % ( 33只眼 )和 83 3% ( 45只眼 )。裸眼视力达到 0 5以上者占 92 6% ( 50只眼 ) ,1 0以上者 63 0 % ( 34只眼 )。 1只眼 ( 1 9% )最佳矫正视力下降 2行 ,2只眼 ( 3 7% )增加 2行。 2只眼 ( 3 7% )有眩光。结论 :LASIK可用于治疗 +1 0 0～ +6 0 0D的远视眼且具有较好的预测性和安全性。对手术技术和激光治疗程序的不断改进将有助于进一步提高手术的可预测性和稳定性
Objective: To evaluate the effectiveness, predictability and safety of LASIK in the treatment of hyperopia. Methods: Fifty-four hypermetropic eyes were treated with LASIK. The refraction was 100 to 600D, and the average follow-up was one year. Visual and uncorrected visual acuity, refractive stability and complications were analyzed. RESULTS: One year after surgery, the average residual refraction was +0 2 9 ± 0 78D, and 61 1% (33 eyes) and 83 3% (45 eyes), respectively, within ± 0 5D and ± 1 0D ). The naked eye visual acuity of 0 5 or more accounted for 92 6% (50 eyes), 10 0 63 0% (34 eyes). In one eye (19%), the best corrected visual acuity decreased by 2 lines and that of 2 eyes (37%) increased by 2 lines. Two eyes (37%) had glare. Conclusion: LASIK can be used in the treatment of hyperopia of +1 0 ~ +6 0 0D with good predictability and safety. The continuous improvement of surgical techniques and laser treatment procedures will help to further improve the predictability and stability of the surgery